Surgical Smoke Blog

Insights into keeping your workplace environment from going up in smoke.

By Leonard Schultz, M.D.
Founder & CEO
Nascent Surgical

In this blog Dr. Schultz discusses the topic of surgical smoke in the operating room and the goal of returning clean, non-contaminated air to our daily environment. As a retired general surgeon with a 25 year interest in the capture and removal of smoke during laser and laparoscopic surgery, Dr. Shultz shares his insights in this problem with the hope to form a world-wide advocacy that will finally rid our operating rooms of surgical plume.

 


From Vacuum Cleaner to Compliance – Our Journey

July 6, 2018

The achievement of capturing and removing surgical plume has proven to be an evolutionary and not a revolutionary effort. The journey from a simple vacuum hose to a stylized electrosurgical (“ESU”) “pencil” to a transformative cell foam-based flat plenum or pad placed close to the wound, has taken thirty-three (33) years to…




The Alternative

June 4, 2018

The electrosurgical unit (ESU) “pencil” has had two decades to gain the favor of clinicians. Despite this lengthy period of use, surgeons have balked because of its interference with their ability to see the tip of the dissecting monopolar electrode, fatigue from the torque imposed on their hand by the embedded tubing…




Compliance vs. Clinical Product Value

May 29, 2018

The electrosurgical unit (“ESU”) “pencil” wars are heating up now that both the short and long-term health hazards caused by inhaling surgical plume have been accepted1,2. Perioperative nursing groups and various industry leaders have led the way in educational efforts aimed at clinicians, hospital administrators and even state politicians. Covidien, Stryker, Conmed…




The Evolution of Smoke Evacuation

May 10, 2018

Prior writings have revealed our belief that the meaning of the term, “smoke evacuation” has evolved well beyond meaning a method for capture of trace gases and particulates produced as a result of pyrolysis of tissue. As our teachings indicate, based upon third party testing of our miniSQUAIR,1 we now know that…




Times They are a Changin’

March 29, 2016

As a few of you may have noticed (probably very few), I have not posted a blog for about 2-3 months. This absence reflected another of my functions; that of assistant to my Nat’l Sales Manager, Mr. Gary Haugen. Apparently, hospital administrators, in their search for value-based services and products, have started…




The Nurse, the Surgeon and now, the Healthcare Executive

August 6, 2015

For the past few months we have focused our comments on data to support education of clinicians who have been reluctant to accept, let alone advocate for, smoke evacuation technology in their operating rooms. As a result of our literature reviews and original research, sponsored by Nascent Surgical, LLC at world class…




This is Serious Stuff

July 29, 2015

The other day my accountant came by to “do the books” and left a sheath of papers on my desk held together by a big metallic clip at the top. “Here are the results of my internet search for ‘clean air’ articles. You should look them over.” Naturally, since my CPA is…




It’s All a Question of Integrity

July 15, 2015

It’s a Saturday morning. I just finished my second cup of strong coffee and my reading of an “Opinion” article in the Wall Street Journal describing “…Dr. Stossel, a hematologist and medical researcher…who is reawakening the conflict of interest argument.” During my surgical residency, my own research was supported by private companies…




You Call This an Improvement?

June 30, 2015

My team and I were sitting around our small conference table (actually my former dining room table) in our 10’ x 10’ conference room trying to understand the slow pace of domestic sales versus the much more frenetic pace of overseas sales. Ponder as we might, we could not understand why our…




Join the Movement to Protect Your Health and Your Patients’

June 11, 2015

Hi folks, No doubt you have missed my ramblings these past few weeks but my focus has shifted to sales efforts that emphasized the education of clinicians regarding the current arguments for why they should prioritize smoke removal from the operating room. No surprises there! As I presented my power point slides…