Encision was started in 1991 by Roger Odell and Dave Newton with the guiding principles of making laparoscopy safer for patients and improving clinical effectiveness. The founders of Encision recognized that traditional monopolar laparoscopic instruments have an inherent design flaw; they are prone to insulation failure and capacitive coupling, causing patient burns*. To address the issue they created Active Electrode Monitoring (AEM®) technology, which eliminates the chance of stray energy burns to patients by electrically shielding the laparoscopic surgical instrument shaft.
Today Encision offers a complete line of premium laparoscopic monopolar surgical instruments with integrated AEM technology. The new AEM EndoShield™ Burn Protection System is a plug and play smart cord that is the hub of the system and interfaces with AEM instruments, offering best of class surgical performance and the Encision Guarantee to eliminate stray energy burns. We also offer a number of complimentary products to improve clinical effectiveness and patient safety. These laparoscopic surgical products range from bipolar instrumentation to non-energized laparoscopic graspers and dissectors.
*Source: Stray energy burns to the patient during laparoscopy typically occur in the surgeon’s blind spot, and as a result, go undiagnosed and further manifest into severe complications. Stray energy burns led to more than 16,500 patient complications and 4,000 preventable patient deaths over a 10 year period in the USA alone. Complications Associated with Laparoscopy.
What is Capacitive Coupling?
Capacitive coupling occurs when electrosurgical energy is transferred to the patient without direct contact with the active wire. The fundamental design of all laparoscopic instruments creates a large capacitor, which induces electrical current into the patient without ever contacting the patient’s body. The instrument’s insulation is intact and yet the patient is still burned due to the coupled energy. All monopolar instruments have dangerous levels of capacitive coupling.
What is Insulation Failure?
Insulation failure occurs when there is a hole in the insulation on the shaft of an instrument. This hole allows the full power of the electrosurgical generator to burn the patient in an unintended area.
Insulation failure is extremely common. 1 in 5 reusable instruments has a full thickness insulation failure. 1 in 33 disposable instruments has a failure right out of the package. 57% of insulation failures are not visible to the naked eye.*