To-BiTE non-stick Bipolar Clamp

Bipolar tonsillectomy using To-BiTE non-stick bipolar clamp

The To-BiTE non-stick bipolar clamp is an ideal instrument for bipolar tonsillectomy. The bipolar clamp can be used for all blunt and cold dissection techniques; it features bipolar coagulation and suction. Four functions are combined in one instrument enabling the surgeon to coagulate, grasp, dissect, and extract fumes or blood with the use of only one instrument.

Advantages of the To-BiTE non-stick bipolar clamp

The To-BiTE non-stick bipolar clamp was developed to help surgeons perform tonsillectomies with bipolar forceps for both coagulation and dissection. As it is advantageous to combine blunt dissection and simultaneous bipolar coagulation of vessels when they become accessible during dissection, the method has become widely accepted and used. It is possible to apply very little coagulation and to use it only when necessary. This technique helps to reduce postoperative pain^1,2. As the vessels are sealed immediately during dissection, even before they retract into the muscle tissue, this technique makes the tonsillectomy procedure very clean because perioperative bleeding is almost eliminated. Once the tonsil is removed, the tonsillar bed does not need to be coagulated: By then all vessels have already been closed. The combination of pressure on vessel walls with bipolar coagulation results in a superbly safe seal, which can significantly reduce postoperative bleeding.

Conventional bipolar forceps, which are used for this surgical technique, can only be used for grasping and pulling. The classic blunt dissection with scissors-like outward movements is not possible with conventional bipolar forceps. Moreover, most conventional forceps do not feature a suction channel to evacuate saliva, blood or smoke. To compensate this disadvantage, surgeons either need a “third hand” or they have to constantly change between different instruments. This is the major advantage of the To-BiTE non-stick bipolar clamp³: It is an ideal instrument for bipolar tonsillectomy. The bipolar clamp can be used for all blunt and cold dissection techniques and it features bipolar coagulation and suction. The To-BiTE non-stick bipolar clamp makes it possible to perform bipolar tonsillectomies with just one instrument throughout the procedure and without a “third hand”^4,5.

References

1          Andrea M. Microsurgical bipolar cautery tonsillectomy. Laryngoscope. 1993 Oct;103(10):1177-8. doi: 10.1288/00005537-199310000-00018. PMID: 8412457.

2          Kujawski O, Dulguerov P, Gysin C, Lehmann W. Microscopic tonsillectomy: A double-blind randomized trial. Otolaryngology–Head and Neck Surgery. 1997;117(6):641-647. doi:10.1016/S0194-59989770046-9

3          P. Tolsdorff. Micro-Bipolar Tonsillectomy. ENT News, V 13, No 4, 2004, P. 83

4          Gurpinar B, Salturk Z, Akpinar ME, Yigit O, Turanoglu AK. Comparison of tonsillectomy techniques and their histopathological healing patterns. Otolaryngol Open J. 2017; 3(3): 47-53. doi: 10.17140/OTLOJ-3-142

5          T. Chimona, E. Proimos, C. Mamoulakis, M. Tzanakakis, C.E. Skoulakis, C.E. Papadakis. Multiparametric comparison of cold knife tonsillectomy, radiofrequency excision and thermal welding tonsillectomy in children. International Journal of Pediatric Otorhinolaryngology. Vol. 72, Issue 9, 2008, P. 1431-1436, doi: 10.1016/j.ijporl.2008.06.006.
 

Product availability is subject to regulatory approval in individual markets. Products may therefore not be available in all markets.