Complications associated with energy-based devices during thyroidectomy from 2010–2020

作     者：Esther Lee Jane Y.Tong Luke J.Pasick Daniel A.Benito Arjun Joshi Punam G.Thakkar Joseph F.Goodman Esther Lee;Jane Y. Tong;Luke J. Pasick;Daniel A. Benito;Arjun Joshi;Punam G. Thakkar;Joseph F. Goodman

作者机构：Division of Otolaryngology-Head and Neck SurgeryGeorge Washington University School of Medicine& Health SciencesWashingtonDCUSA Western University of Health SciencesPomonaCAUSA Department of Otolaryngology-Head and Neck SurgeryDrexel University College of MedicinePhiladelphiaPAUSA Department of Otolaryngology-Head and Neck SurgeryUniversity of Miami Miller School of MedicineMiamiFLUSA 

出 版 物：《World Journal of Otorhinolaryngology-Head and Neck Surgery》 (世界耳鼻咽喉头颈外科杂志（英文）)

年 卷 期：2023年第9卷第1期

页      面：35-44页

核心收录：

学科分类：1003[医学-口腔医学] 1002[医学-临床医学] 10[医学] 

基　　金：None 

主　　题：Adverse events Harmonic LigaSure Manufacture and User Facility Device Experience Patient safety Quality Thunderbeat Thyroidectomy 

摘      要：Objective:Harmonic Focus(Ethicon,Johnson and Johnson,Cincinnati,OH,USA),LigaSure Small Jaw(Medtronic,Covidien Products,Minneapolis,MN,USA),and Thunderbeat Open Fine Jaw(Olympus,Japan)are electrosurgical instruments used widely in head and neck surgery.The study aims to compare device malfunctions,adverse events to patients,operative injuries,and interventions related to Harmonic,LigaSure,and Thunderbeat use during thyroidectomy.Methods:The US Food and Drug Administration s Manufacture and User Facility Device Experience(MAUDE)database was queried for adverse events associated with Harmonic,LigaSure,and Thunderbeat from January 2005 to August 2020.Data were extracted from reports pertaining to thyroidectomy.Results:Of the 620 adverse events extracted,394(63.5%)involved Harmonic,134(21.6%)LigaSure,and 92(14.8%)Thunderbeat.The reported device malfunctions most frequently associated with Harmonic was damage to the blade(110(27.9%)),LigaSure was inappropriate function(47(43.1%)),Thunderbeat was damage to the tissue or Teflon pad(27(30.7%)),respectively.Burn injury and incomplete hemostasis were the most commonly reported adverse events.The operative injury reported most frequently when using Harmonic and LigaSure was burn injury.No operator injuries were reported with Thunderbeat use.Conclusion:The most frequently reported device malfunctions were damage to the blade,inappropriate function,and damage to the tissue or Teflon pad.The most frequently reported adverse events to patients was a burn injury and incomplete hemostasis.Interventions aimed at improving physician education may help reduce adverse events attributed to improper use.