Aerosol exposure from an ultrasonically activated (Harmonic) device
- PMID: 9454873
- DOI: 10.1016/s1074-3804(98)80007-8
Aerosol exposure from an ultrasonically activated (Harmonic) device
Abstract
Study objective: To determine the distribution and concentration of aerosol particles caused by an ultrasonic (Harmonic) scalpel during simulated surgical use.
Design: Prospective experimental analysis (Canadian Task Force classification II-1).
Setting: Standard operating room.
Materials: Lean pork, lean beef, water, and blood, and the Harmonic scalpel with ball, curved scalpel, and cutting tips.
Interventions: Real-time sampling of airborne aerosols was performed over 6-second sampling periods.
Measurements and main results: Blood and tissue particles increased significantly during use of the Harmonic scalpel. Local exhaust evacuation methods diminished these concentrations.
Conclusions: The Harmonic scalpel causes formation of bioaerosols that are composed of material of respirable size. When this device is used, a local exhaust system or smoke-evacuation method should be activated to reduce exposure to blood, blood by-products, and potentially infectious materials.