Sonicisions

Question 1

Select all that apply. It is acceptable to utillize which of the following when cleaning the generator, battery insertion guides, and sterilization tray of the Sonicision curved jaw cordless ultrasonic dissection system?

A) An ultrasonic washer
B) A pH Neutral enzymatic or alkaine detergent (at or below a pH of 10.9)
C) Soft nylon-bristle general instrument cleaning brush.

Answer 1

B, C

Question 2

When the active jaw of an ultrasonic dissection device is in contact with tissue, the mechanical vibrating motion causes proteins in the tissue to become denatured as hydrogen bonds are broken; as a result

A) The protein molecules become disorganized and form a sticky coagulum, which has the potential to weld and coagulate the smaller bleeding vessels
B) The collagen and elastin in the vessel walls melt, reforming into a permanent, plastic-like seal
C) The flow of electrical current creates high tissue temperatures, leading to rapid expansion of intracellular fluids and cell explosion or vaporization

Answer 2

A) The protein molecules become disorganized and form a sticky coagulum, which has the potential to weld and coagulate the smaller bleeding vessels

Question 3

True or False. The active jaw of an ultrasonic dissection device moves at a set frequency of 55,500Hz. As the power level changes from max to min, the frequency remains the same, but the distance that the active jaw is displaced, becomes longer, thus increasing the coagulation/hemostatic effect.

Answer 3

False

Question 4

True or False. The surgeon uses the minimum energy setting on an ultrasonic dissection device for less dissection and more coagulation.

Answer 4

True

Question 5

(Select all that apply.) When cleaning the Sonicision curved jaw cordless device’s battery, you should follow which of the following guidelines?

A) Do not immerse, submerge or rinse the battery pack under or in running water
B) Do not use instrument lubricant on the battery pack
C) Do not sterilize the battery pack as it is non-sterile. The battery pack will be damaged if sterilization is attempted.

Answer 5

A, B, C

Question 6

The Sonicision curved jaw cordless battery pack is non-sterile and designed to be used up to how many times?

A) 100
B) 150
C) 200
D) 250

Answer 6

C) 200

Question 7

The Sonicision curved jaw cordless generator is designed to be sterilized and used up to how many times?

A) 100
B) 130
C) 120
D) 150

Answer 7

D) 150

Question 8

Select all that apply. Which of the following sterilization methods is not approved for the Sonicision curved jaw cordless device because they will damage the equipment and compromise sterility?

A) Immediate-use steam sterilization
B) Gamma sterilization
C) Hydrogen peroxide gas plasma
D) Ethylene oxide sterilization

Answer 8

A, B, C, D

Question 9

When cleaning the battery pack, the customer should use a moistened lint-free cloth with a disinfectant solution, or use disinfectant wipe with which of the following disinfectants? (Select 3)

A) Ethyl alcohol
B) Isopropyl alcohol (70%)
C) Steris Valsure alkaline detergent
D) Hydrogen peroxide wipes
E) Metrex CavlWipes disinfecting towelettes

Answer 9

A, B, D

Question 10

True or False. We recommend automatic washing the battery insertion guides and generator in the sterilization tray.

Answer 10

False

Question 11

The Sonicision blade travels ________/seconds during use.

A) 5000
B) 55000
C) 1500000
D) 5000000

Answer 11

B) 55000

Question 12

When using ultrasonic energy, tissue dissection and coagulation ability are impacted by the following:

A) Amount of time the energy is applied
B) Tissue tension
C) Jaw pressure
D) All of the above

Answer 12

D) All of the above

Question 13

True or False. The sonicision device seals vessels up to 7mm.

Answer 13

False

Question 14

True or False. Sonicision and LigaSure are both advanced bipolar devices.

Answer 14

False

Question 15

Which components of Sonicision are reusable?

A) the hand piece
B) the torque wrench
C) the battery and generator

Answer 15

C) the battery and generator

Question 16

Select all that apply: The Sonicision 7 Curved Jaw ultrasonic device is indicated for:

A) dissection and coagulation of vessels up to and including 7mm in min mode
B) Dissection and coagulation of vessels up to and including 5mm in max mode
C) Dissection and coagulation of vessels up to and including 7mm in max mode

Answer 16

A, B

Question 17

The Sonicision 7 generator uses a three phase algorithm in which mode:

A) min only
B) max only
C) both min and max

Answer 17

A) min only

Question 18

Select all that apply. What are the three phases of the algorithm used by the Sonicision 7 generator?

A) Pre-heat
B) Cut
C) Coagulate
D) Advanced haemostasis

Answer 18

A, B, C

Question 19

When did surgeons star to use ultrasonic dissection devices?

A) 1963
B) 2013
C) 1953
D) 1993

Answer 19

D) 1993

Question 20

What tissue effects can ultrasonic dissection devices perform?

A) coagulation
B) colocation
C) cutting
D) cavitation
E) coaptation

Answer 20

A, C, D, E

Question 21

True or False. The more tension the surgeon applies on the tissue with ultrasonic jaws, the more coagulation it produces.

Answer 21

False

Question 22

What are the three main components of an ultrasonic dissection device?

A) generator
B) handpiece
C) transducer
D) electrode

Answer 22

A, B, C

Question 23

True or False. Surgeons use the minimum energy setting on an ultrasonic dissection device for less dissection and more coagulation.

Answer 23

True

Question 24

True or False. Surgeons can use ultrasonic dissection devices only for laparoscopic procedures.

Answer 24

False

Question 25

Which of the following statements are benefits of ultrasonic dissection?

A) less surgical smoke than monopolar electrosurgery
B) no electric current through patient body
C) potentially less bleeding than monopolar electrosurgery
D) tissue sticking can never occur

Answer 25

A, B, C

Question 26

Which of these statements are disadvantages and risks of ultrasonic dissection?

A) Ultrasonic active blade retains heat longer than jaws of advanced bipolar devices
B) Vessel sealing and dissecting depend on surgeon skills
C) Blade fatigue can occur

Answer 26

A, B, C

Question 27

True or False. Contact between the active blade on other metal objects may result in product damage, such as broken active blade.

Answer 27

True

Question 28

(Select all that Apply) Surgeons use ultrasonic dissection:

A) to control bleeding
B) to minimize thermal injury
C) in laparoscopic and open procedures
D) for soft tissue dissection

Answer 28

A, B, C, D