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 journalArticlepeer-review

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 languageEnglish (US)
Pages (from-to)270-274
Number of pages5
JournalNeurosurgery
Volume51
Issue number1
DOIs
StatePublished - Jul 1 2002
Externally publishedYes

Keywords

  • Bipolar forceps
  • Complications
  • Electrosurgery
  • Endoscopic neurosurgery
  • Hemostasis
  • Neuroendoscopy

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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