THUNDERBEAT Unique Hybrid Technology

This combination doubles your energy and sets new standards in the application of advanced energy in the operating room.

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Double Your Energy

Explore the Unique THUNDERBEAT Portfolio –Next Generation of Safety and Speed

Olympus aims to provide innovative energy solutions delivering surgical safety and instrument versatility for efficient and streamlined operations with optimal patient outcomes.

THUNDERBEAT is the world’s first and only advanced energy system that delivers two well-established forms of energy to a tissue simultaneously:

  • Ultrasonic energy for superior dissection and fast cutting
  • Advanced bipolar energy for secure hemostasis and sealing of vessels up to 7 mm in diameter

New THUNDERBEAT TYPE S with Intelligent Tissue Monitoring

With the introduction of the new-generation THUNDERBEAT Type S, the unique concept of hybrid energy technology is raised to the next level.

With the development of the innovative Type S coating and the revolutionary Intelligent Tissue Monitoring (ITM) safety system, Olympus has achieved an improvement to the temperature profile of the instrument of 26.9%1.

This new concept of optimal temperature control enables a targeted and efficient application of energy that enhances the safety and speed of operation.

1Data on file, Olympus Cooperation

“THUNDERBEAT represents the latest development of energy use in surgery and it will allow surgeons to be much more efficient in their procedures. The patient has shorter anesthesia and the healthcare team gets through the procedure more quickly.”

Jeffrey W. Milsom
MD, chief of colon and rectal surgery and professor of surgery at
NewYork-Presbyterian Hospital / Weill Cornell Medical College in New York City

Procedures

Colorectal

Dissection of the Mesocolon and Ligation of Major Vessels

The fine-tip design of THUNDERBEAT allows for a layer-specific and delicate dissection of the mesocolon, while superior hemostasis aids in:

  • avoiding and reacting immediately to possible bleeding
  • achieving a safe and reliable sealing of major vessels

This leads to improved visibility on anatomic planes, which is particularly crucial during a Total Mesorectal Excision (TME) in order to ensure highly accurate dissection to protect important nerves.

Optimal visibility, enabled by the safe control of bleeding and precise dissection sticking to the correct layers, leads to a low risk of complications.

Mobilization of the Colon and Flexures

THUNDERBEAT allows an ultraprecise and layer-specific dissection close to the colon and reduces the risk of damaging nearby organs at the flexures.

The concept of hybrid technology enables a fast and safe mobilization, which leads to a more streamlined operation and therefore potential time savings.

Liver

Parenchymal transection

For the exact exposition and transection of the correct multiple vessel structures in the vulnerable tissue of the liver, the superior hemostasis of THUNDERBEAT enables an unbeatable fast and effective transection of the parenchymal tissue. Small and medium size vessels are sealed efficiently to avoid bile leak or major bleeding and to maintain needed visualization.

With the additional option to pre-seal and apply secondary hemostasis with THUNDERBEAT a potential and likely reduction of blood loss could be achieved.

Dissection of major vessels

The finest-and slim-tip design allows a delicate dissection in the hepatoduodenal ligament and parenchyma. This ultraprecise dissection enables the surgeons to expose and isolate the major vessels most precisely with reducing the risk of damaging important structures.

No requirement for multiple instruments leading to a safe and more streamlined operation.

Bariatrics

Gastric Sleeve Procedure

The superior hemostasis of THUNDERBEAT provides an exceptionally fast mobilization of the stomach while taking down the small but multiple gastroepiploic vessels along the greater curvature safely. During the dissection in the sometimes fatty and narrow space between stomach and spleen the finest- and slim-tip design allows an accurate dissection ,while the advanced bipolar component provides a safe and reliable sealing of the short gastric vessels!

Low risk of bleeding and improved complication management if needed.

Gastric Bypass Procedure

Versatility is achieved by the instrument’s ability of superior hemostasis and the fine tip design for a precise and blood-dry dissection of the mesentery, the simplified management of opening anatomical windows (e.g. gastrotomy or enterotomy), and the strong grasping force to hold the intestinal loops.

No need for additional instruments and improved visibility might lead to a more streamlined operation and therefore potential time savings!

Thyroid

Ligation of Thyroid Vessels

The unrivaled combination of ultrasonic and advanced bipolar energy in the SEAL & CUT mode of THUNDERBEAT allows precise division and reliable ligation of all thyroid arteries and veins located in the lateral border of the thyroid and in the superior and in the inferior pole. Thus a fast, blood-dry mobilization of the gland is achieved.

Strong coagulation and the improved visibility this results in can lead to a more streamlined operation and therefore potential time savings.

Exposure of Nerves and Separation of Thyroid Gland from Trachea

The very fine and slim-tip design allows a delicate opening of the jugular carotid sheath and the exposure of the vagus nerve. It also allows the precise and careful dissection of the pretracheal adhesion from the trachea.

The fact that no other instruments are required, combined with the improved visibility, can lead to a more streamlined operation and therefore potential time savings.

Advanced Features and Benefits

Intelligent Tissue Monitoring

The revolutionary safety system is the world’s first and only auto-stop function for ultrasound-driven technologies:

  • Significantly reducing the residual temperature of the ultrasonic probe
  • Allowing faster and more streamlined surgery
  • Enhancing instrument durability

Primary Hemostasis and Secure Vessel Sealing

Using the combined energy types of the THUNDERBEAT SEAL & CUT mode simultaneously allows for safe coagulation and fast tissue transection. Fewer vessel-ligation steps are required due to the ability of pre-coagulation as well as due to the secure cutting and sealing of 7 mm vessels.

Secondary Hemostasis

The THUNDERBEAT SEAL mode without simultaneous cutting allows for:

  • Immediate sealing of secondary bleeding
  • Control of oozing bleeding by spot coagulation
  • Pre-sealing of vessels through the precise application of advanced bipolar energy

Superior Dissection with Optimal Temperature Control

THUNDERBEAT allows for sharp and blunt dissection of the correct anatomic layers even in hard-to-reach places, such as deep pelvic areas. The new THUNDERBEAT Type S technology enables an accurately targeted application of energy close to vital structures, leading to a reduction in surrounding tissue damage by thermal spread.

Fastest-in-Class Tissue Cutting

The unique hybrid technology causes a synergy effect that leads to unprecedentedly fast tissue transection.

This fast performance with fewer disruptive instrument exchanges leads to a reduced operating times and allows surgeons to concentrate more on surgery over the whole length of the procedure.

All-in-One Versatility

The patented tip and ergonomic handle design make THUNDERBEAT a true multifunctional instrument:

  • Atraumatic grasping and uniform tissue compression
  • High tip-opening forces for blunt tissue manipulation
  • Fast and reliable hemostasis
  • Reduced mist generation for improved visibility

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Clinical Evidences

  1. 1.Safety and efficacy of new integrated bipolar and ultrasonic scissors compared to conventional laparoscopic 5-mm sealing and cutting instruments. Seehofer et al. Surg Endosc. 2012 Sep;26(9):2541-9. doi: 10.1007/s00464-012-2229-0. Epub 2012 Mar 24.
  2. 2.Pilot study of pulmonary arterial branch sealing using energy devices in an ex vivo model. Liberman et al. J Thorac Cardiovasc Surg. 2014 Dec;148(6):3219-23. doi: 10.1016/j.jtcvs.2014.05.089. Epub 2014 Jul 19.
  3. 3.Ultrasonic, bipolar, and integrated energy devices: comparing heat spread in collateral tissues. Applewhite et al. J Surg Res. 2017 Jan;207:249-254. doi: 10.1016/j.jss.2016.06.077. Epub 2016 Jul 5
  4. 4.Evaluation of the safety, efficacy, and versatility of a new surgical energy device (THUNDERBEAT) in comparison with Harmonic ACE, LigaSure V, and EnSeal devices in a porcine model. Milsom et al. J Laparoendosc Adv Surg Tech A. 2012 May;22(4):378-86. doi: 10.1089/lap.2011.0420. Epub 2012 Feb 24.
  5. 5.A prospective trial evaluating the clinical performance of a novel surgical energy device in laparoscopic colon surgery. Milsom et al. Surg Endosc. 2015 May;29(5):1161-6. doi: 10.1007/s00464-014-3783-4. Epub 2014 Aug 27.
  6. 6.TransOral endoscopic UltraSonic Surgery (TOUSS): a preliminary report of a novel robotless alternative to TORS. Fernández et al. Eur Arch Otorhinolaryngol. 2015 Dec;272(12):3785-91. doi: 10.1007/s00405-014-3423-6. Epub 2014 Dec 16.
  7. 7.Evaluation of Vessel Sealing Performance Among Ultrasonic Devices in a Porcine Model. Tanaka et al. Surg Innov. 2015 Aug;22(4):338-43. doi: 10.1177/1553350615579730. Epub 2015 Apr 7.
  8. 8.Thermal injury of the recurrent laryngeal nerve by THUNDERBEAT during thyroid surgery: findings from continuous intraoperative neuromonitoring in a porcine model. Kwaket al. J Surg Res. 2016 Jan;200(1):177-82. doi: 10.1016/j.jss.2015.06.066. Epub 2015 Jul 6.
  9. 9.Comparison of the harmonic focus and the thunderbeat for open thyroidectomy. Van Slycke et al. Langenbecks Arch Surg. 2016 Sep;401(6):851-9. doi: 10.1007/s00423-016-1448-6. Epub 2016 May 25.
  10. 10.Postoperative efficacy and safety of vessel sealing: an experimental study on carotid ateries of the pig. Berdah et al. Surg Endosc. (2012) 26(8):2388-2393

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