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. 1998 Feb;5(1):29-32.
doi: 10.1016/s1074-3804(98)80007-8.

Aerosol exposure from an ultrasonically activated (Harmonic) device

Affiliations

Aerosol exposure from an ultrasonically activated (Harmonic) device

D E Ott et al. J Am Assoc Gynecol Laparosc. 1998 Feb.

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.

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