Electrocautery is the process of passing electrical current through body tissues during surgery in order to control hemorrhage.
Electrocautery is essential for all types of surgery.
Electrocautery is the most commonly used surgical technique for controlling hemorrhage during surgery.
It can result in thermal injuries that lead to morbidity and mortality.
Download monopolar versus bipolar
infographic here.
Bipolar electrocautery is vitally important in all open surgeries (ie., non-endoscopic surgeries) because it provides a means of controlling hemorrhage without damaging surrounding tissues.
Surgeries that utilize bipolar forceps electrocautery: Almost all open surgeries require bipolar electrocautery. These are surgeries in which an incision is made to provide exposure. Most surgeries are open.
Surgeries that do not utilize bipolar forceps electrocautery: Laparoscopic and endoscopic procedures may not use bipolar forceps electrocautery.
Current systems rely on a foot pedal for activation of the generator. This presents a number of challenges that may create safety issues:
Finding the foot pedal can delay an activation which may lead to blood loss.
Misplacement of the foot pedal often requires operating room staff to crawl on the floor under the operating table to relocate the foot pedal. The area under the operating table is unsterile and dirty and exposes staff to pathogens. This also delays activation and distracts the surgeon.
Surgeons may activate the wrong foot pedal in search of the bipolar electrocautery foot pedal.
Prolonged surgeries and foot pedal distractions contribute to physician fatigue.
Bipolar forceps electrocautery is generally accepted as the most accurate form of electrocautery.
BiPAD is a sterile cord with an integrated hand switch. It connects your bipolar forceps to your generator and lets you activate electrocautery from your hand instead of relying only on the foot pedal. Simple. Practical. Built to keep you focused on the surgical field.
Usually, yes. BiPAD works with most generators that use the Valleylab composite bipolar plug, including Ethicon and Bovie systems. It also works with most Codman Malis generators. If you use a Codman/Malis unit, you will need a BiPAD Y connector. Not sure about your setup? Contact us and confirm compatibility before you order.
No. The Hand Activated Disposable Bipolar Electrocautery Cord is an electrosurgical accessory designed to be universal when used with standard “two-pronged” bipolar non-irrigating two-prong connector forceps.
Yes. You can use BiPAD with or without the foot pedal, so you keep control over your workflow. Want to reduce pedal searches and speed up activation? BiPAD gives you that option while still letting you work the way you prefer.
Yes. The arm length of the actuator arm can be adjusted by pushing/pulling the arm through the actuator housing.
Yes. You can adjust the actuator arm by sliding it through the housing, so you can match the setup to your forceps and preferred grip. A better fit. A better hold. A better workflow.
Yes. The ergonomically designed actuator arm can be fitted to the inner curve of the surgeon’s finger, fingertip, or third digit tip, allowing the surgeon to hold the forceps in their usual, preferred manner.
Yes. The forceps can be attached in either direction to accommodate either right or left-handed use.
BIPAD® Hand Activated, Disposable Electrocautery Cords are intended to connect an electrosurgical device to an electrosurgical generator. They are indicated for use with bipolar forceps during general surgical procedures. Federal (USA) law restricts this device to sale by or on the order of a physician.
The Hand Activated Bipolar Electrocautery Cord should not be used for laparoscopic procedures. Any use of this device for tasks other than for which it is indicated may result in damage and or injury.
Yes.
The ConMed device that incorporates a proximity switch that activates electrocautery current whenever the tines of the forceps are approximated. There are several problems with this type of forceps:
This interferes with the normal use of bipolar forceps which are also used to pick up and move objects to and from the surgical site and dissection. Inadvertent activation could be dangerous.
The ConMed design incorporates the switch into the forceps requiring the surgeon to use only the forceps provided by ConMed. Surgeons often have their favorite forceps that they are comfortable and proficient with.
The ConMed system is compatible with only a handful of electrosurgical generators. The ConMed system requires the use of a special cable which must be purchased separately.
⦁ Some models of Valleylab generators incorporate an impedance testing circuit which can automatically activate bipolar forceps when the impedance is below a predefined value. Problems with this are similar to the ConMed device described above.
Very easy. You replace your existing disposable cord with the BiPAD cord. No complicated conversion. No major workflow change. Just connect it and start using hand activation for bipolar electrocautery.
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