Smith & Nephew QUANTUM 2 COBLATION System
State-of-the-art performance for fast, efficient procedures
COBLATION™ Plasma Technology
The QUANTUM™ 2 Controller System is designed for use with COBLATION™ Wands, offering advanced plasma technology for surgical procedures.
How COBLATION™ Technology Works
The term COBLATION™ signifies "controlled ablation." To date, over 6 million procedures have been successfully performed using COBLATION™ technology to ablate and coagulate tissue. COBLATION™ involves the creation and application of a high-energy field known as "glow discharge plasma." This plasma ablates tissue through a chemical process where highly energized particles break down tissue molecules. COBLATION™ technology offers two key advantages:
- COBLATION™ operates at lower temperatures compared to other RF-based technologies.
- The 100µm – 200µm plasma field enables precise removal of soft tissue with minimal damage to untargeted tissue.
Visual Description: A simulation shows the COBLATION process, illustrating ACL debridement with the AMBIENT™ MEGAVAC™ 90 wand.
QUANTUM™ 2 COBLATION™ System
QUANTUM™ 2 Operating Modes
Smith & Nephew COBLATION™ products are engineered to operate in ablation and coagulation modes, producing distinct tissue effects.
Visual Description: Images display the QUANTUM™ 2 Controller unit, showing its interface with settings for COAG and ABLATE modes, and temperature display.
Ablation Mode
As the Controller settings increase from 1 to 9 in ablation mode, the Wands transition from a thermal effect to an ablative effect through the creation and intensity of plasma. Higher Controller settings result in a larger plasma field and a corresponding decrease in power.
Visual Description: A graph titled "SUPER TURBOVAC™ 90 power curve" illustrates the relationship between Set Points (sp1 to sp9, corresponding to voltage settings from 100V to 300V) and Tissue Temperature (°C) versus Power (W). The graph shows a "Thermal" phase where power increases and temperature rises, followed by a "COBLATION" phase where power decreases and temperature stabilizes or decreases, indicating the transition to plasma-based ablation.
Visual Description: A waveform graph compares the "Smith & Nephew Unique Waveform" (orange) with a "Standard Sine Waveform" (grey). The Smith & Nephew waveform is depicted with a sharp leading edge, described as requiring less time to start plasma and allowing more time per half cycle for ablation.
Coagulation Mode
All COBLATION™ Wands can operate in coag mode for hemostasis. At lower settings, with minimal plasma formation and insulation, current flows through the tissue. This coagulates blood vessels, effectively stopping bleeding during surgical procedures.
AMBIENT™ Technology
Smith & Nephew offers the only arthroscopic system providing real-time temperature monitoring of intra-articular fluid. The fluid temperature is continuously displayed on the Controller's LCD screen. If the temperature within the joint space exceeds the user-selected set point, the Controller emits visual and audible alarms, providing direct surgeon feedback.
Controller Output
Smith & Nephew Controllers utilize a unique radiofrequency (RF) output, enabling precise power delivery for plasma creation. Energy delivery is optimized for fast and effective plasma formation while minimizing thermal energy dissipation in the joint.
Scope Safety Feature
The QUANTUM™ 2 Controller incorporates proprietary circuits that continuously monitor energy levels. It automatically suspends output if there is a spike in current, such as when Wands are placed in close proximity to or in contact with metal.
Efficient Ablation, Intelligent Features
The QUANTUM™ 2 Controller is described as the most dynamic COBLATION™ generator platform created by Smith & Nephew. When paired with COBLATION™ Wands, it delivers state-of-the-art performance for fast, efficient procedures.
Adjustable Coagulation
Enhanced coagulation mode improves visualization when dealing with tough bleeders.
Visual Description: Close-up of the QUANTUM™ 2 Controller display showing the "26 °C" temperature and "COAG" mode.
Integrated TOPAZ™ Timer
When using TOPAZ™ devices, the QUANTUM™ 2 Controller automatically defaults to recommended set point and timer settings.
Visual Description: Image shows the QUANTUM™ 2 Controller connected to a TOPAZ™ device, with the controller displaying settings like "4" for a mode.
Hand Control Capability
When using TOPAZ™ devices, the QUANTUM™ 2 Controller defaults to recommended set point and timer settings, allowing for convenient control.
Visual Description: Image shows a wand with integrated hand controls, featuring buttons for power and mode selection.
Wireless Foot Switch
When using TOPAZ™ devices, the QUANTUM™ 2 Controller defaults to recommended set point and timer settings, providing wireless operation.
Visual Description: Image shows a wireless foot switch with multiple pedals, designed for controlling the surgical system.
COBLATION™ Wand Collection
Introducing the COBLATION™ Wand collection, featuring a variety of tip angles and electrode designs for precise access to soft tissue. These diverse electrode configurations offer sculpting abilities and volumetric removal for bulk debridement. AMBIENT™ Technology provides reliable, accurate temperature feedback measurements of the circulating fluid for informed procedures.
Hip Arthroscopy
- AMBIENT HIPVAC™ 50: Raised electrodes for efficient ablation; 50° tip and rigid shaft for hip anatomy access; Ambient technology for real-time temperature feedback.
- SIDEWINDER™ Blade: Articulating rotating shaft (up to 100°) for hip joint access; Robust shaft and ergonomic handle; Slim shaft compatible with 5.5mm cannula.
- MULTIVAC™ 50 XL: 50° angle and multiple suction ports for ablation and suction; Long shaft for greater hip joint access.
- TURBOVAC™ 90 XL: 90° angle and multiple suction ports for ablation and suction; Long shaft for greater hip joint access; Slim shaft compatible with 5.5mm cannula.
- SABER™ Wand: Single hook electrode for simultaneous cutting and coagulation of the hip capsule; Effective for focused incisions around sensitive hip tissue; Eliminates sharp edges in the joint.
Shoulder Arthroscopy
- AMBIENT SUPER TURBOVAC™ 90 Wand: Recognized screen shape and profile for bulk debridement; 90° angle and multiple suction ports for ablation and suction; Ambient technology for real-time temperature feedback.
- AMBIENT MEGAVAC™ 90: Large electrode design for aggressive ablation speed; Large single-aperture suction port for debris removal; Ambient technology for real-time temperature feedback.
- COVATOR™ 20: Single blade electrode for efficient soft tissue separation; 20° angled tip resects and ablates tissue while contouring edges.
Knee Arthroscopy
- AMBIENT™ COVAC™ 50 and 70: Wire electrode design for knee versatility; Slim shaft and tip angles for excellent access and precise resection; Ambient technology for real-time temperature feedback.
- AMBIENT SUPER MULTIVAC™ 50: Flat electrode design for precise tissue removal; Slim shaft and 50° tip for compact knee anatomy access; Ambient technology for real-time temperature feedback.
- PARAGON™ T2 (Chondroplasty): Designed for focused removal of articular cartilage; Tip geometry suited for femoral chondyle, tibial plateau, and patella contours; T2 technology provides visual temperature indication and color change.
- MENIVAC™ 45 (Meniscectomy): Resects and ablates meniscal tissue while contouring edges; 15° beveled tip ablates tissue, reducing repositioning; Slim shaft facilitates knee arthroscopy access and visualization.
Tendon Debridement
- TOPAZ™ MicroDebrider: Quick, simple, minimally invasive alternative; Slim tip design for access to target tissue; Single application protocol.
Small Joint
- Short Bevel 35 and MICROBLATOR™ 30: Specifically designed for arthroscopic applications in the wrist, ankle, and elbow; Small diameter and short shafts for optimal control and maneuverability.
COBLATION™ Wand Selection Chart Description
The COBLATION™ Wand selection chart provides a comprehensive guide for choosing the appropriate wand for various surgical procedures. It lists wands by application area (e.g., Shoulder, Hip, Knee, Tendon, Small Joint) and details their compatibility with different procedures such as Synovectomy/Plica Removal, Tendon Debridement, Articular Cartilage Debridement, and more. The chart includes columns for Reference #, Wand Name, Shaft Size, Angle, Cannula compatibility (5.5mm), and recommended set points for each procedure. It also notes specific usage recommendations, like compatibility with different system versions (ATLAS™, QUANTUM™, QUANTUM™ 2) and limitations for certain joints.
Visual Description: A detailed chart on pages 10 and 11 maps various COBLATION™ Wands to specific surgical procedures and recommended set points across different anatomical regions (Hip, Shoulder, Knee, Wrist/Elbow/Ankle, Foot).
References and Contact Information
Reference 1: Smith & Nephew P/N 32739A
ArthroCare Corporation
7000 West William Cannon Drive
Austin, TX 78735
USA
Website: www.smith-nephew.com
Order Entry: 1-800-343-5717
Order Entry Fax: 1-888-994-2782
© 2015 Smith & Nephew, Inc. Trademark of Smith & Nephew. Reg. US Pat. & TM Office.
Document P/N 21223 Rev. H 03/15
