Gynaecology UNIQUE HYBRID TECHNOLOGY

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Double Your Energy

Explore the Unique THUNDERBEAT Portfolio –Next Generation of Safety and Speed

Olympus aims to provide innovative energy solutions delivering surgical safety and instrument versatility for efficient and streamlined operations with optimal patient outcomes.

THUNDERBEAT is the world’s first and only advanced energy system that delivers two well-established forms of energy to a tissue simultaneously:

  • Ultrasonic energy for superior dissection and fast cutting
  • Advanced bipolar energy for secure hemostasis and sealing of vessels up to 7 mm in diameter

New THUNDERBEAT TYPE S with Intelligent Tissue Monitoring

With the introduction of the new-generation THUNDERBEAT Type S, the unique concept of hybrid energy technology is raised to the next level.

With the development of the innovative Type S coating and the revolutionary Intelligent Tissue Monitoring (ITM) safety system, Olympus has achieved an improvement to the temperature profile of the instrument of 26.9%1.

This new concept of optimal temperature control enables a targeted and efficient application of energy that enhances the safety and speed of operation.

1Data on file, Olympus Cooperation

Procedures

Hysterectomy

Mobilization of the Uterus and Sealing of the Uterine Artery

The fine tip of THUNDERBEAT enables optimal retroperitoneal dissection and allows the ascending branches of the uterine artery and vein to be taken down precisely along the correct anatomic plane. The fine dissection capability facilitates the accurate preparation in the cardinal ligament to expose the ureter crossing. After identification of the uterine artery, the unique hybrid energy of THUNDERBEAT not only helps to seal the uterine artery efficiently, but also serves as a bipolar clamp for secondary hemostasis in case of any bleeding.

This leads to three main benefits for gynaecological procedures:

  • Increased safety
  • Improved focus on procedure
  • High operating speed and consequently potential time savings

Endometriosis

Removal of Deep Nodular Endometriosis

The fine tip and dissecting capability of THUNDERBEAT allow a very precise removal of multiple smaller and larger lesions. The borders between lesion and non-infiltrated tissue are respected, ensuring that the correct anatomic layers are separated. For an accurate puncturing of the affected tissue the active probe of THUNDERBEAT can be used to enable superficial removal by scooping up the tissue as needed. The advanced bipolar component as part of the hybrid energy concept allows the required superficial coagulation to destroy the lesions, control bleeders at the wound margin, and react to bleeders in case of accidental damage of adhered structures.

This versatility pays off especially for extended cases with multiple lesions or cases in which the resection of additional organs is required.

Lymphadenectomy

Pelvic Lymph Node Dissection During Radical Hysterectomies

The fine and curved tip of THUNDERBEAT allows precise dissection for the preparation of the parametrium, for accurate lymph node dissection, or for the exposition of the exact borders of structures (vessels, lymph nodes, ureter, nerves, and other organs) during radical surgery for malignancy or endometriosis.

Especially during the pelvic or para-aortal lymphadenectomy, the jaw design facilitates delicate dissection of the correct anatomic planes and highly precise access to the space between vessel and lymphatic tissue. In addition, the strong grasping force aids the smooth pulling off of the lymph nodes from the vessels. The superior sealing of THUNDERBEAT provides optimal hemostasis of the multiple branches originating from the main pelvic vessels. Control of any bleeders ensures the required visibility.

Unbeatable versatility supports focus and concentration during highly demanding procedures, resulting in potential time savings.

Advanced Features and Benefits

Intelligent Tissue Monitoring

The revolutionary safety system is the world’s first and only auto-stop function for ultrasound-driven technologies:

  • Significantly reducing the residual temperature of the ultrasonic probe
  • Allowing faster and more streamlined surgery
  • Enhancing instrument durability

Primary Hemostasis and Secure Vessel Sealing

Using the combined energy types of the THUNDERBEAT SEAL & CUT mode simultaneously allows for safe coagulation and fast tissue transection. Fewer vessel-ligation steps are required due to the ability of pre-coagulation as well as due to the secure cutting and sealing of 7 mm vessels.

Secondary Hemostasis

The THUNDERBEAT SEAL mode without simultaneous cutting allows for:

  • Immediate sealing of secondary bleeding
  • Control of oozing bleeding by spot coagulation
  • Pre-sealing of vessels through the precise application of advanced bipolar energy

Superior Dissection with Optimal Temperature Control

THUNDERBEAT allows for sharp and blunt dissection of the correct anatomic layers even in hard-to-reach places, such as deep pelvic areas. The new THUNDERBEAT Type S technology enables an accurately targeted application of energy close to vital structures, leading to a reduction in surrounding tissue damage by thermal spread.

Fastest-in-Class Tissue Cutting

The unique hybrid technology causes a synergy effect that leads to unprecedentedly fast tissue transection.

This fast performance with fewer disruptive instrument exchanges leads to a reduced operating times and allows surgeons to concentrate more on surgery over the whole length of the procedure.

All-in-One Versatility

The patented tip and ergonomic handle design make THUNDERBEAT a true multifunctional instrument:

  • Atraumatic grasping and uniform tissue compression
  • High tip-opening forces for blunt tissue manipulation
  • Fast and reliable hemostasis
  • Reduced mist generation for improved visibility

See It Yourself

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Clinical Evidences

  1. 1.Safety and efficacy of new integrated bipolar and ultrasonic scissors compared to conventional laparoscopic 5-mm sealing and cutting instruments. Seehofer et al. Surg Endosc. 2012 Sep;26(9):2541-9. doi: 10.1007/s00464-012-2229-0. Epub 2012 Mar 24.
  2. 2.Pilot study of pulmonary arterial branch sealing using energy devices in an ex vivo model. Liberman et al. J Thorac Cardiovasc Surg. 2014 Dec;148(6):3219-23. doi: 10.1016/j.jtcvs.2014.05.089. Epub 2014 Jul 19.
  3. 3.Ultrasonic, bipolar, and integrated energy devices: comparing heat spread in collateral tissues. Applewhite et al. J Surg Res. 2017 Jan;207:249-254. doi: 10.1016/j.jss.2016.06.077. Epub 2016 Jul 5
  4. 4.Evaluation of the safety, efficacy, and versatility of a new surgical energy device (THUNDERBEAT) in comparison with Harmonic ACE, LigaSure V, and EnSeal devices in a porcine model. Milsom et al. J Laparoendosc Adv Surg Tech A. 2012 May;22(4):378-86. doi: 10.1089/lap.2011.0420. Epub 2012 Feb 24.
  5. 5.A prospective trial evaluating the clinical performance of a novel surgical energy device in laparoscopic colon surgery. Milsom et al. Surg Endosc. 2015 May;29(5):1161-6. doi: 10.1007/s00464-014-3783-4. Epub 2014 Aug 27.
  6. 6.TransOral endoscopic UltraSonic Surgery (TOUSS): a preliminary report of a novel robotless alternative to TORS. Fernández et al. Eur Arch Otorhinolaryngol. 2015 Dec;272(12):3785-91. doi: 10.1007/s00405-014-3423-6. Epub 2014 Dec 16.
  7. 7.Evaluation of Vessel Sealing Performance Among Ultrasonic Devices in a Porcine Model. Tanaka et al. Surg Innov. 2015 Aug;22(4):338-43. doi: 10.1177/1553350615579730. Epub 2015 Apr 7.
  8. 8.Thermal injury of the recurrent laryngeal nerve by THUNDERBEAT during thyroid surgery: findings from continuous intraoperative neuromonitoring in a porcine model. Kwaket al. J Surg Res. 2016 Jan;200(1):177-82. doi: 10.1016/j.jss.2015.06.066. Epub 2015 Jul 6.
  9. 9.Comparison of the harmonic focus and the thunderbeat for open thyroidectomy. Van Slycke et al. Langenbecks Arch Surg. 2016 Sep;401(6):851-9. doi: 10.1007/s00423-016-1448-6. Epub 2016 May 25.
  10. 10.Postoperative efficacy and safety of vessel sealing: an experimental study on carotid ateries of the pig. Berdah et al. Surg Endosc. (2012) 26(8):2388-2393

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