A Planning Playbook for Opening a New Orthopedic ASC
The ASC market continues its rapid growth. In 2023, roughly 116 new ASCs opened in the U.S., many of which were orthopedic-specific in nature....
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By: Bill Meltzer
Published: 10/10/2007
Recent improvements in arthroscopic telescopes and cameras may help your surgeon perform cases a little more efficiently and promote improved reprocessing. Here's a look at five features setting the current generation of scopes apart from their predecessors.
"It's easier to visualize lesions with the new scopes," says S. Terry Canale, MD, the director of the Campbell Clinic in Nashville, Tenn., "especially along the edges of the field, which were dark and distorted."
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To assist perpendicular visualization, Arthrex and Olympus introduced a scope with a 115-degree field of view (the True-View II scope). Dr. Ceballos, who has not yet worked with a 115-degree scope, says it "could be helpful for seeing side-to-side and up-and-down," especially during hip arthroscopy.
In particular, he says a distortion-free 115-scope could significantly reduce surgeons' compensating for blind spots or poorly illuminated peripheral areas by bending the cable at acute angles - a practice that can damage the light fibers and put scopes out of commission.
But there's a learning curve. "It takes surgeons more practice to orient themselves at 70 degrees than 30, and it's another jump going to 115," says Dr. Ceballos.
"For most knee, shoulder and ankle arthroscopies, 30-degree visualization works fine. I mostly use a 70-degree scope for hip arthroscopy. But sometimes I need to visualize areas perpendicular to the scope tip," says Cesar Ceballos, MD, the assistant medical director of the Orthopaedic Institute at Mercy Hospital in Miami.
"Orthopedic surgeons often manipulate the scope and video with one hand while holding an instrument such as a shaver in the other," says Alex Seifert, the director of surgery center systems for Arthrex. "An arthroscopy camera head is less bulky than those for other specialties and allows the surgeon fingertip control."
She says manufacturers are fine tuning scopes' and cameras' autoclave compatibility to withstand repeated exposure to high temperatures and pressure. For example, Olympus arthroscopy product manager Mike Malave says the TrueView II scope system from Arthrex and Olympus can be autoclaved up to 2,000 times, thanks to gold soldering on instrument joints and a gold-impregnated seal on the distal edge. Smith and Nephew's ED-3 Plus camera head is fully compatible with peracetic acid sterilization or steam.
Sum of the parts
"Arthroscopy is a mature technology, so the design tweaks come in bite-sized increments," says Texas-based equipment planner Scotty Farris. "It's over the long haul that you can quantify the improvements in terms administrators and surgeons appreciate."
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