Carotid artery bursting pressure and seal time after multiple uses of a vessel sealing device
Objective To determine any loss of function of a single‐use bipolar vessel sealing device after repeated sterilization and use on canine carotid arteries. Study design Ex vivo; randomized block design (dog). Sample population Carotid artery segments (n = 90) from 15 canine cadavers. Methods Six 10‐m...
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| Veröffentlicht in: | Veterinary surgery 2017-05, Vol.46 (4), p.501-506 |
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| creator | Blake, Jocelin S. Trumpatori, Brian J. Mathews, Kyle G. Griffith, Emily H. |
| description | Objective
To determine any loss of function of a single‐use bipolar vessel sealing device after repeated sterilization and use on canine carotid arteries.
Study design
Ex vivo; randomized block design (dog).
Sample population
Carotid artery segments (n = 90) from 15 canine cadavers.
Methods
Six 10‐mm LigaSure Atlas 20 cm devices (Covidien Inc, Minneapolis, Minnesota) were used to seal canine carotid artery segments in one cadaver, then resterilized using ethylene oxide and reused in a second cadaver, and so on, for a total of 15 uses/15 cadavers per LigaSure. Sealing times and bursting pressures of each carotid artery segment after each use were recorded. Charring and sticking at each seal location was qualitatively assessed.
Results
Mean (SD) sealing time for all segments was 5.3 (1.4) seconds, ranging from 2.7 to 9.5 seconds. There was no significant change in sealing time for successive uses (P = .117). The mean (SD) bursting pressure for all segments was 1041.3 (316.7) mm Hg, ranging from 355 to 1555 mm Hg. There was no change in bursting pressure across uses (P = .57). Moderate sticking and charring occurred at each time point but was not subjectively different throughout the study.
Conclusion
The LigaSure Atlas vessel sealing device can be used and resterilized with ethylene oxide up to 15 times with no change in sealing time or bursting pressure of the seal. |
| doi_str_mv | 10.1111/vsu.12648 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1881262687</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1881262687</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3538-deffd9bc5867e80b48d1e944bc7275578aa12ac27a280936eae9c7190995ceac3</originalsourceid><addsrcrecordid>eNp10MtKAzEUBuAgiq3VhS8gATe6mDaXuSRLKd6g4EIrbmTIZM7IlLmZTCp9e9NOdSF4NuHAl5_Dj9A5JVPqZ7a2bkpZHIoDNKYRZ4GMyNshGhMa04CHUo7QibUrQogMQ36MRkxwHoahGKP3uTJtX-ZYmR7MBmfO2L5sPnBnwFpnAKsmxxZUhfuy9lvhGa5d1ZddBdhZsLgtsMJrz6Haye33HNalhlN0VKjKwtn-naDl3e3L_CFYPN0_zm8WgeYRF0EORZHLTEciTkCQLBQ5BX9qphOWRFEilKJMaZYoJojkMSiQOqGSSBlpUJpP0NWQ25n204Ht07q0GqpKNdA6m1IhfD8sFomnl3_oqnWm8dd55XuLCOfMq-tBadNaa6BIO1PWymxSStJt56nvPN117u3FPtFlNeS_8qdkD2YD-Cor2PyflL4-L4fIb_kni7A</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1895050332</pqid></control><display><type>article</type><title>Carotid artery bursting pressure and seal time after multiple uses of a vessel sealing device</title><source>MEDLINE</source><source>Access via Wiley Online Library</source><creator>Blake, Jocelin S. ; Trumpatori, Brian J. ; Mathews, Kyle G. ; Griffith, Emily H.</creator><creatorcontrib>Blake, Jocelin S. ; Trumpatori, Brian J. ; Mathews, Kyle G. ; Griffith, Emily H.</creatorcontrib><description>Objective
To determine any loss of function of a single‐use bipolar vessel sealing device after repeated sterilization and use on canine carotid arteries.
Study design
Ex vivo; randomized block design (dog).
Sample population
Carotid artery segments (n = 90) from 15 canine cadavers.
Methods
Six 10‐mm LigaSure Atlas 20 cm devices (Covidien Inc, Minneapolis, Minnesota) were used to seal canine carotid artery segments in one cadaver, then resterilized using ethylene oxide and reused in a second cadaver, and so on, for a total of 15 uses/15 cadavers per LigaSure. Sealing times and bursting pressures of each carotid artery segment after each use were recorded. Charring and sticking at each seal location was qualitatively assessed.
Results
Mean (SD) sealing time for all segments was 5.3 (1.4) seconds, ranging from 2.7 to 9.5 seconds. There was no significant change in sealing time for successive uses (P = .117). The mean (SD) bursting pressure for all segments was 1041.3 (316.7) mm Hg, ranging from 355 to 1555 mm Hg. There was no change in bursting pressure across uses (P = .57). Moderate sticking and charring occurred at each time point but was not subjectively different throughout the study.
Conclusion
The LigaSure Atlas vessel sealing device can be used and resterilized with ethylene oxide up to 15 times with no change in sealing time or bursting pressure of the seal.</description><identifier>ISSN: 0161-3499</identifier><identifier>EISSN: 1532-950X</identifier><identifier>DOI: 10.1111/vsu.12648</identifier><identifier>PMID: 28334448</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Animals ; Arteries ; Biomechanical Phenomena ; Bursting ; Bursting pressure ; Cadaver ; Cadavers ; Carotid arteries ; Carotid Arteries - physiology ; Carotid artery ; Charring ; Dogs ; Dust ; Electrosurgery - veterinary ; Ethylene ; Ethylene oxide ; Mercury ; Pressure ; Sealing ; Segments ; Sterilization ; Surgery ; Surgical Instruments - veterinary ; Vascular Surgical Procedures - instrumentation</subject><ispartof>Veterinary surgery, 2017-05, Vol.46 (4), p.501-506</ispartof><rights>2017 The American College of Veterinary Surgeons</rights><rights>2017 The American College of Veterinary Surgeons.</rights><rights>Copyright 2017 by The American College of Veterinary Surgeons</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3538-deffd9bc5867e80b48d1e944bc7275578aa12ac27a280936eae9c7190995ceac3</citedby><cites>FETCH-LOGICAL-c3538-deffd9bc5867e80b48d1e944bc7275578aa12ac27a280936eae9c7190995ceac3</cites><orcidid>0000-0003-0899-1243</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fvsu.12648$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fvsu.12648$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,781,785,1418,27929,27930,45579,45580</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28334448$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Blake, Jocelin S.</creatorcontrib><creatorcontrib>Trumpatori, Brian J.</creatorcontrib><creatorcontrib>Mathews, Kyle G.</creatorcontrib><creatorcontrib>Griffith, Emily H.</creatorcontrib><title>Carotid artery bursting pressure and seal time after multiple uses of a vessel sealing device</title><title>Veterinary surgery</title><addtitle>Vet Surg</addtitle><description>Objective
To determine any loss of function of a single‐use bipolar vessel sealing device after repeated sterilization and use on canine carotid arteries.
Study design
Ex vivo; randomized block design (dog).
Sample population
Carotid artery segments (n = 90) from 15 canine cadavers.
Methods
Six 10‐mm LigaSure Atlas 20 cm devices (Covidien Inc, Minneapolis, Minnesota) were used to seal canine carotid artery segments in one cadaver, then resterilized using ethylene oxide and reused in a second cadaver, and so on, for a total of 15 uses/15 cadavers per LigaSure. Sealing times and bursting pressures of each carotid artery segment after each use were recorded. Charring and sticking at each seal location was qualitatively assessed.
Results
Mean (SD) sealing time for all segments was 5.3 (1.4) seconds, ranging from 2.7 to 9.5 seconds. There was no significant change in sealing time for successive uses (P = .117). The mean (SD) bursting pressure for all segments was 1041.3 (316.7) mm Hg, ranging from 355 to 1555 mm Hg. There was no change in bursting pressure across uses (P = .57). Moderate sticking and charring occurred at each time point but was not subjectively different throughout the study.
Conclusion
The LigaSure Atlas vessel sealing device can be used and resterilized with ethylene oxide up to 15 times with no change in sealing time or bursting pressure of the seal.</description><subject>Animals</subject><subject>Arteries</subject><subject>Biomechanical Phenomena</subject><subject>Bursting</subject><subject>Bursting pressure</subject><subject>Cadaver</subject><subject>Cadavers</subject><subject>Carotid arteries</subject><subject>Carotid Arteries - physiology</subject><subject>Carotid artery</subject><subject>Charring</subject><subject>Dogs</subject><subject>Dust</subject><subject>Electrosurgery - veterinary</subject><subject>Ethylene</subject><subject>Ethylene oxide</subject><subject>Mercury</subject><subject>Pressure</subject><subject>Sealing</subject><subject>Segments</subject><subject>Sterilization</subject><subject>Surgery</subject><subject>Surgical Instruments - veterinary</subject><subject>Vascular Surgical Procedures - instrumentation</subject><issn>0161-3499</issn><issn>1532-950X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10MtKAzEUBuAgiq3VhS8gATe6mDaXuSRLKd6g4EIrbmTIZM7IlLmZTCp9e9NOdSF4NuHAl5_Dj9A5JVPqZ7a2bkpZHIoDNKYRZ4GMyNshGhMa04CHUo7QibUrQogMQ36MRkxwHoahGKP3uTJtX-ZYmR7MBmfO2L5sPnBnwFpnAKsmxxZUhfuy9lvhGa5d1ZddBdhZsLgtsMJrz6Haye33HNalhlN0VKjKwtn-naDl3e3L_CFYPN0_zm8WgeYRF0EORZHLTEciTkCQLBQ5BX9qphOWRFEilKJMaZYoJojkMSiQOqGSSBlpUJpP0NWQ25n204Ht07q0GqpKNdA6m1IhfD8sFomnl3_oqnWm8dd55XuLCOfMq-tBadNaa6BIO1PWymxSStJt56nvPN117u3FPtFlNeS_8qdkD2YD-Cor2PyflL4-L4fIb_kni7A</recordid><startdate>201705</startdate><enddate>201705</enddate><creator>Blake, Jocelin S.</creator><creator>Trumpatori, Brian J.</creator><creator>Mathews, Kyle G.</creator><creator>Griffith, Emily H.</creator><general>Blackwell Publishing Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8FD</scope><scope>FR3</scope><scope>M7Z</scope><scope>P64</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-0899-1243</orcidid></search><sort><creationdate>201705</creationdate><title>Carotid artery bursting pressure and seal time after multiple uses of a vessel sealing device</title><author>Blake, Jocelin S. ; Trumpatori, Brian J. ; Mathews, Kyle G. ; Griffith, Emily H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3538-deffd9bc5867e80b48d1e944bc7275578aa12ac27a280936eae9c7190995ceac3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Animals</topic><topic>Arteries</topic><topic>Biomechanical Phenomena</topic><topic>Bursting</topic><topic>Bursting pressure</topic><topic>Cadaver</topic><topic>Cadavers</topic><topic>Carotid arteries</topic><topic>Carotid Arteries - physiology</topic><topic>Carotid artery</topic><topic>Charring</topic><topic>Dogs</topic><topic>Dust</topic><topic>Electrosurgery - veterinary</topic><topic>Ethylene</topic><topic>Ethylene oxide</topic><topic>Mercury</topic><topic>Pressure</topic><topic>Sealing</topic><topic>Segments</topic><topic>Sterilization</topic><topic>Surgery</topic><topic>Surgical Instruments - veterinary</topic><topic>Vascular Surgical Procedures - instrumentation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Blake, Jocelin S.</creatorcontrib><creatorcontrib>Trumpatori, Brian J.</creatorcontrib><creatorcontrib>Mathews, Kyle G.</creatorcontrib><creatorcontrib>Griffith, Emily H.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biochemistry Abstracts 1</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Veterinary surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Blake, Jocelin S.</au><au>Trumpatori, Brian J.</au><au>Mathews, Kyle G.</au><au>Griffith, Emily H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Carotid artery bursting pressure and seal time after multiple uses of a vessel sealing device</atitle><jtitle>Veterinary surgery</jtitle><addtitle>Vet Surg</addtitle><date>2017-05</date><risdate>2017</risdate><volume>46</volume><issue>4</issue><spage>501</spage><epage>506</epage><pages>501-506</pages><issn>0161-3499</issn><eissn>1532-950X</eissn><abstract>Objective
To determine any loss of function of a single‐use bipolar vessel sealing device after repeated sterilization and use on canine carotid arteries.
Study design
Ex vivo; randomized block design (dog).
Sample population
Carotid artery segments (n = 90) from 15 canine cadavers.
Methods
Six 10‐mm LigaSure Atlas 20 cm devices (Covidien Inc, Minneapolis, Minnesota) were used to seal canine carotid artery segments in one cadaver, then resterilized using ethylene oxide and reused in a second cadaver, and so on, for a total of 15 uses/15 cadavers per LigaSure. Sealing times and bursting pressures of each carotid artery segment after each use were recorded. Charring and sticking at each seal location was qualitatively assessed.
Results
Mean (SD) sealing time for all segments was 5.3 (1.4) seconds, ranging from 2.7 to 9.5 seconds. There was no significant change in sealing time for successive uses (P = .117). The mean (SD) bursting pressure for all segments was 1041.3 (316.7) mm Hg, ranging from 355 to 1555 mm Hg. There was no change in bursting pressure across uses (P = .57). Moderate sticking and charring occurred at each time point but was not subjectively different throughout the study.
Conclusion
The LigaSure Atlas vessel sealing device can be used and resterilized with ethylene oxide up to 15 times with no change in sealing time or bursting pressure of the seal.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>28334448</pmid><doi>10.1111/vsu.12648</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0003-0899-1243</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0161-3499 |
| ispartof | Veterinary surgery, 2017-05, Vol.46 (4), p.501-506 |
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| language | eng |
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| source | MEDLINE; Access via Wiley Online Library |
| subjects | Animals Arteries Biomechanical Phenomena Bursting Bursting pressure Cadaver Cadavers Carotid arteries Carotid Arteries - physiology Carotid artery Charring Dogs Dust Electrosurgery - veterinary Ethylene Ethylene oxide Mercury Pressure Sealing Segments Sterilization Surgery Surgical Instruments - veterinary Vascular Surgical Procedures - instrumentation |
| title | Carotid artery bursting pressure and seal time after multiple uses of a vessel sealing device |
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