Healthcare Professionals
Aquamantys System
and Bipolar Sealers
Surgical Applications
Controlling Blood Loss During Hip Procedures
The Aquamantys® System uses patented Transcollation® technology, a combination of radiofrequency (RF) energy and saline that provides hemostatic sealing of soft tisuue and bone during surgery. When used during total hip arthroplasty (THA), the Aquamantys System provides benefits for both surgeons and patients – reducing transfusion rates by minimizing intra-operative blood loss.1,2,*
Proper surgical technique is important to achieve optimal results with Transcollation technology. Use of the Aquamantys System in hip replacement surgery provides the following clinical benefits:
- Reduces transfusion rates1,2,*
- Reduces post-operative drainage1,2
- Helps maintain hemoglobin levels1,3
The Aquamantys System can be used during the Direct Anterior approach to minimize soft tissue bleeding encountered during the procedure.
Hip procedures where Aquamantys devices are commonly utilized include:
- Total hip replacement
- Hemiarthroplasty
- Hip resurfacing
- Revision
- Bilateral
Choice of hip replacement approaches vary by each surgeon. Regardless of the preference, Transcollation technology can address the following areas that may bleed during surgery:
Direct anterior approach
- Tissue surrounding superficial vessels* in the deep subcuticular layer
- Tissue surrounding the anterior circumflex vessels* (ascending branch) encountered during the initial approach
- Tissue surrounding the posterior circumflex vessels* encountered during capsular release
- Tissue surrounding the medial vessels* of the obturator branches, which may bleed and retract
- Obturator region – during periacetabular treatment before and after reaming
Anterolateral approach
- Tissue surrounding the superficial vessels* in the deep subcuticular layer
- Inferior abductor muscles prior to and after release
- Periacetabular treatment prior to, during, and following femoral head removal
Posterolateral approach
- Tissue surrounding the superficial vessels* in the deep subcuticular layer
- Short external rotators, capsular, and posterior arterial perforators before and after the release
- Periacetabular treatment prior to, during and following femoral head removal
Knee
Controlling Blood Loss During Knee Procedures
Every day, surgeons use the Aquamantys® System with patented Transcollation® technology, a combination of radiofrequency (RF) energy and saline that provides hemostatic sealing of soft tissue and bone during surgery and helps surgeons proactively address bleeding during orthopaedic procedures.
Proper surgical technique is important to achieve optimal results with Transcollation technology. Studies have shown that, when used during knee replacement procedures, the Aquamantys System provides the following clinical benefits:
- Reduces transfusion rates by minimizing intra- and post-operative blood loss1,2,*
- Reduces post-operative drainage1,2
- Reduces post-operative incidence of hemarthrosis, which may lead to a reduction in pain and swelling3,*
Knee procedures where Aquamantys devices are commonly utilized include:
- Primary total knee replacement
- Partial knee replacement
- Revision
- Bilateral
In a prospective survey listing more than 50 patient concerns prior to knee or hip arthroplasty, "pain immediately after surgery" was the most common concern.4 In total knee arthroplasty, post-operative pain can be related to tourniquet usage: patients subjected to a tourniquet experienced significantly more pain than those who had surgery without a tourniquet.5-8
Surgeons may help reduce their patients’ post-operative pain by eliminating or reducing tourniquet use, and utilizing the Aquamantys System to control intraoperative bleeding.1,2
*
Performance has not been specifically established in all procedures
REFERENCES
1
Marulanda GA, Ulrich SD, Seyler TM et al. Reductions in blood loss with a bipolar sealer in total hip arthroplasty. Expert Rev Med Devices 2008; 5(2):125-131.
2
Marulanda GA, Ragland PS, Seyler TM et al. Reductions in blood loss with use of a bipolar sealer for hemostasis in primary total knee arthroplasty. Surg Tech XIV 2005; 12:281-286.
3
Rosenberg AG. Reducing blood loss in total joint surgery with a saline-coupled bipolar sealing technology. J Arthrop 2007; 22(4):82-85.
4
Trousdale RT, McGrory BJ, Berry DJ et al. Patients’ concerns prior to undergoing total hip and total knee arthroplasty. Mayo Clinic Proceedings 1999; 74:978-982.
5
Abdel-Salam A, Eyres K. Effects of tourniquet during total knee arthroplasty. Journal of Bone and Joint Surgery - British Volume 1995; Vol 77-B, Issue 2, 250-253.
6
Barwell J, Anderson G, Hassan A et al. The effects of early tourniquet release during total knee arthroplasty. Journal of Bone and Joint Surgery - British Volume 1997; 79:265-268.
7
Vandenbussche E, Duranthon L, Couturier M et al. The effect of tourniquet use in total knee arthroplasty. International Orthopedics 2002; 26(5):306-309.
8
Worland RL, Arredondo J, Angles F et al. Thigh pain following tourniquet application in simultaneous bilateral total knee replacement arthroplasty. Journal of Arthroplasty 1997; 12(8)848-852.
* Vessels up to 1 mm in diameter may be occluded using Transcollation technology.
** Performance has not been specifically established in all procedures.
References
1
Marulanda GA, Ulrich SD, Seyler TM et al. Reductions in blood loss with a bipolar sealer in total hip arthroplasty. Expert Rev Med Devices 2008; 5(2):125-131.
2
Marulanda GA, Ragland PS, Seyler TM et al. Reductions in blood loss with use of a bipolar sealer for hemostasis in primary total knee arthroplasty. Surg Tech XIV 2005; 12:281-286.
3
Marulanda GA, Krebs VE, Bierbaum BE et al. Hemostasis using a bipolar sealer in primary unilateral total knee arthroplasty. Am J Orthop 2009; 38(12):E179-183.