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The Origin and Evolution of the HARMONIC® Scalpel
Steven D McCarus1, Laura K S Parnell2
1Minimally Invasive Surgery Advent Health Winter Park Winter Park, Florida.
Surgical Technology International
|November 7, 2019
Summary
Ultrasonic energy, pioneered by the Curies, is now a vital surgical tool for precise tissue manipulation and coagulation. Its evolution has significantly improved patient outcomes across various surgical specialties, especially in gynecology.
Area of Science:
- Surgical Technology
- Biomedical Engineering
- Medical Devices
Background:
- The piezoelectric effect, discovered in the 1880s, underpins modern ultrasonic surgical devices.
- Ultrasonic energy has become a standard in operating rooms for precise tissue manipulation, cutting, and coagulation.
- The HARMONIC® device, evolving since 1988, exemplifies advancements in ultrasonic surgical tools.
Purpose of the Study:
- To provide an overview of the mechanics and evolution of ultrasonic surgical energy.
- To highlight the distinct advantages and clinical implications of ultrasonic energy platforms.
- To emphasize the benefits of ultrasonic energy in various surgical specialties, with a focus on gynecology.
Main Methods:
- Review of the historical development of ultrasonic surgical tools.
- Analysis of the mechanics of ultrasonic energy application in surgery.
- Discussion of clinical studies and research findings related to ultrasonic energy use.
- Exploration of patient and surgical outcomes, particularly in gynecological procedures.
Main Results:
- Ultrasonic energy offers precise control for tissue dissection, cutting, and coagulation near vital organs.
- Adjustable settings (tension, power, time) enhance safety and clinical outcomes.
- The HARMONIC® device has demonstrated versatility and efficacy since its introduction.
- Significant patient benefits have been observed across general surgery, gynecology, colorectal, thoracic, breast, and bariatric procedures.
Conclusions:
- Ultrasonic energy is a safe and effective mainstay surgical device with a proven track record.
- Continued research and technological evolution enhance its application and patient benefits.
- The technology's precision and versatility make it invaluable in complex surgical scenarios, especially in gynecology.
