Evaluation and Comparison of Contemporary Energy-Based Surgical Vessel Sealing Devices.

Journal Article (Journal Article)

INTRODUCTION: We evaluated and compared five currently available energy-based vessel sealing devices to assess typical surgical metrics. METHODS: We tested Caiman 5 (C5), Harmonic Scalpel Ace Plus (HA), Harmonic Ace +7 (HA7), LigaSure (LS), and Enseal G2 (ES) on small (2-5 mm), medium (5.1-7 mm), and large (7.1-9 mm) vessels obtained from 15 Yorkshire pigs. Vessels were randomly sealed and transected. We recorded sealing and transection time, charring and carbonization, thermal spread, and bursting pressure (BP). Specimens were sent for histopathologic evaluation of seal quality and thermal spread. RESULTS: A total of 246 vessels were evaluated: 125 were arteries and 121 were veins. There was no difference in BPs for small size arteries. For medium arteries, C5 provided the highest BP (proximal and distal jaw), followed by HA7, ES, LS, and HA [1740, 1600, 1165, 1165, 981, and 571 mm Hg, respectively, HA250 mm Hg.

Full Text

Duke Authors

Cited Authors

  • Okhunov, Z; Yoon, R; Lusch, A; Spradling, K; Suarez, M; Kaler, KS; Patel, R; Hwang, C; Osann, K; Huang, J; Lee, T; Landman, J

Published Date

  • April 2018

Published In

Volume / Issue

  • 32 / 4

Start / End Page

  • 329 - 337

PubMed ID

  • 29463122

Pubmed Central ID

  • PMC5909080

Electronic International Standard Serial Number (EISSN)

  • 1557-900X

Digital Object Identifier (DOI)

  • 10.1089/end.2017.0596


  • eng

Conference Location

  • United States