Innovative ultrasonic surgery by Söring

Bringing State-of-the-Art Technology into
the Scandinavian Veterinarian Market

It is our pleasure to introduce the expertise and product portfolio of Söring to the Scandinavian Veterinary medicine market.

Join us in exploring Ultrasonic Technology in the Veterinary Medical field below!

Jump directly to the area of interest or read below

Wound Debridement

Ultrasonic-assisted wound debridement using the cavitation effect removes non-vital tissue, saves vital structures like vessels, and allows working blind.

Jump to Wound debridement

Bone Surgery

Söring UltraSonic-assisted Bone Instrument – can be fitted with different sonotrodes to gently and effectively remove bone tissue without damaging vital soft tissue.

Jump to Bone Surgery

Tumor & Organ Surgery

Ultrasonic technology for gentle, precise transection with minimal bleeding. this process, solid connective tissue structures of vessels and bile ducts are protected

Ultrasonic Surgery – product overview

The Ultrasonic setup requires the components below.

Generator unit

Cart & foot switch

Instrument with Sonotrode

Söring Ultrasonic Instruments

Ultrasonic-Assisted Wound Debridement (UAW)

Easy handling for veterinarians and veterinarian nurses

With their different sonotrode shapes, the UAW instruments from Söring are specially adapted to the needs of Ultrasonic-Assisted Wound Debridement. Veterinary doctors and specialized veterinary nursing staff can use them in or outside disinfectable treatment rooms, making them a versatile option for the Equine clinic environment. Due to their reprocessability and longevity, UAW instruments meet the requirements for a resource-saving treatment option.

The working frequency of 25 kHz makes UAW instruments attractive in various indications. In addition, their ergonomic design enables precise and fatigue-free work throughout the treatment period.

Ultrasonic-Assisted Bone Instrument

Precise on bone, gentle on critical structures

The ultrasonic-assisted bone instrument from Söring was explicitly developed for the resection of bone and offers numerous advantages in spinal and bone surgery, e. g. for decompression procedures. The non-rotating technology allows an exact, delicate, and cooled approach so the surgeon can work closely with critical spinal neurovascular structures such as the dura mater, blood vessels in splint bone, or bone flap surgery. Additional pressure is avoided, which is essential when working in tight spaces. Due to the longitudinal movement of the sonotrode tip, there is also no risk of “grabbing.”

Another great advantage compared to other instruments is that bone can be removed in individual pieces, as it is not ground. Thus, the removed material can be used further for fusion operations. Thereby artificial bone material or bone graft harvesting can be avoided.

HEPACCS instruments for soft tissue tumor surgery

Open and minimally invasive liver and soft tissue tumor surgery

In liver resections and soft tissue tumor surgery, surgeons face the challenge of removing tumors while protecting vessels and bile ducts. The HEPACCS instruments from Söring use both the cavitation and the mechanical effect of ultrasonic technology to reliably fragment, for example, liver parenchyma at 25 kHz. Solid tissue structures of vessels and bile ducts remain largely unscathed. Depending on the tumor’s size, number, and location, resection can be performed in open or laparoscopic surgery.

Söring ultrasonic generators

SONOCA 185-FL

Specialist for wound debridement and bone surgery

The SONOCA 185-FL is Söring’s most compact ultrasonic generator and is ideally suited for ultrasound-assisted wound debridement (UAW) and bone dissection.

Sonoca 185-FL: Perfect match for
the following ultrasonic instruments:

SONOCA 300-FL

Specialist for wound debridement, bone surgery, and tumor surgery

Whether for liver, tumor, neuro, spinal surgery, wound debridement, or cutting and coagulation – the SONOCA 300-FL is the efficient specialist for all of Söring’s ultrasonic applications.

Sonoca 300-FL: Perfect match for
the following ultrasonic instruments:

Ultrasonic Assisted Wound Debridement (UAW)

UAW instruments: versatility for a range of wounds

For optimal treatment results, Söring offers three UAW instruments with unique sonotrode tips optimized for different wounds.

Double-ball sonotrode

Debridement of wound pockets

Double-ball sonotrode, long

Debridement of deep wound pockets

Hoof sonotrode

Ideal for superficial wounds

How does it work?

Effective and gentle wound cleansing

Debridement plays an essential role in the treatment of complex wounds. As part of wound management, it prepares the wound bed to promote rapid and complete healing.

A key facility of the Ultrasonic technology is the ability to debride “blind” on hard-to-reach areas using the short or long version of the double ball instrument.

Ultrasonic-Assisted Wound Debridement (UAW) is a very effective and gentle method for cleansing chronic and acute wounds with a worldwide unique level of evidence. Even hard-to-reach areas can be debrided without an extensive surgical scenario. Wound treatment can be carried out on an outpatient basis and with local anesthesia by a veterinarian or specialized veterinary nursing staff.

In contrast to traditional sharp debridement procedures, the UAW disrupts adhering biofilms ¹ and enables the effective removal of devitalized tissue close to healthy tissue. This results in a clean, viable wound bed ^2,3,4,5 and a more rapid granulation ⁵. Antimicrobial therapies ⁶ and the body’s defense reactions can work better, and the formation of new bacterial biofilms is impeeded^2,3.

UAW debridement, dental

UAW debridement, leg wound – sterile in the surgical theater

UAW debridement, leg wound

UAW debridement, leg wound

Highlights

• effective removal of devitalized tissue ^4,5
• preservation of healthy tissue ^4,5
• creation of a clean, viable wound bed ^2,3,4,5
• disrupting of biofilms ¹
• prevention of biofilm reformation ^2,3

References

¹ Geisler Crone, S., Garde, C., Bjarnsholt, T., Alhede, M.: A novel in vitro wound biofilm model used to evaluate low-frequency ultrasonic-assisted wound debridement. Journal of Wound Care 2015; 24:2, 64-72.
² Yarets Y, Rubanov L, Shevchenko N. The biofilm-forming capacity of staphylococcus aureus from chronic wounds can be used for determining Wound-Bed Preparation methods. EWMA Journal 2013; 13(1):7-13
³ Yarets Y. Clinical experiences with Ultrasonic-Assisted Wound Debridement (UAW) used for wound bed preparation before skin grafting. Abstract for oral presentation at the free paper session: Infection and Antimicrobials, EWMA conference, May 13-15, 2015; London, UK
⁴ Herberger K, Franzke N, Blome C, Kirsten N, Augustin M.: Efficacy, tolerability and patient benefit of ultrasound-assisted wound treatment versus
surgical debridement: a randomized clinical study, Dermatology. 2011; 222(3):244-9.
⁵ Lázaro-Martinéz JL et al. Preliminary case series results evaluating Ultrasonic-Assisted Wound Debridement (UAW) for treatment of complicated diabetic foot ulcers (DFU). Poster presentation, ISDF conference, May 20-23, 2015; The Hague, Netherlands
⁶ Tested with a PHMB concentration of 0.04% (cf. with Ref. 1)

Cavitation Effect
Ultrasonic technology in wound debridement

The UAW instrument generates cavitation bubbles that implode due to pressure changes and generate strong sonic shock waves, so-called microjets, which remove revitalized tissue and disrupt the biofilm.

Cavitation Effect

Söring’s Ultrasonic-Assisted Wound Debridement uses the cavitation effect. The ultrasonic vibrations of the UAW instrument generate cavitation bubbles in the irrigation solution. Those bubbles implode due to pressure changes and generate strong sonic shock waves, so-called microjets.

Healthy Tissue is hardly affected.

Devitalized tissue and foreign bodies are removed from the wound bed, and biofilms are disrupted. Healthy tissue is hardly affected due to its higher elastin content, so the healing process can proceed rapidly.

Indications

Acute and chronic wounds

• Ulcers
• Hypergranulation tissue
• post-operative wounds
• trauma wounds
• infected wounds

Case Stories

Wound debridement – what is needed?

• UAW instrument (double-ball, hoof, spatula)
• ultrasonic generator SONOCA 185-FL or SONOCA 300-FL and accessories

Ultrasonic-assisted bone instrument

Precise on bone, gentle on critical structures

The ultrasonic-assisted bone instrument from Söring was explicitly developed for the resection of bone and offers numerous advantages in spinal surgery, e. g. for decompression procedures. The non-rotating technology allows an exact and delicate approach so that the surgeon can work closely with critical spinal neurovascular structures such as the dura mater. Additional pressure is avoided, which is extremely important when working in already tight spaces. Due to the longitudinal movement of the sonotrode tip, there is also no risk of “grabbing.”

Another great advantage compared to other instruments is that bone can be removed in individual pieces, as it is not ground. Thus, the removed material can be used further for fusion operations. Thereby artificial bone material or bone graft harvesting can be avoided.

Principle of ultrasonic technology in spinal surgery

The ultrasonic oscillations of the sonotrode tip and the manual movement of the bone instrument allow precise and controlled cutting through bone and targeted bone removal. Elastic structures are significantly more resistant to ultrasonic oscillations. Since they can adapt to the oscillations, they remain intact in the event of contact with the sonotrode tip.