Instruments and TechniquesLaparoscopic Morcellator-Related Complications
Section snippets
Materials and Methods
The FDA operates the Medical Device Reporting (MDR) and Manufacturer and User Facility Device Experience (MAUDE) databases. The MDR database enables one to search for information about medical devices that may have malfunctioned or caused a death or serious injury during 1992 through 1996. Searchable data in the MAUDE system provide reports of adverse events involving medical devices. The data consist of all voluntary reports since June 1993, user facility reports since 1991, distributor
Results
Table 1 gives a summary of the morcellators currently available in the United States for each device. The diameter of the morcellator outer sheath ranges from 12 to 20 mm, with speeds up to 1200 revolutions per minute. One morcellator is completely disposable, and another is completely reusable. Most have some reusable and disposable parts. Most use a foot pedal for activation. One device has no moving parts and uses bipolar technology for morcellation.
As morcellators have become more
Discussion
The laparoscopic approach to gynecologic, urologic, and general surgery has expanded during the past few decades, in large part because of improved instrumentation, techniques, and experience. The laparoscopic morcellator is arguably one of the most important and powerful tools in the armamentarium of a minimally invasive surgeon. It facilitates removal of large specimens that previously required laparotomy, enabling a minimally invasive approach and providing the patient a shorter hospital
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The authors have no commercial, proprietary, or financial interest in the products or companies described in this article.