What opportunities does vein finder have in emerging markets?

1. Regional Market Opportunities: Developing Countries and Primary Healthcare


Widespread availability of primary healthcare facilities

Pain points: Community hospitals and clinics in developing countries (such as India, Southeast Asia, and Africa) lack skilled nurses, resulting in high rates of failed intravenous punctures finder.

Opportunity: Promote low-cost portable devices (e.g., domestically produced models under $4,000) in conjunction with government healthcare upgrade programs.

Vaccination and Public Health

Demand: Global vaccination coverage is increasing, but vascular localization is challenging for children in remote areas.

Solution: Collaborate with the United Nations Children’s Fund (UNICEF) to develop durable, battery-powered models suitable for high-temperature and high-humidity environments.



II. Application Scenario Expansion: Non-Traditional Medical Fields

Aesthetic Medicine and Minimally Invasive Treatments

Applications:

Precise marking of vascular pathways before varicose vein treatment.

Avoiding dangerous veins (such as the “triangle area” of the nose) during hyaluronic acid injections.

Market: The global aesthetic medicine market grows by over 10% annually, with China projected to reach 300 billion yuan by 2025. Devices can be bundled for sale to private aesthetic medicine institutions.

Veterinary Market

Demand: The rise of pet healthcare, but animal vessels (e.g., cats, exotic pets) are finer and covered by fur.

Innovation: Adjusting infrared wavelengths to suit animal skin characteristics (e.g., dog vessels absorb 850nm more strongly).

Emergency and Disaster Response

Scenario: Rapidly establishing venous access in harsh environments such as battlefields or earthquakes.

Product Direction: Earthquake-resistant and dust-proof design.



III. Opportunities Driven by Technological Innovation

AI + Augmented Reality (AR)

Function:

Real-time prediction of blood vessel depth and direction.

Combined with smart glasses to achieve “hands-free operation” (suitable for sterile operating room environments).

Barriers: Need to overcome algorithm adaptability for dark-skinned or obese patients.

Multi-functional Integrated Devices

Direction:

Venous imaging + ultrasound.

Combined with hemoglobin monitoring (suitable for dialysis centers).

Contactless Technology

Trend:

Thermal imaging + AI analysis of blood flow abnormalities (early screening for venous thrombosis).



IV. Business Model Innovation

Leasing and Subscription Model

Model:

Hospitals pay per puncture (e.g., $1–2 per puncture), lowering the procurement threshold.

Device manufacturers generate ongoing revenue through consumables (e.g., disinfectant sleeves).

Lower-tier market channels





V. Policy and Capital Trends

Policy Benefits

China’s 14th Five-Year Plan for medical equipment explicitly supports imaging equipment for grassroots healthcare facilities.

The FDA’s 2023 regulations simplify the approval process for portable imaging devices.

Investment Hotspots

Startup directions:

Focus on niche scenarios (e.g., VeinTech’s pediatric-specific devices).

Wearable devices (ring-shaped imaging devices have attracted attention from Silicon Valley venture capitalists).


Also welcome to contact us, we are ZD Medical Inc.
Tel : +86-187 9586 9515
Email : sales@zd-med.com
Whatsapp/Mobile : +86-187 9586 9515


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Crepe Paper for Sterile Safety Choosing the Right Medical Surgical Paper & Sterilization Wrapping Paper

Crepe paper isn’t just for crafts — in healthcare settings, high-quality Crepe Paper plays a vital role in protecting instruments and patients. From barrier performance to flexibility, modern creped materials deliver reliable breathability and tear resistance that make them ideal for surgical trays, instrument wraps, and packaging where sterility must be maintained without sacrificing handling convenience.




Hospitals and clinics increasingly prefer purpose-made Medical Surgical Paper because it balances microbial barrier properties with ease of use. Compared with plain non-woven sheets, specialty crepe constructions conform better around irregular instruments and give staff confident handling during sterilization cycles. When a wrap must pass autoclave or low-temperature sterilization while keeping contents sterile until point-of-use, choosing the right **Sterilization Wrapping Paper** directly affects instrument safety and workflow efficiency.




When evaluating suppliers look beyond paper weight and look for consistent crepe formation, controlled air permeability, and strong seam/edge performance — all features that reduce pinholes and maintain sterilization integrity. Practical considerations such as customizable roll widths, printed indicators, and compatibility with different sterilization methods help you match material to your facility’s protocols. Reliable sampling and clear technical data sheets speed adoption and reduce trial-and-error in procurement.




With more than 20 years as a factory serving global markets, Telijie combines proven product quality with service excellence: rapid sampling, flexible minimum orders, multilingual customer support, and tailored packaging and logistics to meet international delivery timelines. Beyond the material benefits of our Crepe Paper, Medical Surgical Paper, and **Sterilization Wrapping Paper**, Telijie offers hands-on technical guidance, responsive after-sales support, and the supply-chain consistency healthcare providers need—making Telijie the partner hospitals trust.

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Disposable Apron Buying Guide Why Dental & Paper Aprons Matter for Everyday Hygiene

In environments where cleanliness and quick turnover matter, a reliable Disposable Apron is no longer optional — it’s essential. Whether you’re running a busy dental clinic, a food-prep station, or a light-industrial line, the right apron protects staff and strengthens your hygiene protocols without adding laundering costs or storage hassles.




Disposable aprons come in many forms to fit different needs. A Dental Apron is designed for splash protection, patient comfort and easy disposal after each procedure; lightweight but effective barriers reduce cross-contamination risk. For lightweight, single-use protection in salons, catering or quick medical checks, a Paper Apron offers an economical, biodegradable option that still delivers a clean-looking, professional presentation. Choosing the correct material and size ensures staff comfort while maintaining practical protection and reducing waste management burdens.




Beyond material choice, practical benefits include rapid restocking, consistent single-use hygiene, and simplified compliance for busy teams. Many businesses prefer disposable options because they eliminate laundry cycles, lower infection risk, and free up staff time for care rather than cleaning. When comparing alternatives, consider thickness, tie/neck style, and compatibility with other PPE so the Disposable Apron integrates seamlessly into your workflow.




For customers who require reliable supply and thoughtful service, Telijie stands apart. With over 20 years as a manufacturing partner serving global markets, Telijie combines factory-direct pricing with attentive OEM support, fast sample turnaround, and strict quality control throughout production. We help customers choose the right Disposable Apron, Dental Apron, or Paper Apron for their application, offer flexible customization (sizes, printing, packaging), and manage logistics to ensure steady supply. If you value decades of production experience plus responsive after-sales service, Telijie is built to deliver.

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Soft, Hygienic, Reliable Why Your Clinic Needs an Examination Couch Paper Roll

Clean, comfortable patient care begins with the small details — like the sheet that lies between patient and couch. For clinics, physiotherapy centers, and beauty salons that value hygiene and professionalism, the right paper roll makes a measurable difference to patient confidence and infection control. A high-quality Examination Couch Paper Roll protects surfaces, reduces laundering costs, and makes turnover between patients faster and neater.



Modern facilities need more than just a roll of paper; they need a dependable solution that performs under real-world pressure. Our Disposable Paper Bedsheet Roll options are designed for tear resistance, consistent unwind, and a smooth finish that won’t irritate skin. Whether you run a busy family practice or a specialist clinic, choosing the correct weight and width means fewer interruptions and a better experience for both staff and patients.



For medical settings where compliance and convenience matter most, Medical Couch Rolls combine sanitary performance with cost efficiency. Look for rolls manufactured under strict quality controls, available in perforated and non-perforated formats, and compatible with standard couch dispensers. These rolls simplify inventory management while supporting infection control protocols — a small change that yields big operational benefits.



As a factory with over 20 years’ experience serving the global market, Telijie knows the standards clinics expect. Beyond durable products, Telijie offers flexible OEM options, low minimum order quantities for trials, rapid production lead times, full quality inspection, and dependable international logistics. Our dedicated customer support helps with product selection, custom printing, and after-sales service — all designed to make switching to better Examination Couch Paper Roll and Medical Couch Rolls seamless for your practice. Choose Telijie for trusted products and service that keep your clinic running smoothly.

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Test Sooner, Act Faster – Enhance Sepsis Care with Poclight Diagnostics

1. The Global Burden of Sepsis

 

Sepsis is a life-threatening condition caused by the body’s extreme response to infection.

From data published in 2020, globally, over 49 million people are affected each year, with approximately 11 million deaths, representing 20% of all global deaths (Global, regional, and national sepsis incidence and mortality, 1990-2017: analysis for the Global Burden of Disease Study. Lancet. 2020 Jan 18).

 

sepsis worldwide

 

Sepsis affects people globally, but incidence and mortality are highest in lower-middle-income countries (LMICs). In high-income countries, the average hospital cost per sepsis patient exceeds US$32,000.

 

Understanding the Risk

Anyone can develop an infection that leads to sepsis, but certain factors increase susceptibility. Older adults, infants (40% of all cases), pregnant women, and patients with pre-existing conditions—such as chronic kidney disease, liver disease, cancer, or heart failure—face higher risk.

 

sepsis in children

early diagnosis of sepsis

 

Socioeconomic factors, access to healthcare, and living conditions also play a role, particularly in low- and middle-income countries where infections may be more prevalent and timely medical care is harder to access.

● High-risk populations: older adults, infants (half of all cases), pregnant women

● Pre-existing conditions: chronic kidney disease, liver disease, cancer, heart failure

● Socioeconomic & environmental factors: limited healthcare access, overcrowded living, poor sanitation

 

2. The Role of Biomarkers in Sepsis Diagnosis

 

Inflammatory biomarkers are measurable indicators of the body’s immune response to infection. In sepsis, key inflammatory biomarkers may include the following:

sepsis biomarkers

Sepsis, septic shock, and sepsis-associated encephalopathy biomarkers. (Barichello, T., Generoso, J.S., Singer, M. et al. Biomarkers for sepsis: more than just fever and leukocytosis—a narrative review. Crit Care 26, 14 (2022))

 

kinetics of key inflammation markers

Biomarker Kinetics After Bacterial Infection

 

Clinical benefits of monitoring these biomarkers:

● Early detection of sepsis and assessment of severity

● Informed decisions on initiating, adjusting, or discontinuing antimicrobial therapy

● Support antimicrobial stewardship (AMS): Reduced unnecessary antibiotic exposure without increasing mortality

● Real-time monitoring of treatment effectiveness alongside pathogen identification and antibiotic susceptibility testing

 

3. Poclight’s Solution: Speed, Precision, and Accessibility

 

Poclight’s C5000 dry chemiluminescence immunoassay system offers a reliable approach to testing a panel of inflammatory and sepsis-related biomarkers, including PCT, CRP, IL-6, and HBP.

Category

Test

Sample types

Assay duration

Sample volume

Cut-Off value of Sepsis

Measuring range

INFLAMMATION

CRP test kit

Serum/Plasma

/Whole Blood

3min

5 μL

>100 mg/L

>10 mg/L neonatal

(low specificity, cannot diagnose sepsis alone)

0.5~320 mg/L

IL-6 test kit

Serum/Plasma

15min

100 μL

>250 pg/mL possible sepsis

1.5~5000 pg/mL

PCT test kit

Serum/Plasma

5min

200 μL

>0.5 ng/mL

high risk of sepsis

0.02~100 ng/mL

HBP test kit

Plasma

5min

50 μL

>28.1 ng/mL

5.9~300 ng/mL

Note: The reference values provided for each biomarker are for guidance only. Final clinical diagnosis should not rely on a single parameter, but instead be based on a comprehensive assessment that combines multiple biomarkers, diagnostic tools, and clinical evaluation.

 

1)  High Sensitivity & Specificity

Fully homogeneous chemiluminescence technology enables precise detection of small-molecule hormones and inflammatory markers, minimizing false results.

2)  Single-Test Freeze-Dried Reagents

Each assay comes as a single-dose, freeze-dried reagent that is stable at room temperature for up to 18 months, simplifying storage and transport—ideal for hospitals, primary care clinics, and remote settings.

Poclight freeze-dried reagents

 

3)  Rapid Turnaround

Test results in as fast as 3 minutes, enabling fast clinical decisions in critical situations.

4)  Cost-Effective: Low per-test cost allows frequent testing, saving healthcare budgets.

5)  Versatile and User-Friendly

Compact, simplified instruments make the system suitable for diverse clinical environments, from GP, clinics, to labs.

C5000 analyzer

 

By enabling early and accurate sepsis detection, Poclight diagnostics support clinicians in providing timely treatment while avoiding unnecessary broad-spectrum antibiotic use.

 

Detect sepsis early, respond rapidly, and save lives - Care in Time with Poclight

Get in touch with our specialists to get started and discover how we can help.

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Upgrade Your IL-6 Testing Workflow with Poclight’s Fast & Reliable POC CLIA Solution

1.  Introduction

Inflammation is a key response of the body to infection, tissue injury, or other stressors. Early detection is critical because timely recognition can guide treatment decisions and improve patient outcomes.

Interleukin-6 (IL-6) is a pro-inflammatory cytokine released by immune cells in response to infection or tissue damage. Its levels rise within 2 hours, significantly earlier than PCT (>2 hours) and CRP (>6 hours). This rapid increase makes IL-6 a valuable marker for early detection of systemic inflammation across a variety of clinical scenarios.

Inflammation marker kinetics

Figure: Kinetics of Key Inflammatory Markers After Bacterial Infection

 

2.  Practical Value of IL-6 Testing

In clinical practice, IL-6 is used across multiple scenarios:

● Hospitals and clinics: Early detection of sepsis and other acute inflammatory conditions.

● Laboratories: Rapid and reliable measurement of IL-6 supports timely reporting and monitoring.

● Specialized departments: Post-surgical care, transplant units, pulmonary wards, and oncology can use IL-6 to assess infection, tissue injury, immune response, or tumor progression.

 

3.  Core Advantages of Poclight IL-6 Test Kit

 

(1)  High Sensitivity & Wide Range

● Detects IL-6 down to 1.5 pg/mL with a range of 1.5–5000 pg/mL, covering early-stage inflammation to severe conditions.

 

(2)  Small Sample Volume & Rapid Results

● Only 100 μL of serum or plasma needed, with 15-minute turnaround, ideal for fast clinical decisions.

 

(3)  Room-Temperature Lyophilized Reagents

● Freeze-dried reagents require no cold chain and have a shelf life of 18 months, simplifying storage and transport.

 

(4)  Easy-to-Use:

● Applicable with the C5000 POC CLIA Analyzer: 3-Step Operation, Maintenance-Free Design

Easy 3-step operation

● QR code-based standard curve calibration

● Minimal upkeep make operation simple and reliable

 

3.1 Assay Specification

IL-6 Reagent Box

 

Item

Specification / Value

Detection Limit (LOD)

1.5 pg/mL

Measurement Range

1.5~5000 pg/mL

Sample Volume

100 μL

Sample Type

Serum / Plasma

Assay Time / Turnaround

15 min

Precision (CV%)

<5%

Cut-off value

≤7 pg/mL normal

 

3.2 Results Interpretation

 

IL-6 Level (pg/mL)

Clinical Interpretation

< 7

Normal

7–150

Indicates mild inflammation or mild infection

150–250

Suggests general bacterial infection or systemic inflammatory response

> 250

Strongly suggests sepsis or severe systemic inflammation

 

Ready for fast, accurate POC IL-6 testing?

Contact us today and experience how Poclight can upgrade your workflow!

 

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Timely & Precise PCT Diagnostics for Labs, Hospitals and Point-of-Care

1.  Why PCT Testing Matters in Clinical Practice

 

Procalcitonin (PCT) is a peptide precursor of calcitonin.

In healthy individuals, PCT circulates at very low levels. While during bacterial infections and systemic inflammation, PCT levels rise rapidly, making it a sensitive biomarker for sepsis and severe infections. 

 

Clinical Significance of PCT

 

● Correlates with infection severity, and provides guidance in sepsis and septic shock, respiratory infections, acute pancreatitis, and other severe bacterial infections

● Monitors disease progression and treatment response

● Guiding antibiotic therapy and stewardship

● Not a standalone tool – most effective when combined with other screening tools, such as qSOFA scoring and hs-CRP. Best interpreted in conjunction with input from clinicians, pharmacists, and laboratory specialists.

 

2.  Results Interpretation - Assessing Sepsis Risk with PCT Levels

PCT_risk_heatmap

PCT (ng/mL)

Risk Category

Interpretation

< 0.05

Normal

Normal; low likelihood of bacterial sepsis; suggests viral or non-infectious cause.

0.05 - 0.5

Low

Early bacterial infection or inflammation possible; monitor and retest as needed.

0.5 - 2

Intermediate

Significant bacterial infection or systemic inflammation; consider patient history; retest in 6–24 hours.

2 -10

High

Severe bacterial infection; high risk of sepsis or septic shock; immediate clinical attention required.

> 10

Very High

Strongly indicates severe sepsis or septic shock with risk of organ failure; urgent intervention needed.

Important Considerations: PCT results must be evaluated alongside the patient's clinical presentation, symptoms, and other laboratory tests.

 

3.  Poclight Procalcitonin (PCT) Test Kit: Timely, Reliable, and Ready-to-Use

 

Poclight PCT Reagent Box

 

(1)  Key Advantages

 

✓ Proven Technology: Highly sensitive and reliable detection with LOD ≤ 0.02 ng/mL and a wide linear range (0.02–100 ng/mL, r ≥ 0.990). PCT results on Poclight C5000 Analyzer are consistent with the Roche Elecsys BRAHMS PCT reference.

PCT Assay Reference

 

✓ Fast & Efficient: Easy operation, results available within 5 minutes

Poclight PCT Test Operation

✓ Lyophilized reagents: freeze-dried for room temperature storage (2–30°C) with an extended shelf life of 18 months, eliminating the need for cold chain transport.

Poclight PCT Reagent

✓ Trusted Quality: Strict quality control, CE certified, ensuring reproducible and accurate results.

✓ High Precision: Excellent assay precision (CV <5%) for consistent monitoring.

✓ Poclight POC CLIA Expertise:

● The Poclight C5000 Analyzer combines high-throughput PCT testing (80 tests/hour) with quick & accurate results

● Intuitive operation and reliable reproducibility, making it ideal for both clinical labs and point-of-care settings.

Poclight C5000 Analyzer

✓ Comprehensive Support: Training, marketing resources, and dedicated customer service to assist adoption.

 

(2)  Poclight PCT Assay Specifications

 

Item

Specification / Value

Detection Limit (LOD)

≤ 0.02 ng/mL

Measurement Range

0.02-100 ng/mL (r ≥ 0.990 within this linear range)

Sample Volume

200 μL

Sample Type

Serum / Plasma

Assay Time / Turnaround

5 min

Precision (CV%)

<5%

Reference Range

<0.05 ng/mL normal

Applicable System:

Poclight C5000 Analyzer

 

4. Ready to Bring Poclight PCT Testing to Your Facility?

Partner with us today to elevate the quality of PCT diagnostics at your facility! Contact us to request a demo, explore partnership opportunities, or learn more about how Poclight’s POCT solutions can benefit your practice.

Discover more about our full suite of POCT inflammation solutions and how they can enhance clinical decision-making:

C-Reactive Protein (CRP) Test Kit

Interleukin-6 (IL-6) Test Kit

Krebs von den Lungen 6 (KL-6) Test Kit

Heparin-binding protein (HBP) Test Kit

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AGISEAL The Preferred Energy Device for Thyroid Surgery

With the rapid advancement of technologies such as microprocessors and sensors, electrosurgical techniques in the medical field have also seen significant improvement. In electrosurgery, large vessel sealing technology is a revolutionary development. Currently, LigaSure-type large vessel sealing devices dominate the market. Among them, ShouLiang-med’s AGISEAL series stands out for its excellent performance and has received widespread acclaim both domestically and internationally. These devices are now widely used in clinical surgical procedures.

 

In thyroid surgery, the use of energy devices has improved both safety and precision. However, the choice of energy device is a critical consideration for surgeons. Different types of energy devices have their own applications, advantages, and limitations at various stages of surgery—for example, ultrasonic energy devices versus large vessel sealing devices.

 

Ultrasonic energy devices convert electrical energy at 55.5 kHz into mechanical energy via piezoelectric ceramics. The mechanical vibration is transmitted to the tissue through the blade, causing high-frequency friction. This results in vaporization of water molecules, breakdown of protein hydrogen bonds, cell disruption, tissue separation, protein denaturation, and vessel coagulation. Approved by the U.S. FDA, ultrasonic scalpels can safely seal vessels with diameters under 5 mm. While these devices feature lightweight, compact, and flexible curved-tip designs and are increasingly used in thyroid surgery, it’s important to note that their higher operating temperatures can lead to significant lateral thermal spread—especially near the recurrent laryngeal nerve—posing a risk of postoperative complications due to nerve damage.

 

Traditional monopolar and bipolar energy devices typically seal vessels by forming an intraluminal coagulum and rely solely on visual cues for energy control. These devices lack a feedback mechanism to monitor output power and impedance, making it difficult to gauge optimal coagulation power and duration.

 

ShouLiang-med’s independently developed AGISEAL series of advanced energy devices addresses these shortcomings by incorporating a negative feedback detection system. Using enhanced bipolar pressure, AGISEAL denatures and fuses the collagen and fibrin in blood vessels, permanently sealing the lumen. AGISEAL can seal vessels with diameters less than 7 mm, and the sealed vessels can withstand arterial pressures up to three times the normal human level. Additionally, it operates at a lower temperature and produces minimal lateral thermal damage, effectively protecting the recurrent laryngeal nerve and reducing the risk of complications.

 

With intelligent feedback that accurately senses tissue coagulation levels and precisely regulates optimal coagulation power and time, AGISEAL maximizes surgical safety and has become the preferred energy device for thyroid surgery.

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Bipolar Electrocautery — The Preferred Dissection Technique for STA–MCA Bypass

Revascularization techniques are widely employed in the treatment of cerebrovascular diseases and in the resection of complex skull base tumors involving major intracranial arteries. Among them, the superficial temporal artery–middle cerebral artery (STA–MCA) bypass is the most commonly performed, primarily indicated for moyamoya disease (MMD), internal carotid artery occlusive disease, and complex middle cerebral artery aneurysms (1–10 mm). Complete dissection of the STA and ensuring graft patency are essential prerequisites for successful STA–MCA bypass. At present, most neurosurgeons in China utilize sharp dissection or monopolar electrocautery for vessel harvesting. Bipolar electrocautery dissection, which originated in Japan, is widely practiced there and has been proven superior to monopolar dissection for STA harvesting, but its application remains limited in other countries and regions [1].

 

Common vessel dissection methods include sharp dissection, monopolar electrocautery, and bipolar electrocautery. Sharp dissection is the most traditional surgical technique but offers poor hemostatic efficacy and safety, while being time-consuming. Monopolar electrocautery relies on thermal energy to efficiently separate tissues and is considered safer than sharp dissection [2]. It is currently the most widely used vessel harvesting technique in China for cerebrovascular bypass. However, the significant thermal energy generated may damage vessels, causing vasospasm or occlusion. As a result, monopolar dissection is often performed at a distance from the target vessel, leaving excessive perivascular soft tissue. This not only reduces the effective length of the donor vessel but also increases the effort required for trimming. Residual soft tissue may also cause torsion of the donor artery, complicating placement and affecting the quality of the anastomosis. Furthermore, monopolar dissection results in more extensive scalp trauma and thermal injury, which can impair wound healing [3], and increase the risk of vasospasm or occlusion—ultimately reducing surgical success rates.

 

Bipolar electrocautery dissection offers a simpler and more efficient approach, enabling simultaneous dissection, coagulation, and separation without frequent instrument changes. Surgeons may operate with bipolar forceps in the right hand and a suction device in the left, achieving rapid and reliable hemostasis. During STA dissection, current is discharged only at the tips of the forceps, producing relatively less heat [4]. This minimizes wound injury, reduces soft-tissue adhesion, and yields longer, more pliable donor vessels, allowing surgeons to freely position the artery and select the optimal bypass site without compromising anastomosis. Moreover, while traditional monopolar cautery requires branch division followed by bipolar coagulation—often obscuring the surgical field—bipolar cautery can divide branches with minimal bleeding, thereby maintaining excellent visibility [1].

 

ShouLiang-med has independently developed bipolar forceps featuring mirror-polished technology, providing excellent conductivity, thermal efficiency, and anti-adhesion performance. The finely engineered tips are suitable for a wide range of neurosurgical procedures, allowing precise dissection and effective hemostasis of delicate vessels. A key innovation lies in the precise confinement of current to the forceps tips, significantly reducing collateral thermal injury. The anti-adhesion design, combined with the ability to coagulate while dissecting, enhances operative fluency and surgical field clarity, effectively reducing operative time.

 

References

[1] Li Y, Wang YJ, Cao Y, et al. Bipolar electrocautery vessel dissection: a novel technique for harvesting donor arteries in cerebral revascularization [J]. Chinese Journal of Modern Neurological Diseases, 2022, 22(05): 386–392.

[2] Charbel FT, Meglio G, Amin-Hanjani S. Superficial temporal artery–to–middle cerebral artery bypass [J]. Neurosurgery, 2005, 56(1 Suppl): 186–190.

[3] Chung Y, Lee SH, Choi SK. Fundamental basis of scalp layering techniques to protect against wound infection: a comparative study between conventional and in-to-out dissection of the superficial temporal artery [J]. World Neurosurg, 2017, 97: 304–311.

[4] Malis LI. Electrosurgery: technical note [J]. J Neurosurg, 1996, 85: 970–975.

 

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Electrosurgical Vessel Sealer Devices for Hemorrhoidectomy Less Bleeding, Less Pain, Faster Recovery

Hemorrhoids are a common anal disease, with 10% to 20% of patients requiring surgical treatment [1]. Common issues with traditional hemorrhoidectomy are postoperative bleeding and pain. The Agiseal electrosurgical vessel sealer divider, a novel tissue-cutting and coagulating device, brings significant improvements to hemorrhoid surgery.

 

Agiseal,independently developed by ShouLiang-med, uses advanced real-time feedback and intelligent generator technology. By delivering high-frequency electrical energy combined with constant pressure between the jaws, it causes denaturation of collagen and fibrin within the target vessels. It fuses the vessel walls, forming a transparent band that achieves permanent lumen closure. Its advantages include: no need for excessive separation during closure, and faster closure speed; no smoke, maintaining a clear surgical field; and low local temperatures, minimizing damage to surrounding tissues. According to reports [2], the United Kingdom has successfully applied electrosurgical vessel sealer divider in haemorrhoidectomy procedures, achieving excellent haemostasis outcomes and significantly reducing postoperative pain in patients. 

 

Traditional mixed hemorrhoidectomy is often associated with significant bleeding, which not only prolongs surgery time but also obscures the surgical field and reduces procedural accuracy. Conventional haemostasis methodssuch as ligation or electrocoagulation are also prone to causing collateral damage to surrounding tissues, thereby delaying wound healing. The application of the electrosurgical vessel sealer divider allows for pre-closure of haemorrhoidal tissue vessels prior to excision., resulting in minimal bleeding during excision along the closure zone. Furthermore, this technique eliminates the need for conventional suture ligation of the stump, simplifying the procedure and shortening operative time. Its core principle (inducing fibrin deformation and coagulation) also ensures safe and reliable hemostasis [3].

 

In traditional surgery, suture ligation of the hemorrhoidal pedicle tissue easily triggers sphincter spasm, leading to severe postoperative pain.  The Agiseal hemorrhoidectomy does not require ligation of the haemorrhoidal tissue, thereby reducing the incidence and intensity of postoperative pain from the source. Additionally, the sealing process causes minimal thermal damage to surrounding tissues, effectively avoiding burns and tissue edema caused by the thermal effects of electrocautery. Postoperative pain is typically controlled with oral medications alone, significantly reducing discomfort and minimizing the risk of drug side effects [4].

 

Benefiting from advantages such as minimal intraoperative bleeding, minimal tissue damage, and milder postoperative pain, patient recovery is accelerated, and hospital stays are significantly shortened. Although the single-use cost of the electrosurgical vessel sealer divider may be higher than traditional instruments, preliminary statistics show that the overall hospitalization costs for patients do not increase significantly,which may be mainly attributed to the effective reduction in the number of hospital days [3].

 

In summary, for patients with grade III to IV mixed hemorrhoids, the use of electrosurgical vessel sealer divider for hemorrhoidectomy is more advantageous than traditional hemorrhoid surgery in terms of reducing intraoperative blood loss and shortening hospital stay [3]. Its precise, efficient, and minimally invasive characteristics provide patients with a more comfortable and faster recovery experience.

 

 

Reference:

[1] BLEDAY R,PENA JP,ROTHENBERGER DA,et al.Symptomatic hemorrhoids: current incidence and compli -cations of operative surgery[J].Dis Colon Rectum,1992,35(5):471-481.

[2] PALAZZO FF,FRANCIS DL,CLIFTON MA. et al. Randomized clinical trial of Ligasure versus open haemorrhoid -ectomy[J]. Br J Surg,2002,89(2):154-157.

[3] Wang Zhanjun, Jia Shan, Wang Zhengliang,et al.A Comparative Study of Hemorrhoidectomy with Ligasure Technique and Milligan-Morgan Surgery[J].Journal of Colorectal & Anal Surgery,2017,23(04):477-480.

[4] NIENHUIJS SW, DE HINGH IH. Pain after conventional versus Ligasure haemorrhoidectomy.A meta -analysis[J].International Journal of Surgery,2010,8(4):269-273.

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