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Angeles Ricart MD, Dolores Guillamón MD, Felicidad Villaescusa MD, Jose Vte Monge MD, Marcos Gomez MD, Pilar Martinez MD
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At the Malva-Rosa Hospital, all instruments that touch the eye during cataract surgery are disposable and low-cost materials. This video shows how eight single-use instruments and a modified phaco tip can help prevent nosocomial infection.
Posted: 5/27/2009
Angeles Ricart MD, Dolores Guillamón MD, Felicidad Villaescusa MD, Jose Vte Monge MD, Marcos Gomez MD, Pilar Martinez MD
At the Malva-Rosa Hospital, all instruments that touch the eye during cataract surgery are disposable and low-cost materials. This video shows how eight single-use instruments and a modified phaco tip can help prevent nosocomial infection.
Posted: 5/27/2009
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marcos gomez
15 years ago
Hi Ramiro, thanks for your coments. We utilise a modified low cost disposable bimanual I/A. Irrigation is provided trought the phaco tip with the silicone sleeve covering all the titanium tip, irrigation is made trought the main incision. The aspiration line is connected with a male-female adapter to a simcoe cannula, aspiration is performed trought the paracentesis. The aspirating hole of the phaco probe is closed with a plug in order to mantain a closed sistem. The Simcoe cannula, male-female adapter, luer lock plug, titanium tip and silicone are single use and inside a pack with all the other necesary items for the surgery.
ramiro marchesi
15 years ago
what kind of instrument do you use for i/a system, apart from faco tip?..it seems to be a sigle canula..but whaw do you conect to de system?thanks and nice surgery
marcos gomez
16 years ago
Endophthalmitis may not change but TASS, prions, efficiency and reprocessing mistakes are worth 10 € of extra spending. In 2.500 consecutive Low Cost Disposable surgeries we had one possible TASS, 6 cases per hour, and a fantastic peace of mind and pleasure of throwing away everything after each procedure. We have 17 trays, the only item inside each tray is a phaco probe and I hope that soon we get disposable complete phaco lines as in neurosurgery so that we will need only one tray and one phaco probe. Thanks very much for your interest
ari weitzner
16 years ago
but endophthalmitis typically comes from patient's flora, not the instruments. so i dont see much advantage in this technique except to eliminate tass.