A revolutionAry instrument designed for procedures requiring

A revolutionary instrument designed
for procedures requiring critically precise
temperature control to reduce sticking and
charring while coagulating.
Benefit from codman
electrosurgery
partnered research
and product design:
Responding to the
needs of the surgeon
Through our long-standing worldwide partnerships with the
neurosurgical community, we learned that excess heat at the tips
of bipolar forceps causes a number of concerns. Most evident is
sticking and charring which can tear delicate tissue. What’s more,
excess heat also causes inadvertent peripheral tissue damage as well
as necrosis of valuable tissue in the surrounding area. As a result,
surgeons have had to adjust their techniques.
At Codman, we knew a revolutionary solution was required. And what
we developed is proving to be a milestone in Bipolar Forceps use.
2
3
Leading edge
electrosurgery
The Origin of Active Heat Transfer
Surgeons identified sticking and charring as a major problem during
electrosurgical procedures. This is caused by excess heat buildup at the tips
of traditional bipolar forceps, regardless of the metals used or amount of
irrigation added to the site. Together we began to focus on proprietary heat
pipe technology that could effectively control the heat output at the tips while
allowing effective tissue coagulation temperatures to be achieved.
Our solution is Active Heat Transfer (AHT) Technology. It continuously
transfers excess heat away from the tips and allows effective coagulation
temperatures to be achieved. The isocool Bipolar Forceps from Codman
virtually eliminates sticking and charring of delicate tissue, minimizing the
need to remove the forceps from the surgical site, clean them, and then
reorient. The result? Surgeons can perform more efficiently and benefit from
minimal tip contact temperature and thermal spread in the surrounding tissue.
The Science of
controlled heat
Infrared Photography of Traditional Bipolar
Forceps and the ISOCOOL Bipolar Forceps
Virtually
No Sticking.
With minimal tissue
adhesion, ISOCOOL
significantly reduces
the need to clean
during the procedure.
4
COMPETITIVE BIPOLAR FORCEPS
SHOWS EXCESS HEAT
ISOCOOL Bipolar Forceps
Stay Cool and controlled
With the bipolar generator set
to 35 Malis units, the tissue
temperature escalated to well
over 75 degrees C and heat was
visibly dispersed well beyond
the tips of the forceps.
AHT allows ISOCOOL Bipolar
Forceps to achieve effective
coagulation temperatures.
At 35 Malis Units, the
ISOCOOL forceps maintained
temperatures of approximately
55-65 degrees C.
The science behind
Active Heat Transfer
AHT technology actively draws excess heat away from the tips
allowing for effective coagulation temperatures to be achieved.
Enlarged diagram of AHT from the tip to the interior heat pipe
Enlarged wicking
structure
Here’s how it works:
• The heat pipe consists of a vacuum-sealed tube injected with a
small amount of two-phase working fluid.
• The heat generated at the distal end of the tip is immediately drawn
into the tube’s fluid and vaporized at the point of heat input.
• The vapor travels due to the positive pressure gradient created
by the vaporization to the proximal end of the tube, where the
vapor condenses into the wicking structure.
• The wicking structure allows the cooled, condensed working fluid
to return to the distal end of the tip by capillary action, even
working against gravity.
Active Heat Transfer
Inside the heat pipe, AHT enables a continuous cycle
of vaporization, transport, condensation, and return.
5
Procedure
benefits
ISOCOOL
sterile, single-use gold tips are designed
for procedures requiring precise
temperature control.
In the most delicate procedures, there is no room for error - instrumentation must
be of the highest quality. ISOCOOL doesn’t compromise. By incorporating the
Active Heat Transfer Technology along with our gold plated tips, surgeons now
have an instrument that enhances their ability to coagulate tissue.
6
Six reasons why ISOCOOL
is an extremely valuable
instrument for tissue
coagulation.
6
The ISOCOOL Advantages:
1
Continuous coagulation virtually eliminates
interruptions
2
Enhances ability to coagulate delicate tissue
in fine detail
3
Reduces surgeon frustration and fatigue,
leading to increased efficiency
4
Can eliminate vessel rebleeding
5
Can reduce inadvertent collateral and peripheral
tissue damage
6
Shorter procedures are a benefit to surgeons,
hospitals and ultimately the patient
7
8
Confirming the surgical need
for isocool technology:
Neurosurgery 53:907-934, 2003
Albert L. Rhoton, Jr., M.D.
“The bipolar electrocoagulator has become fundamental to neurosurgery
because it allows accurate fine coagulation of small vessels, minimizing
the dangerous spread of current to adjacent neural and vascular structures.
It allows coagulation in areas where unipolar coagulation would be
hazardous, such as near the cranial nerves, brainstem, cerebellar arteries,
or fourth ventricle.
To avoid sticking after coagulation, the points of the forceps should be
cleaned after each application to the tissue. If charred blood coats the tips,
it should be removed by wiping with a damp cloth rather than by scraping
with a scalpel blade, because the blade may scratch the tips.
Shortening of exposure times tends to reduce the buildup of heat and
thermal effects on tissues adjacent to the target.”
The isocool bipolar forceps
Five Tip
Configurations
Active heat
transfer
Gold tips
ISOCOOL addresses the most critical
requirements of Neurosurgery.
The isocool bipolar forceps from Codman virtually
eliminate sticking and charring of delicate tissue,
minimizing the need to remove forceps from the surgical
site, clean them, and then reorient.
Surgeons can perform more efficiently and benefit from
minimal tip contact temperature and thermal spread in
the surrounding tissue.
Sterile
single-use
tips
9
ISOCOOLPRODUCT
PRODUCTINFORMATION
INFORMATION
ISOCOOL
FORCEPS
HANDLE
and
SINGLE-USE
GOLD
TIPS
FORCEPS
HANDLE
AND
SINGLE-USE
GOLD
TIPS
COOL
PRODUCT
INFORMATION
ISOCOOL
PRODUCT
INFORMATION
PS HANDLE AND SINGLE-USE GOLD TIPS
ISOCOOL BIPOLAR FORCEPS handle
ISOCOOL BIPOLAR FORCEPS HANDLE
FORCEPS HANDLE AND SINGLE-USE GOLD TIPS
BIPOLARISOCOOL
FORCEPS
HANDLEFORCEPS HANDLE
BIPOLAR
TOP | SIDE
TOP | SIDE
DE
8135025S
8135025S
(.25 mm)
(.25| mm)
TOP
SIDE
TOP | SIDE
TOP | SIDE
TOP | SIDE
TOP | SIDE
TOP | SIDE
8135100S
8135100S
(1.0 mm)
| mm)
SIDE
TOPTOP
|(1.0
SIDE
8135050S
8135025S
(0.5
mm)
(.25
mm)
8135100S
8135050S
(1.0mm)
mm)
(0.5
823510GL
8135100S
(1.0 mm)
(1.0 mm)
TOP | SIDE
5S
m)
8135050S
8135050S
(0.5 mm)
mm)
TOP(0.5
| SIDE
TOP | SIDE
TOP | SIDE
TOP | SIDE
TOP | SIDE
TOP | SIDE
TOP | SIDE
823510GL
823510FS
(1.0 mm)
(1.0| SIDE
mm)
TOP
8135200S
823510GL
(1.0(2.0
mm)mm)
ORDERING & LENGTH
ISOCOOL BIPOLAR FORCEPS TOTAL LENGTH
AND WORKING LENGTH FORCEPS
RDERING
& LENGTH
ORDERING
&&LENGTH
Ordering
Length
8135200S
8135200S
(2.0 mm)
(2.0 mm)
8135200S
(2.0 mm)
SINGLE-USE T
SINGLE-USE TIPS SINGLE-USE T
SINGLE-USE tips
.25 mm
.5 mm
1.0 mm
.25 mm
.5 mm
1.0 mm
2.0 mm
2.0 mm
1.0 mm
.5 mm1.0 mm
10
8010010HIsoCool
Bipolar
Handle
Flat and
& Insulated
ISOCOOL
Bipolar
Forceps
HandleForceps
– Flat and
Insulated
80
10 010H
ISOCOOL
Bipolar
Forceps
Handle
–– Flat
Insulated
.25 mm
010H
.5 mm
.25 mm
ITEM
TIP SIZE
OOL BIPOLAR
FORCEPS
TOTAL
LENGTHTOTAL
ISOCOOL
BIPOLAR
ISOCOOL
BIPOLAR
FORCEPS
LENGTH
8.5”
TOTAL LENGTH
AND A FORCEPS
3.5”
WORKINGTOTAL
LENGTH LENGTH
WORKING
LENGTH
FORCEPS
AND
WORKING
LENGTH
FORCEPS
AND
WORKING
LENGTH
Forceps
81 35 025S 0.25 mm tip
1 pair
TIP
SIZE
81
35 050S TIP
0.5
mm
1 pair
Item
Tip
Sizetip
ITEM
SIZE
TAL LENGTH
AND
A100S
3.5”
WORKING
LENGTH
8.5”
total
length
and
a 3.5”
working
length
81
35
1.0AND
mm
1 pair
8.5”
TOTAL
LENGTH
A tip
3.5”
WORKING
LENGTH
82
35
10GL
1.0
tip
025S 0.25
mm
tip 0.25
1mm
pair
8135
35025S
025S
0.25
mm
1pair
pair– ( GL )
81
mm
tiptip
11 pair
81
35
200S
2.0
mm
tiptip
pair
050S 0.5
tip
1mm
pair
81mm
35050S
050S 0.5
0.5
mmtip
1
pair
81
35
11 pair
100S 1.0
tip
1mm
pair
81mm
35100S
100S 1.0
1.0
mmtiptip
1 pair
81
35
1
pair
9.5” TOTAL LENGTH AND A 4.5” WORKING LENGTH
10GL 1.0
mm
tip
1mm
pair
– ( GL ) 1 pair
82
3510GL
10FS 1.0
1.0
mmtiptip
1 pair– –( (Finesse)
82
35
GL )
81
45
025S
0.25
mm
11
pair
200S 2.0
tip
1mm
pair
81mm
35200S
200S 2.0
2.0
mmtiptip
tip
pair
81
35
1 pair
81 45 050S 0.5 mm tip
1 pair
TAL LENGTH
AND
A100S
4.5”
WORKING
LENGTH
9.5”
total
length
and
a 4.5”
working
length
81
45
1.0AND
mm
1 pair
9.5”
TOTAL
LENGTH
A tip
4.5”
WORKING
LENGTH
81
45
200S
2.0
mm
tip
1
pair
025S 0.25
mm
tip
1
pair
81
45
025S
0.25
mm
tip
1
pair
81 45 025S 0.25 mm tip
1 pair
050S 0.5
tip
1mm
pair
81mm
45050S
050S 0.5
0.5
mm tip
1 pair
81
45
1 pair
10.5”
TOTAL LENGTH
AND tip
A 5.5” WORKING
LENGTH
100S 1.0
mm
tip
1
pair
81
45
100S
1.0
mm
tip
1 pair
81 45 100S 1.0 mm tip
1 pair
81
55
025S
0.25
mm
tip
11
pair
200S 2.0
mm
tip
1
pair
81
45
200S
2.0
mm
tip
pair
81 45 200S 2.0 mm tip
1 pair
81 55 050S 0.5 mm tip
1 pair
OTAL LENGTH
AND
A
5.5”
WORKING
LENGTH
10.5”
total
length
and
a
5.5”
working
length
81 55
100S
1.0 AND
mm Atip
1 pair
10.5”
TOTAL
LENGTH
5.5” WORKING
LENGTH
81
55
025S
0.25
mm
tip
1
pair
81
55
200S
2.0
mm
tip
1
pair
025S 0.25
mm
tip
1
pair
81 55 025S 0.25 mm tip
1 pair
81mm
55050S
050S 0.5
0.5
mmtiptip
1 pair
050S 0.5
tip
1mm
pair
81
55
ISOCOOL
BIPOLAR FORCEPS
HANDLE1 pair
100S 1.0
mm
tip
1
pair
81
55
100S
1.0
mm
tip
1 pair
81 55 100S 1.0 mm tip
1 pair
80
10
010H
ISOCOOL
Bipolar Forceps
200S 2.0
tip
1mm
pair
81mm
55200S
200S 2.0
2.0
mmtiptip
1 pair Handle – Flat and Insulated
81
55
1 pair
OL BIPOLARISOCOOL
FORCEPS
HANDLEFORCEPS
ISOCOOL
BIPOLAR
FORCEPS
handle
BIPOLAR
HANDLE
Actual Size
ACTUAL SIZE
TIP SIZES
ISOCOOL TIP SIZES
ACTUAL SIZE
ACTUAL SIZE
ISOCOOL
TIPTIP
SIZES
ISOCOOL
SIZES (actual size)
INDICATIONS:
The ISOCOOL Bipolar Forceps (handles
11
Continuous coagulation
virtually eliminates
interruptions
Enhances ability to
coagulate delicate tissue
in fine detail
Reduces surgeon
frustration and fatigue,
leading to increased
efficiency
Can eliminate vessel
rebleeding
Can reduce inadvertent
collateral and peripheral
tissue damage
Shorter procedures are
a benefit to surgeons,
hospitals
Indications:
The ISOCOOL Bipolar Forceps (handles and tips) when used
as part of a system including bipolar electrosurgical generator
are indicated for cauterizing, coagulating, grasping and
manipulating tissue during general surgery, neurosurgery, ENT
surgery, OB/GYN surgery, and maxillofacial/plastic surgery
procedures. Indications for use in OB/GYN Surgery exclude
contraceptive coagulation of fallopian tube tissue. Data on file.
325 Paramount Drive
Raynham, MA 02767
To order, call (800) 255-2500
For more information, contact your Codman Sales Representative
For product information, call: (800) 225-0460.
© 2007 Codman & Shurtleff, Inc. All Rights Reserved.
ELS-08-004
HOT/RPI 10/07