Outpatient Surgery Magazine

The Affordable Care Act - March 2015 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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5. Cordless power There used to be a tradeoff when it came to power sources. Pneumatic- powered instruments were very popular for a long time, but they have lots of limitations. For one, they're corded, and surgeons are always concerned about sterility. A cord to the instrument has to travel across the sterile field, then down and out to an air sup- ply. In that situation, you have to be concerned about the cord creeping into the sterile field and causing contamination. There's also a tripping hazard with cords (I've seen people trip over cords on more than one occasion). And pneumatic-powered instruments don't always have the torque you sometimes need from power tools. Battery power was an alternative, but a lot of drivers relied on nick- el-cadmium batteries. The big problem with those is memory. If a sur- geon is doing multiple procedures in which the instrument is operat- ing for a short time, eventually the instrument learns as it's recharged that it only needs to run for that short period of time. Then, when you suddenly find yourself in a longer procedure, the battery doesn't last. But battery technology has also improved. A lot of companies have gone to sterilizable lithium-ion batteries, so the battery is charged, 1 0 2 O U T P A T I E N T S U R G E R Y M A G A Z I N E O N L I N E | M A R C H 2 0 1 5 z PERCEPTIVE CHOICES Newer handpieces can recognize attachments and adjust speeds and modes automatically.

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