Instruments for plastic surgery by Tulip Medical: cannulas, luer locks and post-op compression garments

| Advantages of the Tulip Syringe System |

The Tulip Syringe Technique is a systematic procedure for the removal of soft tissue. The technique incorporates a complete system of cannulas and associated accessories, disposable products, and a unique post-operative compression garment line.

The technique for soft tissue removal begins with the initial opening into the surgical site. The Tulip Pocar is used to make a percutaneous punch, which cleanly perforates the dermal layers, making a perfect opening for easy passage of the Tulip Infiltrator.

The next step is the infiltration of the local or wetting solution using the Tulip Infiltrators. The Tulip Infiltrator is a cannula with multiple openings near the tip. The multiple openings allow for quick and even infiltration of the surgical site.

After the surgical site is infiltrated, the soft tissue is ready to be removed with the Tulip Cannulas. There are many different cannula tip designs that can be used in the soft tissue removal procedure. The Tulip Pyramid, Tulip Mercedes or a Tulip Standard tip cannulas are used most frequently. Choice of the desired tip style is a matter of physician's preference.

The Tulip Syringe System offers many advantages over the traditional vacuum machine technique for soft tissue removal. The Tulip is inexpensive, quiet (no inherent vacuum pump noise), eliminates potentially hazardous aerosol contamination, and is very simple and easy to use. The light weight of Tulip cannulas allows for quick back and forth movements through the soft tissue with greater control and precision. Due to the absence of heavy vacuum tubing connected to the cannula, the physician operates more freely and with much less fatigue.

The Tulip Syringe System allows for the precise measurement of the extracted soft tissue. It also allows for more than one physician to operate simultaneously.

Reduced dead space
The addition of fluid in the cannula, which provides hydrotomy and a cushion for the tissue

Less trauma to the tissue extracted and to the remaining tissue

No vaporization of tissue
Significant decrease in the distance from the tip to the reservoir

No aerosol contamination

Lower analgesic requirements for patients

Less bruising and swelling

More precise measurement of extracted tissue

The Tumescent Technique

The Tumescent Technique is simply a method of infusing (infiltrating) a large volume of solution into the subcutaneous space. The technique provides for satisfactory anesthesia to perform subcutaneous soft tissue removal, and adequate vasoconstriction to lessen blood loss associated with this procedure.

The Tulip Syringe System is a complete line of instrumentation for soft tissue removal that includes a blunt-tipped, multi-hole infiltrator, for the infusion of the tumescent solution.

The Tulip Infiltrator is mounted on a syringe allowing the physician to easily and quickly introduce the solution into the surgical site. Precise amounts of solution can be infiltrated using the Tulip Syringe System.

The following are examples of formulas for the tumescent solution:

500cc ringer's lactate
20cc 2% lidocaine
1 cc epinephrine 1:1000
1 OCC 3% sodium bicarbonate

1 liter saline
2mg epinephrine 1:1000
50cc marcaine .5%

1,000 ml normal saline
10 mL 8.4% sodium bicarbonate
50 mL 2% liocaine
1 mL .1% epinephrine 1:1000
1 mL triamcinolone acetonide (Kenalog) in the for of a 1Omg/1 mL suspension added with the epinephrine just before infusion

The Tulip Syringe Technique combined with the Tumescent Technique are complimentary methods that offer considerable advantages over traditional soft tissue removal techniques. These advantages include reducing the need for general anesthesia, decreased blood loss and post-operative bruising, greater accuracy, precision, and patient satisfaction.

Bibliography

FournierPF: Liposculpture; The SyringeTechnique. Arnette Blackwell, Paris, 1991 Fournier PF: Liposculpture: My Technique. Arnette, Paris, 1989 Foumier PF: Body Sculpturing Through Syringe Liposuction and Autologous Fat Re-lnjection. Samuel Rolf Intemational, Corona Del Mar, CA 1987

Foumier PF: Why the syringe and not the suction Machine? J. Derrnatol Surg Oncol 14(10),1062-1071,1988. Fournier PF: Reduction syringe liposculpturing. Dermatol Clin 8(3), 539-551,1990 Lewis CM: Comparison of the syringe and pump aspiration methods of lipoplasty. Aesthetic Plast Surg 15(3), 203-208,1991

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