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Open Thyroidectomy
Procedure Spotlight
Make initial skin incision
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MEGADYNE™ E-Z CLEAN™ Electrosurgical Electrodes
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MEGADYNE™ E-Z CLEAN™ Electrosurgical Electrodes offer a full portfolio of options to meet most surgical energy needs and produce 68% less smoke.1
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Mobilize superior pole
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HARMONIC FOCUS®+ Shears
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HARMONIC FOCUS®+ Shears with Adaptive Tissue Technology is today’s standard for head and neck surgery—enabling fine dissection and sealing of vessels up to 5mm in head and neck procedures.
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Mobilize inferior pole
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HARMONIC FOCUS®+ Shears
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The slim design of HARMONIC FOCUS®+ Shears enables better visualization and control in narrow spaces.2 HARMONIC FOCUS®+ delivers precision and speed in head and neck procedures.3
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Divide the isthmus
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HARMONIC FOCUS®+ Shears
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HARMONIC FOCUS®+ gives you a single device with reliable sealing4 and fine dissection5 with minimal lateral thermal spread for dissection near vital structures6 that allows you to do more, thus enabling reduction in procedure time and cost.7,8
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Closure
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DERMABOND ADVANCED® Topical Skin Adhesive
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DERMABOND® ADVANCED® contains a highly purified 2-octyl cyanoacrylate (2-OCA) base and provides a strong flexible closure with microbial barrier protection.9,10
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References
1. In a preclinical porcine model at 60W vs. uncoated stainless steel blades at 60W (p<0.001). Kisch T, et al. Electrocautery Devices With Feedback Mode and Teflon-Coated Blades Create Less Surgical Smoke for a Quality Improvement in the Operating Theater. Medicine, 2015; 94(27) (C2355).
2. Compared to open shear advanced energy devices from Medtronic and Olympus
3. (114002-190510)
4. As exhibited in an animate, porcine vessel model - 63/64 (HAR9F) vs. 31/32 (FCS9) seals passing blood pressure challenge, p=1. (C1624)
5. (C260)
6. (C734)
7. Based on a meta-analysis of HARMONIC FOCUS® (HF) versus clamp, cut and tie, where HF reduced operative time (p<0.001), intra-operative blood loss (p<0.001), length of stay (p<0.005), drainage volume (p<0.01). Cheng et al., A systematic review and meta-analysis of Harmonic Focus in thyroidectomy compared to conventional techniques. Thyroid Research (2015) 8:15 (C1962)
8. The health technology method was applied in a case study of 440 patients undergoing thyroidectomy in Terni, Italy. The use of HARMONIC FOCUS® resulted in reducing overall procedure time from 143.33 minutes to 113.7 minutes (20.67%) and reducing overall hospital cost from €3,055 to €2,768 (9.39%). Lucchini R., et. al., Health technology assessment and thyroid surgery. Il Giornale di Chirurgia (July/August 2013) 34:198-201. (C1529)
9. Singer AJ, Perry LC, Allen Jr. RL. In vivo study of wound-bursting strength and compliance of topical skin adhesives. Acad Emerg Med. 2008;15(12):1290_94.
10. DERMABOND ADVANCED® Topical Skin Adhesive, Instructions for Use. Ethicon, Inc.
For complete indications, contraindications, warnings, precautions, and adverse reactions, please reference full package insert.