Aquamantys System
and Bipolar Sealers
The Aquamantys System from Medtronic Advanced Energy

Overview

The Aquamantys® System and bipolar sealers feature innovative Transcollation® technology, a combination of radiofrequency (RF) energy and saline that provides hemostatic sealing of soft tissue and bone during surgery.

Aquamantys System and
Bipolar Sealers

For spine surgeons operating around critical structures of the epidural space and musculoskeletal areas, a clear and dry surgical field is crucial. The innovative Aquamantys System uses patented Transcollation technology to provide hemostatic sealing of soft tissue and bone, reducing blood loss, transfusion rates and surgical time during spine surgery.1,2 Learn more about Transcollation technology that combines radiofrequency (RF) energy and saline.

Studies have shown that the Aquamantys System provides the following clinical benefits when used during spine surgery:

  • Decreases blood loss per level fused2
  • Decreases transfusion rates2
  • Prevents and stops epidural bleeding near critical structures3
  • May help improve visibility in the surgical field1,3
  • Decreases surgical time1

Components of the Aquamantys System

The Aquamantys System consists of a generator and disposable, single-use handpieces. Medtronic Advanced Energy offers innovative handpieces that are specially designed for spine surgery, such as the SBS 5.0 Sheathed Bipolar Sealer and Mini EVS 3.4 Epidural Vein Sealer for treatment of epidural veins.

Spinal Applications for the Aquamantys System

The Aquamantys System is commonly used for these spine procedures:

  • Posterior lumbar interbody fusion (PLIF)
  • Transforaminal lumbar interbody fusion (TLIF)
  • Anterior lumbar interbody fusion (ALIF)
  • Minimally invasive TLIF
  • Scoliosis surgery
  • Posterior cervical laminectomy and fusion
  • Laminotomy, discectomy and decompression

 

References

  1. Snyder BD, Hedequist D, Shannon E. Hemostatic efficacy of bipolar wound sealer as adjunct to wound management in children with neuromuscular scoliosis. Poster presentation at Pediatric Orthopaedic Society of North America Annual Meeting 2007; Hollywood, FL.
  2. Mankin KP, Moore CA, Miller LE et al. Hemostasis with a bipolar sealer during surgical correction of adolescent idiopathic scoliosis. J Spinal Disorders & Techniques, October 2011; doi:10.1097/BSD.0b013e3182334ec5.
  3. Santiago P. Controlling epidural bleeding and improving visibility during spinal surgery with a novel bipolar sealing technology: a case report. Company funded, non-peer-reviewed Medtronic white paper, 2009.

Transcollation Technology

Transcollation technology may occlude vessels up to 1mm, reducing bleeding

Transcollation technology may occlude vessels up to 1mm in diameter

The Aquamantys System delivers patented Transcollation technology to stop bleeding and reduce blood loss during and after surgery.1 It has been clinically shown to lower transfusion rates and may help improve visibility in the surgical field.1,2

Our patented integration of RF energy and saline delivers controlled thermal energy to tissue. This combination allows the device temperature to stay at approximately 100°C – nearly 200°C less than conventional devices, which produces a tissue effect without the charring associated with other methods.

Surgical Applications for Transcollation Technology

Transcollation technology is commonly used during these procedures:

  • Orthopaedic joint replacement
  • Orthopaedic oncology
  • Spinal surgery
  • Solid organ resection

View a 3D animation of Transcollation Technology and the Aquamantys System

 

References 

  1. Mankin KP, Moore CA, Miller LE et al. Hemostasis with a bipolar sealer during surgical correction of adolescent idiopathic scoliosis. J Spinal Disorders & Techniques, October 2011; doi:10.1097/BSD.0b013e3182334ec5.
  2. Santiago P. Controlling epidural bleeding and improving visibility during spinal surgery with a novel bipolar sealing technology: a case report. Company funded, non-peer-reviewed Medtronic white paper, 2009.

 

Clinical Benefits of the Aquamantys System

The Aquamantys System uses patented Transcollation technology to stop bleeding and reduce blood loss during surgery.1 Using Aquamantys bipolar sealers, surgeons can achieve broad tissue-surface hemostasis by applying Transcollation technology in a painting motion or can spot-treat tissue surrounding bleeding vessels.

The Aquamantys System has been shown to offer the following benefits:

Clinical Benefits

  • Helps achieve hemostasis1
  • Controls intra-operative blood loss2
  • Decreases blood loss per level fused1
  • Reduces transfusion rates1
  • May decrease complications and reduce postoperative patient morbidity1
  • Prevents and stops epidural bleeding near critical structures3
  • May help improve visibility in the surgical field3,4
  • Decreases surgical time4

Patient Benefits

  • Controls intra-operative blood loss2
  • Reduces transfusion rates1
  • Reduced transfusion rates contribute to reduced hospital length of stay5,*

 

* Covance MedPAR report; length of stay has not been specifically correlated with the Aquamantys System.

References

  1. Mankin KP, Moore CA, Miller LE et al. Hemostasis with a bipolar sealer during surgical correction of adolescent idiopathic scoliosis. J Spinal Disorders & Techniques, October 2011; doi:10.1097/BSD.0b013e3182334ec5.
  2. Small HN, Chisholm SD. Use of a new bipolar sealing technology to reduce blood loss during instrumented lumbar fusion surgery. Company funded, non-peer-reviewed Medtronic white paper, 2009.
  3. Santiago P. Controlling epidural bleeding and improving visibility during spinal surgery with a novel bipolar sealing technology: a case report. Company funded, non-peer-reviewed Medtronic white paper, 2009.
  4. Snyder BD, Hedequist D, Shannon E. Bipolar sealing technology to control bleeding in pediatric spine surgery: a retrospective study. Poster presentation at Pediatric Orthopaedic Society of North America Annual Meeting 2007; Hollywood, FL.
  5. Covance report; 2008 MedPAR database based on ICD-9-CM Codes for 100% of Medicare beneficiaries.

Economic Value of the Aquamantys System

Mean length of stay and costs with and without a transfusion

Detail - Mean length of stay and mean costs with and without a transfusion for spine procedures1,*

Medtronic Advanced Energy's patented Transcollation technology provides hemostasis during many types of surgery. We recognize that healthcare providers have various options available to manage blood loss and patient hemoglobin levels perioperatively, and we remain committed to delivering improved clinical outcomes while saving money for hospitals.

Blood transfusions add costs to surgical procedures through both the direct cost of blood products and the associated increase in average length of stay (LOS), as demonstrated in the charts at right.1,* The Aquamantys System has been shown to decrease surgical time2 and reduce transfusion rates by minimizing intraoperative blood loss3 when used in spinal procedures. Reduced transfusion rates in turn may lower costs to the hospital.1

Medtronic can help you create a customized economic analysis showing the potential value of adding Transcollation technology to your procedures. Please contact Medtronic Advanced Energy or your local sales representative for additional information.

 

* Hospital length of stay has not been specifically correlated with the Aquamantys System.

References

  1. Covance report; 2008 MedPAR database based on ICD-9-CM Codes for 100% of Medicare beneficiaries.
  2. Snyder BD, Hedequist D, Shannon E. Bipolar sealing technology to control bleeding in pediatric spine surgery: a retrospective study. Poster presentation at Pediatric Orthopaedic Society of North America Annual Meeting 2007; Hollywood, FL.
  3. Mankin KP, Moore CA, Miller LE et al. Hemostasis with a bipolar sealer during surgical correction of adolescent idiopathic scoliosis. J Spinal Disorders & Techniques, October 2011; doi:10.1097/BSD.0b013e3182334ec5.
Last updated: 26 Feb 2013

Medtronic Advanced Energy

Our innovative technology uses advanced energy for tissue dissection and hemostatic sealing.

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