Novel multipurpose bipolar instrument for endoscopic neurosurgery

Thomas Riegel; Dirk Freudenstein; Olaf Alberti; Frank Duffner; Dieter Hellwig; Volker Bartel; Helmut Bertalanffy; Alan R. Cohen; Michael L. Levy; Bernhard L. Bauer

doi:10.1097/00006123-200207000-00046

Novel multipurpose bipolar instrument for endoscopic neurosurgery

Thomas Riegel, Dirk Freudenstein, Olaf Alberti, Frank Duffner, Dieter Hellwig, Volker Bartel, Helmut Bertalanffy, Alan R. Cohen, Michael L. Levy, Bernhard L. Bauer

Research output: Contribution to journal › Article › peer-review

22 Scopus citations

Abstract

OBJECTIVE: Hemorrhage control in endoscopic neurosurgery is critical because of the lack of suitable instruments for coagulation. One reason for this problem is that miniaturization of the instruments is still a technical problem. In this article, we present a solution: the use of bipolar microforceps with a small diameter of 1.5 mm. METHODS: With the use of modern synthetic and metallic materials, the construction of the bipolar microforceps was designed without the use of mechanical joints. All movable elements are integrated within the instrument shaft. This design provides optimal visibility of the operating field because the sheath has a diameter of only 1.5 mm along its entire length. Therefore, this instrument is compatible with most working channels of neuroendoscopes. RESULTS: The new, joint-free design of the forceps and the electric insulation of the branches were the technical innovations that led to the development of this novel, multipurpose instrument. CONCLUSION: This new instrument may enhance endoscopic resection and shrinkage of cystic lesions and may offer new possibilities in endoscopic tumor resection and the treatment of hemorrhage.

Original language	English (US)
Pages (from-to)	270-274
Number of pages	5
Journal	Neurosurgery
Volume	51
Issue number	1
DOIs	https://doi.org/10.1097/00006123-200207000-00046
State	Published - Jul 1 2002
Externally published	Yes

Keywords

Bipolar forceps
Complications
Electrosurgery
Endoscopic neurosurgery
Hemostasis
Neuroendoscopy

ASJC Scopus subject areas

Surgery
Clinical Neurology

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10.1097/00006123-200207000-00046

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abstract = "OBJECTIVE: Hemorrhage control in endoscopic neurosurgery is critical because of the lack of suitable instruments for coagulation. One reason for this problem is that miniaturization of the instruments is still a technical problem. In this article, we present a solution: the use of bipolar microforceps with a small diameter of 1.5 mm. METHODS: With the use of modern synthetic and metallic materials, the construction of the bipolar microforceps was designed without the use of mechanical joints. All movable elements are integrated within the instrument shaft. This design provides optimal visibility of the operating field because the sheath has a diameter of only 1.5 mm along its entire length. Therefore, this instrument is compatible with most working channels of neuroendoscopes. RESULTS: The new, joint-free design of the forceps and the electric insulation of the branches were the technical innovations that led to the development of this novel, multipurpose instrument. CONCLUSION: This new instrument may enhance endoscopic resection and shrinkage of cystic lesions and may offer new possibilities in endoscopic tumor resection and the treatment of hemorrhage.",

keywords = "Bipolar forceps, Complications, Electrosurgery, Endoscopic neurosurgery, Hemostasis, Neuroendoscopy",

author = "Thomas Riegel and Dirk Freudenstein and Olaf Alberti and Frank Duffner and Dieter Hellwig and Volker Bartel and Helmut Bertalanffy and Cohen, {Alan R.} and Levy, {Michael L.} and Bauer, {Bernhard L.}",

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AU - Riegel, Thomas

AU - Freudenstein, Dirk

AU - Alberti, Olaf

AU - Duffner, Frank

AU - Hellwig, Dieter

AU - Bartel, Volker

AU - Bertalanffy, Helmut

AU - Cohen, Alan R.

AU - Levy, Michael L.

AU - Bauer, Bernhard L.

PY - 2002/7/1

Y1 - 2002/7/1

N2 - OBJECTIVE: Hemorrhage control in endoscopic neurosurgery is critical because of the lack of suitable instruments for coagulation. One reason for this problem is that miniaturization of the instruments is still a technical problem. In this article, we present a solution: the use of bipolar microforceps with a small diameter of 1.5 mm. METHODS: With the use of modern synthetic and metallic materials, the construction of the bipolar microforceps was designed without the use of mechanical joints. All movable elements are integrated within the instrument shaft. This design provides optimal visibility of the operating field because the sheath has a diameter of only 1.5 mm along its entire length. Therefore, this instrument is compatible with most working channels of neuroendoscopes. RESULTS: The new, joint-free design of the forceps and the electric insulation of the branches were the technical innovations that led to the development of this novel, multipurpose instrument. CONCLUSION: This new instrument may enhance endoscopic resection and shrinkage of cystic lesions and may offer new possibilities in endoscopic tumor resection and the treatment of hemorrhage.

AB - OBJECTIVE: Hemorrhage control in endoscopic neurosurgery is critical because of the lack of suitable instruments for coagulation. One reason for this problem is that miniaturization of the instruments is still a technical problem. In this article, we present a solution: the use of bipolar microforceps with a small diameter of 1.5 mm. METHODS: With the use of modern synthetic and metallic materials, the construction of the bipolar microforceps was designed without the use of mechanical joints. All movable elements are integrated within the instrument shaft. This design provides optimal visibility of the operating field because the sheath has a diameter of only 1.5 mm along its entire length. Therefore, this instrument is compatible with most working channels of neuroendoscopes. RESULTS: The new, joint-free design of the forceps and the electric insulation of the branches were the technical innovations that led to the development of this novel, multipurpose instrument. CONCLUSION: This new instrument may enhance endoscopic resection and shrinkage of cystic lesions and may offer new possibilities in endoscopic tumor resection and the treatment of hemorrhage.

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KW - Complications

KW - Electrosurgery

KW - Endoscopic neurosurgery

KW - Hemostasis

KW - Neuroendoscopy

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Novel multipurpose bipolar instrument for endoscopic neurosurgery

Abstract

Keywords

ASJC Scopus subject areas

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