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DJO Acquires Trilliant Surgical

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[Sponsored] See Clearly Throughout Laparoscopic Surgery


Laparoscopic surgeons confront many challenges to their ability to see clearly during surgery. Blood, smoke and steam repeatedly coat the scope, blocking or fogging the view. Traditionally, a common solution has been to remove, clean and re-insert the scope repeatedly throughout surgery. This frustrating process disrupts the surgeon, and removals that take a few minutes add up over the course of a procedure. Two top surgeons have embraced a new technology that allows them to see clearly during surgery without interruption. ClickClean from Medeon Biodesign allows them to clean the lens in seconds during laparoscopic surgery, without removing the scope.


We can’t perform surgery when we can’t see. Yet impaired visibility from fogging and smudging of the lens is a problem that pervades all laparoscopic surgery. We’re always looking for a solution. When we are intently focused on a colectomy, a hiatal hernia repair, a hysterectomy, or another procedure, loss of visualization at critical steps can be highly disruptive.

My colleagues and I found that in 83% of cases, we withdrew the scope for cleaning up to six times, losing up to 82 seconds per removal and up to 200 CCs of blood per case. Even in short, simple cases, it was easy to see the need for a change.

I recently began using the ClickClean device, which I find achieves our goal in a very simple, efficient way. I place my camera in the ClickClean device, which covers the scope lens with a biocompatible transparent film, and then proceed normally. Whether electrocautery smoke or body fluids obscure the lens, I simply click the trigger, which advances the film to give me a fresh, clear view. There’s no interruption and no cleaning time. We don’t face the risks of operating with a “dirty windshield.” ClickClean is simple and safe, with zero risk and significant benefits.

– Jay Redan, MD, FACS, Chief of Surgery, Advent Health-Celebration


It is imperative that we all need a perfect view during surgery, especially with difficult cases.

If I have any bleeding or splatter on the lens during surgery, I want to fix it immediately without removing my camera from the patient. That’s why I’ve been using ClickClean. I’ve found that this very easy-to-use device gives me a clear view of the surgical field, which in turn gives me more efficient dissection and shorter surgery time. It’s better for all of us.

For example, I recently performed a cholecystectomy on a 67-year-old man with a complicated medical history and acute on chronic cholecystitis. Inflammation at the neck of the gallbladder prevented safe dissection, so I placed a cholecystostomy tube using a 5mm camera without ClickClean. The steam and blurring during electocautery were so bad that I ended up switching back to my 10mm ClickClean camera for better visualization. This tough surgery was successful because I had access to clear visualization with ClickClean.

– Jessica Carlson, MD,
General Surgeon, Curry Health Network, Gold Beach, Oregon

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