Nov-Dec 2010


BOWA offers high performance ligation with reusable instruments

Conventional electro coagulation reaches its limit at vessels with a diameter of more than approximately 2 mm. In this case, haemostasis and a permanent sealing can only be achieved with ligation bipolar vessel sealing: the bunched vessels or tissue are gripped by a special instrument and pressed together under a constant, specified level of pressure. With the new, quick Ligation ARC 350L V2.6 this procedure lasts just 5 seconds on average and stops automatically when finished.

Bipolar vessel sealing with the reusable TissueSeal and NightKNIFE has several main advantages over other procedures such as ligature, suture and the use of clips: quick preparation, quick and safe vessel sealing, no foreign bodies left in the area of the operation, and low costs. This means that there is a shorter operating time and less blood loss, which in turn means better care for the patient.

The integrated cutting function on the NightKNIFE takes away any inconvenient time loss caused by changing instruments in laparoscopic procedures. The angled and non-traumatic toothed tips of TissueSeal enable safe tissue grip in vaginal or open hysterectomy.

The high degree of efficiency due to the concept of reusability is a particularly strong economic incentive for using the BOWA NightKNIFE, TissueSeal and LIGATOR ligation instruments. The fields of application for these sealing instruments extend from numerous open and laparoscopic interventions to the specialist areas of surgery, urology and especially gynaecology.

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New software helps improve breast cancer diagnosis

Siemens has introduced new software to improve breast cancer diagnosis.

The latest version of Syngo Mammo Report, the mammography software from Siemens, now combines tomosynthesis, 3D ultrasound and 3D magnetic resonance imaging with 2D mammography and enables radiologists to display images from different examinations for a single patient simultaneously on a single workstation. In addition to saving time, the direct comparison of results allows for a more comprehensive diagnosis.

The Syngo Mammo Report also supports 3D applications for ultrasound, mammography and MRI. Three-dimensional imaging techniques are becoming increasingly important in the early detection of breast cancer, particularly for patients with dense breast tissue or with a family history of breast cancer. The new software also allows users to read images from other vendors' imaging systems.

The workstation can be integrated into the radiology information systems of different departments, such as the breast center or the radiology department.

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Intersurgical launches new supraglottic airway for paediatric patients  

Intersurgical has launched their new supraglottic airway, i-gel, in four paediatric as well as three adult sizes, making it applicable for use with patients as small as 2kg in weight.

i-gel was launched in 2007 and since then has become the supraglottic airway of choice in hundreds of hospitals in the across the world. The rapid and easy insertion, improved safety provided by the gastric channel1, low postoperative complications and high seal pressures, provide benefits to both clinician and patient.

In the first global study of the paediatric sizes2, conducted at the Hautepierre University Hospital in Strasbourg and presented as an abstract at the SFAR conference in Paris and the ASA in New Orleans in 2009, the overall insertion success rate was 100%. Ventilation was considered good or very good without any episode of desaturation and in 33 of the 50 cases, the authors commented that the patients would have been intubated had an i-gel not been available.

In a recent interview3, Professor Diemunsch, Chairman of the European Airway Management Society and University Professor at the Hautepierre Hospital, commented: “The i-gel device, due to its stability, allows the child to be placed in the lateral decubitis position to perform caudal anaesthesia, without this causing a leak or the displacement of the laryngeal device.”

For those clinicians looking for a suitable supraglottic airway for paediatric anaesthesia, i-gel offers an innovative alternative to the traditional laryngeal mask.

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References: 1. The size one i-gel does not incorporate a gastric channel 2. The i-gel in paediatric surgery: Initial series. Claire Bopp, M.D., Georgio Carrenard, M.D., Chloe Chauvin, M.D., Claudine Schwaab, M.D., Pierre Diemunsch, M.D., Ph.D.. Anesthesiology and Intensive Care, University Hospital of Strasbourg, Strasbourg, France. Abstract presented at the ASA in New Orleans. 2009. No A147. 3. Interview with Professor Pierre Diemunsch. University Hospital of Strasbourg. Capital Medical Equipment. 2009. No 124.  

3Ms new Littmann Electronic Stethoscope 3000 range launches in the Middle East  

3M recently introduced to the Middle East the new Littmann Electronic Stethoscope 3000 range which includes two sophisticated electronic stethoscopes, the 3100 and the 3200.

The 3200 model incorporates Bluetooth technology which enables medical professionals to wirelessly transmit sounds in real-time to a PC for further analysis, attachment to electronic medical records or for reviewing online with colleagues. This advanced model includes Zargis StethAssit sound analysis software which visualises heart, lung and other body sounds, playback in bell, diaphragm or extended range, display and print as phonocardiogram, and has the capability to save patient information.

The 3M Littmann Electronic Stethoscope series is easy to operate, lightweight and comfortable, has a worry-free power system and a convenient LCD Interface. The new stethoscopes provide excellent sound detection with the following features:

Ambient noise reduction
The 3200 model cancels out, on average, 85% of ambient background noise that can interfere with the auscultation experience, without eliminating critical body sounds. With this technology medical professionals are much less likely to miss the sounds they need to hear in noisy work environments.

Acoustic Seal Eartips

3M Littmann Snap Tight Soft-Sealing Eartips provide a comfortable fit but also create an excellent acoustic seal. It means a tighter seal from ambient noise entering through eartip connections.

Advanced sound sensor
Built to stringent specifications, this new stethoscope provides a life-like 3M Littmann sound experience similar to a high-end cardiology stethoscope.

Frictional noise reduction
A number of changes in the chest piece help reduce handling noises compared to earlier electronic stethoscopes.

Up to 24X Sound Amplification
The 3M Littmann Electronic Stethoscope Model 3200 allows medical professionals to capture a sound for later playback during which faint sounds that may be important can be amplified.

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Acrobat Stent-on-a-Wire facilitates direct stenting  

Svelte Medical Systems, has received the CE Mark to market its Acrobat Stent-on-a-Wire (SOAW) Bare Metal Coronary Stent System in the European Union. The Acrobat SOAW stenting system has been shown in clinical trials to facilitate direct stenting and has the potential to provide substantial procedural time and cost savings, says the company. These savings are realised by eliminating the need for a coronary guidewire and balloon dilatation catheters. Furthermore, the Acrobat stent allows reduced use of contrast medium which is a benefit to many patients. Another advantage is that the operator and patient radiation dosing is significantly reduced. The extremely low crossing profile of the Acrobat stent makes it well suited for stenting via the radial artery approach which provides additional comfort and safety benefits to the patient.

Svelte’s President and CEO, Mark Pomeranz said: “This is a significant milestone for the company. We successfully concluded our First-In-Man (FIM) clinical evaluations at the end of July and with receipt of the CE Mark we will be able to make this exciting product commercially available to a broad range of physicians and patients.

The Company plans to initiate US clinical trials on the Acrobat SOAW technology in 2011. A drug eluting version of the Acrobat stent is now under development using a novel noninflammatory carrier for the drug.

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Mediflex introduces Mini-Bookler Table-Mounted Retractor System.  

Inspired by John R. Bookwalter, MD, FACS , Mediflex has made significant design changes to their Bookler Table- Mounted Retractor Systems to meet “today’s most challenging surgical demands”.

By recognising the needs of surgeons performing small incision procedures and combining the genius of Dr Bookwalter’s original designs with other Mediflex innovations, the company is introducing the new Mini-Bookler System for Pediatric and Neo-natal Surgery.

The rings, ratchets and blades of the Mini-Bookler System look like the original. However, they are significantly smaller. This gives the surgeon a smaller, lower profile system that still provides the vital exposure that was Dr Bookwalter’s goal. Additionally, the system is attached to the OR Table with Mediflex’s Flex Arm or StrongArm Surgical Holders and Positioners. These devices can be oriented to minimise the overall height of the system allowing surgeons to work unencumbered by vertical table posts.

An assortment of rings and blades are available for a wide variety of procedures, such as thyroid, carotid, open appendix, open hernia and perineal procedures. The system is also ideal for neo-natal surgery.

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DTR Medical responds to surgeons’ needs with new Shea Ear Specula  

DTR Medical – the leading manufacturer of sterile single-use surgical instruments – is launching the Shea Ear Specula after surgeons’ feedback called for a new oval design. This product is the fourth pattern to join DTR Medical’s specula range, complementing the Tumarkin, Rosen and Oval models.

Manufactured to surgeons’ specifications and patients’ needs, the new specula’s bevelled oval shape allows it to sit comfortably inside the ear shaft, making it suitable for many procedures, including stapedectomy. It is available in five sizes to meet a range of clinical requirements; its matt black finish makes it highly visible under microscope; and it is available both sterile for theatres, and nonsterile for clinics.

The Shea Ear Specula, like all of DTR Medical’s products, is a cost effective single-use disposable. Single-use products significantly reduce the risk of cross-contamination.

The Shea Ear Specula, from the ENT range, is one of many new sterile single-use products manufactured by DTR Medical. Other catalogue specialities include neurosurgery, vascular and general surgery and gynaecology. Mainstay products include: crocodile forceps and aspirating dissectors (ENT); Spackman and Tischler biopsy punches (Gynaecology); retractors and tapered suction (Neurosurgery); and Tibbs Cannula and Poole suction handles (Vascular and General).

DTR Medical continues to expand its international network of distribution partners who offer excellent service and delivery. Refer to the website or contact DTR Medical directly to determine your local provider.

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SonoSite introduces proprietary Enhanced Needle Visualization  

Developed over the past two years, SonoSite’s engineers collaborated with physicians worldwide and challenged the conventional principles of ultrasound system design to break new ground for needle visibility. As a result, the revolutionary Enhanced Needle Visualization technology was introduced for SonoSite ultrasound systems.

SonoSite’s Enhanced Needle Visualization is a significant development in ultrasound imaging that enables improved needle tracking with increased confidence during deep needle procedures. It is a proprietary imaging technology that intensifies the brightness of the needle, making it clearly visible during a steep angle approach to a deep target, conditions under which the needle has previously been difficult to image. This technology is also the first fully-integrated solution to resolve the “lost needle phenomenon”, which has been an accepted constraint for needle-guidance since the creation of ultrasound imaging.

Enhanced Needle Visualization supports SonoSite’s continuous efforts to provide physicians with innovative solutions to improve patient safety. It can be operated with a simple on/off button, enabling physicians to potentially decrease procedure time and considerably reduce costs per procedure.

• The technology is currently offered as a part of a software upgrade for SonoSite’s M-Turbo and S Series systems and is compatible with SonoSite’s HFL50 and HFL38 transducers for peripheral nerve block applications.

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Siemens develops 3-D in angiography software to simplify workflow for keyhole heart valve implantation  

Siemens presented new angiography image processing software at the recent congress of the European Society of Cardiology 2010 in Stockholm, Sweden.

Syngo Aortic ValveGuide has been developed to assist cardiologists and cardiac surgeons to prepare and perform transcatheter aortic valve implantations (TAVI). The software automatically reconstructs a 3D representation of the aortic root from CT-like cross-sectional images acquired with the angiography system. Syngo Aortic ValveGuide segments the aortic root in threedimensional mode from Syngo DynaCT Cardiac images. With the aid of anatomical landmarks in the 3D representation of the vessel, Syngo Aortic ValveGuide calculates the exact perpendicular view on the aortic root. The C-arm adjusts to the corresponding angulations for live fluoroscopy. In this way the physician obtains real-time, three-dimensional guidance in the patient’s body while navigating the new valve to its intended location.

Since Syngo Aortic ValveGuide only requires a short fluoroscopy time prior to the procedure, the patient's exposure to radiation and contrast agent can be reduced considerably.

Commenting on the new software, Dr Jörg Kempfert, heart surgeon at the Heart Center Leipzig, said: “With Syngo Aortic ValveGuide, we can now find the optimal angulation with a perpendicular view on the aortic root easier and faster than before, because the software automates so many work steps.” The software is not yet commercially available. ● For more information visit:  

Rimage provides automated medical disc publishing solutions  

Large hospitals, clinics and private radiology cabinets have made the move to CD, DVD and more recently, Blu-ray Disc publishing systems, not only to reduce their operational cost but also to gain the benefits of viewing and using digital images. Replacing expensive film has initially been the driving force in this evolution but just as printers have multiple applications (you can scan, email, fax, copy, print and even archive paper documents), disc publishing systems need to become multi-functional in order to manage DICOM images.

Automated output of DICOM images to patient CD/ DVD/Blu-ray Discs is the basic functionality of disc publishing systems. However, additional requirements must often be met such as adding reports, image forwarding, image compression and decompression, secure encryption, high performance and business continuity. The application must be user friendly, available in any language and preferably web-based to allow access from any workstation.

Germany-based Rimage disc publishing solutions provides this flexibility and automates the uploading, reconciliation and complete reporting of patient data with your PACS/RIS.

In combining the software suite and the disc publishing system, Rimage offers a cost-effective, multifunctional "front to end" DICOM image management solution.

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 Date of upload: 19th Dec 2010

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