J-Plasma vs. Laser

J-PLASMA™ and Laser have many similarities, but also some important differences.

Read more about some key differences between these surgical tools.

In this eBook, you will learn about the differences in:

•Energy application

•Colors of light

•Expenses

•Safety

•And more!

Introduction

Application of Energy.....................4

Thermal EnergySpreading........................................5

Colors of Light................................6

Safety...............................................7

Expense...........................................8

Conclusion......................................9

Table of Contents

4 | J-Plasma vs. Laser

Application of Energy

Each can be adapted over a wide range of settings for multiple effects from relatively mild, as might be used in skin resurfacing, to intense and ablative, which could possibly be used for removing diseased tissue.

J-PLASMA’s additional benefit is having two independent, controllable variables that define the plasma stream’s range of effects. A clinician can control the amount of electrical energy placed into the stream, providing a heating effect (similar to the light intensity in a laser), and can also control the gas flow rate, which provides a cooling effect. This flow of gas can also help remove debris and push aside fluids, such as blood, exposing the underlying tissue for treatment.

Both J-PLASMA™ and Laser involve the application of energy to an operative site.

In the case of J-PLASMA™, the energy is transferred by a stream of ionized helium gas while in Laser, the energy is transferred in a beam of light.

5

Laser beam’s thermal energy delivery is bound by what is called inverse square law spreading.

Suppose a laser beam supplies one Watt (W) of power to an area of one square centimeter (cm2) of tissue. When the laser applicator is 2 cm (about ¾”) away from that tissue. The “strength” of the beam (power density) is 1 W/cm2 at that distance.

Suppose we move the laser applicator twice as far away to 4 cm (about 1.5”) away from the tissue. The “strength” of the beam now drops to only 0.25 W/cm2, or a quarter of its previous value with a change of distance of only ¾”.

Similarly, if we move the laser applicator twice as close, from 2 cm to 1 cm, the “strength” of the beam now jumps to 4 W/cm2, which could be dangerously high compared to the original 1 W/cm2.

In other words, the distance that the laser applicator is to the target tissue must be very accurately controlled to get a consistent tissue effect.

| J-Plasma vs. Laser

Thermal Energy Spreading

6

J-PLASMA™, by comparison, is indifferent to the distance between the applicator and the tissue that is necessary to maintain a consistent operative effect. This is especially important in laparoscopic procedures where precise control of longer surgical tools takes skill.

Also, J-PLASMA™ has a highly localized and self-limiting effect on tissue, whereas a laser can burn-through the target tissue and damage underlying tissue due to the constraints of the laser’s beam.

| J-Plasma vs. Laser

Thermal Energy Spreading

EASE OF USE Single push button hand activation (foot pedal optional) for both cutting and coagulation.

INCREASED MODALITY J-Plasma combined with our retractable blade allows the surgeon to excise tissue, paint or spot

coagulate with one device. CONTROLLED COAGULATION The J-Plasma stream is limited to a maximum of 15mm in length, thus eliminating “pass through”

as demonstrated by some lasers.Bovie Medical Corporation’s new open and laparoscopic J-Plasma hand piece with retractable cutting feature is used for soft tissue coagulation and cutting during surgery. J-Plasma is formed by passing an inert gas, such as helium, over a uniquely designed blade and energizing the gas to a plasma stream. The energy is derived from Bovie’s own proprietary generator.  The distinctive blade design of the hand piece provides the option to retract or extend the surgical blade, providing multiple modes of operation in a single instrument. In the extended con"guration, the surgical blade can be used without energy or plasma, similar to a scalpel for incisions and other cutting procedures.  When retracted, the device can be used to form the J-Plasma stream for coagulation or blunt dissection. A combination of the J-Plasma stream with the blade extended can provide an enhanced cutting capability with minimal impact on surrounding tissue.

JPLASMA LAPAROSCOPIC COAGULATION

JPLASMA LAPAROSCOPIC CUT

JPLASMA PRODUCT NAMES AND NUMBERSJ-Plasma Generator J-Plasma Cable J-Plasma Open Hand Piece

EASE OF USE Single push button hand activation (foot pedal optional) for both cutting and coagulation.

INCREASED MODALITY J-Plasma combined with our retractable blade allows the surgeon to excise tissue, paint or spot

coagulate with one device. CONTROLLED COAGULATION The J-Plasma stream is limited to a maximum of 15mm in length, thus eliminating “pass through”

as demonstrated by some lasers.Bovie Medical Corporation’s new open and laparoscopic J-Plasma hand piece with retractable cutting feature is used for soft tissue coagulation and cutting during surgery. J-Plasma is formed by passing an inert gas, such as helium, over a uniquely designed blade and energizing the gas to a plasma stream. The energy is derived from Bovie’s own proprietary generator.  The distinctive blade design of the hand piece provides the option to retract or extend the surgical blade, providing multiple modes of operation in a single instrument. In the extended con"guration, the surgical blade can be used without energy or plasma, similar to a scalpel for incisions and other cutting procedures.  When retracted, the device can be used to form the J-Plasma stream for coagulation or blunt dissection. A combination of the J-Plasma stream with the blade extended can provide an enhanced cutting capability with minimal impact on surrounding tissue.

JPLASMA LAPAROSCOPIC COAGULATION

JPLASMA LAPAROSCOPIC CUT

JPLASMA PRODUCT NAMES AND NUMBERSJ-Plasma Generator J-Plasma Cable J-Plasma Open Hand Piece

| J-Plasma vs. Laser7

Consequently, some types of lasers have different effectiveness’s on certain tissue types (highly vascular, connective, scar tissue, etc…) than others.

J-PLASMA™, on the other hand, is “color-blind” and operates on principles independent of wavelength absorption. It is equally effective on a wide range of tissue types.

Colors of Light

Different lasers operate at different wavelengths, or colors of light, and rely on the interaction of the target tissue with that very specific wavelength.

In terms of operator safety, many lasers are dangerous to view directly, particularly if they inadvertently bounce off a reflective surface (e.g. metal surgical tools, bipolar jaws.)

| J-Plasma vs. Laser8

Safety

J-PLASMA™ has no such restrictions.

Protective eyewear must always be used, and the operating site must be screened-off or otherwise enclosed to prevent injury to others by a stray beam or its reflections.

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| J-Plasma vs. Laser9

Finally, lasers are relatively expensive, maintenance intensive, and require periodic recalibration and personnel to be used safely.

J-PLASMA™ has no such conditions, and provides the same benefits of lasers at a fraction of what they cost.

Expense

| J-Plasma vs. Laser10

Conclusion J-PLASMA™ can offer a safe, effective, and multi-use device that could potentially offer hospitals and surgeons the option of standardizing to one device, thus saving costs by reducing inventory, staff requirements, and the necessity of personnel to be proficient with multiple technologies.

Pain Points that J-PLASMA™ Could Potentially SolveFor the surgeon, the safety and multi-use aspects of the J-PLASMA™ device could help streamline the procedure, reduce the O.R. time and subsequently reduce costs. Additionally, expanding the usage into specialties such as ENT and cardiovascular could potentially reduce current concerns in those areas.

Before choosing between laser, and J-PLASMA™ be sure to know the differences in:1. Application of Energy Thermal Energy Spreading2. Colors of Light3. Safety4. Expense

Feel free to contact us, for more information about J-PLASMA™

727-384-2323 | 800.537.2790info@boviemed.com | www.boviemed.com

Bovie Medical Corporation5115 Ulmerton RoadClearwater, FL 33760

Bovie Medical is setting the standard for physician office, surgi-center and hospital-based electrosurgical generators and accessories with a range of

“state of the art” models: the Aaron 940™, the Aaron 950™, the Aaron 1250™, the Aaron 2250™, and the Aaron 3250™ along with the IDS-200™,

IDS-300™, IDS-400, ICON Gi™, and ICON-GP. This full line is the most complete offering of any USA manufactured electrosurgical generator

product. The feature-packed generators are designed from the ground up to be extremely reliable, and are UL and Canadian Standards compliant.

We continue to expand our manufacturing capabilities to include a full line of disposable electrosurgical electrodes in blade, ball, needle, loop and

laparoscopic form plus PTFE coated electrodes and tungsten needles. The reusable ES pencils, with a full compliment of reusable electrodes and

bipolar forceps, enhance our ever-expanding line of products.

In addition to electrosurgery, Bovie Medical is the number-one producer of battery-operated cauteries in the world. Its product lines, distribution

channels, and renowned industry reputation continue to grow.

The company also manufactures a line of replaceable battery and tip cauteries, known as Change-A-Tip™. We manufacture a variety of specialty products, such as nerve locators, lighted stylets, and corneal rust ring removers, the bulk of which follow the battery operated, tubular manufacturing process.

Bovie Medical continues to improve and expand its product offerings and services, as well as continuing its excellent record of support to existing

customers.

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