What is Cauterization? 

Cauterization is a medical process or practice of burning some part of the body to remove and close it. It destroys some kind of tissue in an attempt to mitigate the damage and bleeding to remove an undesired growth or minimize the probable medical harm such as infections unless antibiotics are unavailable. 

What is a Cautery Machine?

Using the thermal cautery, the Cautery machine helps to achieve hemostasis and tissue damage passing the direct or changing current via a resistant metal wire. Heat conduct from the metal probs stops blood vessels from bleeding. 

What is an electrocautery machine?

Electrocautery is also called thermal cautery. refers to a process of direct or changing current passed via the resistant metal wire electrode and generating heat. Heated electrons are applied to living tissues to achieve hemostasis and differing degrees of tissue damage. 

Electrocautery is used for several minor surgical procedures in dermatology, ophthalmology, plastic surgery, urology and otolaryngology. 

In the process of electrocautery, the current does not pass through the patient therefore, the procedure could be safely used in patients with implantation electrical devices like cardiac pacemakers, Deep-brain stimulating and implantable cardioverter- defibrillators.

 

Types of Cautery Machine

  1. Monopolar Cautery 

Monopolar electrocautery is a Unipolar Electrocautery in electrocautery in which current pertains via the handheld effective electrode and travels back to the generator via an inactive electrode attached to the patient part of the electrical circuit.  

  1. Bipolar forceps 

Bipolar forceps are designed to understand, manipulate and coagulate to select tissue. The electric current is an alternate between two tips, it decreases the length of the recent path and produces a precise controlled medicinal effect.  

  1. Bipolar diathermy 

In Bipolar diathermy, two electrodes were found in the instrument itself. Bipolar arrangements negate the need for dispersive electrodes apart, a pair of similar size electrodes used in tandem. Currently, it is passed between the electrodes. 

  1. Monopolar TURP 

The Monopolar TURP, Conventional TURP, removes the tissue with a wire loop. It has an electrical current flowing in one direction, (Monopolar) via a resectoscope. The surgical site is irrigated with non-conductive fluid. 

Instructions to use the cautery machine

Plug the power into the system power cord into the panel receptacle of the energy platform and check the grounding. Connect directly into the AC power and ultimately avoid the power strip or addition cord.  

  • Turn on the ESU energy console and assess the self-test automatically, After the self-test is completed the green light is an OK symbol appears on the screen. Then, check all the settings and switches, whether it is operational or not! 
  • Connect the footswitch and check it for the working activated after connected to the machine as per the machine model it can be Monopolar/Bipolar footswitch different. 
  • Apply it to the patient neutral plate (patient returns electrode) on the thigh or surface without any bony significance

  • Connect the neutral plate connector to the machine and check the connectivity the green light appears on the green panel.    
  • Directly Connect the sterile monopolar pencil to the scrub, connect to the device end to the applicable connection and check for the values.   
  • Your Surgeon prefers the setting according to the tissues and steps of the procedures and checks the activating CUT and COAG button on the hand footswitch. 
  • The beep sound and light glowing on the control panel when the activating indicate the usage of the Endo Surgical Unit. 
  • The Diathermy machine consists of different modes like coagulation and cutting means cauterized. 

  • After, the electrode pencil is connected to the machine.

Pros and Cons of electrosurgical

Pros

  • It gives you the benefits to make explicit cuts with the limited blood clots. 
  • It is a painless procedure.
  • It is a reasonable method. 
  • Electrodes wires used in electrosurgery, easy to Bend it help in smoothing and soft tissues. 
  • The cutting speed of electrosurgical is fast in comparison to other methods like diode laser. 
  • If the electrode cleaning during the session provides consistently fast and better results. 
  • Electrodes are self-disinfecting. 
  • Electrodes can be executed cut at their side and the end which helps in the deep cutting of the soft tissues. 

Cons

  • The Flesh burning smell using electrosurgery is stronger than the diode laser techniques. 
  • The taste of flesh burning stays for a longer period. 
  • The patient must be anaesthetic for the electrosurgery. 
  • The high heat produced during the cutting and thus should not be used near implants diode lasers are used near implants. 

Cautery machine price 

ApplicationMinimum priceMaximum price
ClinicalINR 31,999/PieceINR 31,999/Piece
HospitalINR 18,000/PieceINR 7,00,000/Piece

Demo Video of Cautery Machine

Best Models of Cautery Machine

1)

1) ALAN Surgical Diathermy, COMBIMAX, For Hospital

  • The latest model with the highest technology
  • Touch panel (7″) with 100 nos user programable.
  • Total digital with high durable & most adv features available in the market.
  • Latest Monopolar/ bipolar/ Saline bipolar TURP/ Vessel Sealer & Argon Plasma coagulation technology.
  • Compatible with all imported hand instruments.
  • Application:General, Neuro, Ortho, Uro( Underwater Saline TURP), Gyne, Cardiac, ENT etc
  • Affordable price, best in class gives you 100% satisfaction with technical backup support.

Demo video of ALAN Surgical Diathermy, COMBIMAX, For Hospital

2)

2) Medilap Surgical Electrocautery Machine 400 Matrix+

  • A tissue impendence sensing technology used for all application to deliver user consistent performance.
  • Reduce the frequent adjustment of power setting as the tissue changes.
  • Reduce the risk of collateral tissue damage due to spackles and charring free power.
  • Minimize the patient recovery time by performing precise and clean cutting and coagulation.
  • Minimum RF distortion in other O.T. Equipment.
  • Patient plate fault monitoring system.
  • Auto monitoring facility, indicates different errors if any error comes during use.
  • Two independent power activation in mono polar output, hand switch operation and foot switch operation.
  • Independent bipolar application, by foot switch and control with display.
  • Size : 390 x 130 x 340 mm (L x H x W)
  • Weight : 6.5kg

The MEDILAP 400 MATRIX+ is a 400-watt high power, operating room generator/Electrosurgical Unit. The unit consists of a tissue impedance monitoring system, self-adjustment of power output to reduce the continuous power setting for different tissue needs, to provide user consistent performance with all digital display of power and modes. 
 

Demo Video of Medilap Surgical Electrocautery Machine 400 Matrix+

3)

3) Surgix Surgical Cautery 400 Watts Matrix DIGITAL

  • Input voltage: 187-270V/AC fuse6 amps
  • Output control: all digital and push switch control in all modes.
  • Protection class-I, Unit type-CF, output- all floating output
  • Current leakage: high frequency -<150amp, in all output low frequency-<10Amp.
  • PPFM system: PPFM pad 5-125 ohms
  • Non-ppm pad: not, 10ohms.

4)

4) ESU MEDILAP 400 PRIMO (Bipolar Cautery unit)

  • A tissue sensing technology used for all applications to deliver user consistent performance.
  • Reduce the frequent adjustment of power setting as the tissue changes.
  • Reduce the risk of collateral tissue damage due to sparkles and charring free power.
  • Minimize the patient recovery time by performing precise and clean cutting and coagulation.
  • Minimum RF distortion in other O.T. Equipment.
  • Patient plate fault monitoring system.
  • Auto monitoring facility, displays different error codes if any error occurs during use.
  • Randomized form of spray mode.
  • Two independent power activation of monopolar output, hand switch operation and foot switch operation.
  • Separate bipolar generator with foot switch operation or hand (auto) operation, eliminates the need of foot switch while using auto mode.

 MEDILAP 400 PRIMO, 400-watt high power, operating room generator/Electrosurgical Unit. The unit consists tissue impedance monitoring system, self-adjustment of power output to reduce the continuous power setting for different tissue needs, to provide user consistent performance with all digital displays of power and modes. The system delivers 9 monopolar and bipolar RF energy modalities to provide a high level of surgical precision. Engineered with the safety of the patient in mind.

5)

5) Valleylab FT10 Energy Platform , Cautery machine & Vessel sealer

  • LigaSure™ technology is improved with up to 50% faster sealing times and lower jaw temperatures.
  •  Electrosurgical performance is more precise: Auto bipolar has a faster activation time, Monopolar performance is improved.
  • Mono polar Foot switch
  • Bipolar Foot switch
  • Bipolar TURP Foot switch
  • Disposable patient plate-5 No’s
  • Cautery pencil 10 nos
  • Ligasure Open surgery vessel Sealing Instrument-1 No’s
  • Ligasure Laproscopic vessel sealer Instrument-1 No’s
  • Universal active adaptor
  • Bipolar forces with cable

Valleylab FT10 energy platform, has optimized vessel sealing performance with LigaSure devices.
High-speed, closed-loop control continuously monitors the electrical properties of the tissue and utilizes an advance vessel sealing algorithm to apply a proportionate amount of energy based on composition and size of the vessels being sealed. This reduces the need for manual bar settings on the Valleylab FT10 generator, making LigaSure devices truly a “plug and play” technology.

TissueFect tissue sensing technology has improved on the Valleylab FT10 energy platform with closed-loop control at 434,000 data points per second, which is over a 100X more than the ForceTriad energy platform. This creates a more consistent tissue effect.

11 Best Cautery Machine brands

1)

1) Eclips Ultra-M Cautery Machine

  • Microprocessor Based High performance ESU.
  • Tissue response technology.
  • Monopolar, Bipolar Separate Sections.
  • Up gradable to Saline Bipolar
  • Up gradable to Vessel Sealing System
  • Universal adaptation for accessories & instruments.
  • 9 Program Modes with Endocut Special Program

Demo Video of Eclips Ultra-M Cautery Machine

2)

2) Eclips Force 400 Cautery Machine

  • BASIC DIGITAL MACHINE OF 400 W.
  • SEPRATE MONOPOLAR & BIPOLAR SECTIONS.
  • ENDOCUT FUNCTION.
  • PEAK TO PEAK VOLTAGE 6500V.

The machine with Integrated Microcontroller, AUTOMATIC precise Dosage Error and Power. Super compact High performance generator, Highly advanced feedback system for instantaneous response to the varying tissue impedances, thus reducing the need to adjust current manually for different types oftissue. The precise adaptability of the generator frees the surgeon from keeping an eye on the output of generator enabling one to completely focus on the on going surgery.

3)

3) Valleylab Legasure LS10 Surgical Vessel sealer

  • TissueFect sensing technology across all modalities
  • LigaSure fusion technology for vessel sealing
  • The unit can be easily updated on site, providing surgeons, nurses and patients with up-to-date, state-of-the-art technology. 
  • Colorectal 
  • Urology
  • General Surgery
  • Plastics
  • Gynecology
  • Power cord
  • Open surgery sealing  clamp small jaw ligasure
  • Laproscopic sealing instrument Maryland ligasure

The new Valleylab LS10 electrosurgical generator provides you with the essential energy that you need.  Both affordable and portable, the LS10 generator makes the next generation of LigaSure vessel sealing technology accessible to customers around the globe.

Demo Video of Valleylab Legasure LS10 Surgical Vessel sealer

https://youtu.be/26cMx8LWk_A
4)

4) Medilap Surgical Cautery 250 Watts

  • Input voltage: 187-270V/AC current fuse5 amps 
  •  Output control: analogue power control with les indicator of different modes and push switch selector of power modes. 
  •  Protection class-I, Unit type-CF, output- all floating output 
  •  Current leakage: hogh frequency -<150amp, in all output low frequency-<10Amp. 
  •  PPFM system: PPFM pad cond. -not<10ohms. 
  •  Audio level-variable audio tones 

5)

5) BPL SurgiX – E2 Cautery Machine

  • 300 watts – One Monopolar & One Bipolar
  • 3 Monopolar Cut Modes: Soft Cut, Pure & Blend cut; Max Power – 300 W
  • 3 Monopolar Coag Modes: Soft, Fulgurate & Spray Coag; Max Power – 120 W
  • 2 Bipolar Modes: Precise & Macro Mode; Max Power – 70 W
  • Advanced Feedback Technology maintains set power over different range of tissue

The Innovative & High-performance product with advanced feedback technology, personalized settings, and safety monitoring.

Demo Video of BPL SurgiX – E2 Cautery Machine

https://youtu.be/wilF60TmCYY
6)

6) ALAN Lite Series Cautery Machine

  • Feather Touch Membrane keyboard for Power, Mode, and Foot switch selection etc. for easy operation of Machine.
  • Monopolar outputs can be activated via Hand switch and Foot switch.
  • Isolated monopolar & Biopolar outputs.
  • Individual Digital display for Bipolar, Monopolar, Cut and Monopolar Coag.
  • Using ALAN’s 3 pedal footswitch Monopolar and Biopolar can be operated without changing any setting in the machine.
  • Simultaneous coagulation for 2 surgeons by footswitch / handswitch combination.
  • The unit has 3pedal foot switch, explosion proof / water proof Foot Switch.
  • Multiple Microcontroller supervision Automatic Diagnosis enables Instant power responce against tissue density & impedance variation and adjust power.
  • Restoration of Previous activated power Settings.
  • Reduce R.F distortion due to noiseless performance.
  • Built with Return Electrode / Patient Plate Monitoring System (PPCM), monitors splite and Non Splite type patient plates and deactivates output power with audiovisual alarm during improper contact between patient plate with patient to eliminate the risk of patient burns.
  • The Audio visual indication for all outputs.
  • Well suited indication for all outputs.
  • User settable maximum RF activation Timeout limit.
  • Umaximum power output of 300 Watts.

ALAN’s Electrosurgical Unit (Diathermy) is designed with latest miniature electronic circuit design technology. The advanced microcontroller based helps in achieving the desired tissue effects. It is small in size but Surprises on Performance.

Demo Video of ALAN Lite Series Cautery Machine

7)

7) BPL SurgiX – E3 Dual Cautery Machine

  • 400 watts, Two Monopolar & One Bipolar
  • 4 Monopolar Cut Modes: Soft, Pure, Blend & Endo cut; Max Power – 400 W
  • 3 Coag Modes Coag Modes: Soft, Fulgurate & Spray Coag; Max Power – 150 W
  • 2 Bipolar Modes: Precise & Macro Mode; Max Power – 100 W
  • System can deliver simultaneously two coagulation outputs at a time with independent control
  • Smart Bipolar – Alarms after completion of Bipolar Coagulation
  • Advanced Feedback Technology maintains set power over different range of tissue

The High-performance innovative product with advanced feedback technology, personalized settings, and safety monitoring.

8)

8) Dermacell RF Cautery Machine (3 in 1)

  • Radio Frequency Cautery machine (3 in 1)- Monopolar + Bipolar + Hand Switch of 4MHz.
  • Application+ Hospital Clinical Purpose
  • Voltage- 220 V
  • Frequency- 4 MHz
  • Power Consumption200 Watts

9)

9) Eclipse Cresta Radio Frequency Cautery Machine

  • Microprocessor based high performance ESU
  • 100 user selectable programme.
  • Tissue response Technology maintains set power over wide range of tissue feedback technology
  • Auto stop function stopping energy delivery with audio indication
  • Saline resection Bipolar saline plasma cut two modes & coag two modes
  • Cardiac protection circuit.
  • Vessel sealing system
  • Safe saline bipolar cautery
  • Patient return electrode monitoring circuit
  • Two monopolar outputs.

The Microprocessor-based high-performance ESU. 100user-selectable programme.
Tissue response technology maintain set power over a wide range of tissue feedback technology to stop technology stopping energy delivery with audio indication
Cardiac protection circuit. Vessel sealing system.

10)

10) Shalya Bipolar TUR Cautery

  • Saline Resection Mode: Cut : 300 W & Coag : 120 W
  • Electrosurgical Mode: 4 cut mode & 4 coag mode
  • 3 Bipolar modes: Micro, Standard & Force
  • It is majorily used for transuretheral resection or endometrial ablation of tissue in urology & gynaecolgy respectively

Saline Plasma TURP is process performed to resect the enlarged prostate gland using a high functioning microprocessor controlled cautery having Saline Plasma Cut & Saline Plasma Coag mode as well as electro surgical cut & coag modes.

11)

11) Valleylab FT10 Energy Platform , Cautery machine & Vessel sealer

  • The Valleylab FT10 energy platform not only drives our full portfolio of energy-based devices, it makes them better than ever.
  • Improving the performance of all of our devices with faster sealing and cutting times  for example, LigaSure vessel sealing is up to 50% faster — the Valleylab FT10 energy platform delivers precise amounts of energy where and when it is needed most.
  • The Valleylab energy portfolio’s best-in-class advanced energy and electrosurgery devices are all powered by Smart generators that manage energy delivery with precision-enabling algorithms. The technology progress created with the Valleylab FT10 energy platform improves all surgical applications for the entire portfolio.
  • LigaSure technology is improved with:up to 50% faster sealing times
  • lower jaw temperatures
  • Electrosurgical performance is more precise:Auto bipolar has a faster activation time
  • Monopolar performance is improved

The Valleylab FT10 energy platform, has optimized vessel sealing performance with LigaSure devices. High-speed, closed-loop control continuously monitors the electrical properties of the tissue and utilizes an advance vessel sealing algorithm to apply a proportionate amount of energy based on composition and size of the vessels being sealed. This reduces the need for manual bar settings on the Valleylab FT10 generator, making LigaSure devices truly a “plug and play” technology.

Price Range of Cautery Machine

S.NoProduct NamePrice
1.ALAN Surgical Diathermy, COMBIMAX, For Hospital
2.Medilap Surgical Electrocautery Machine 400 Matrix+INR 64,950 to 75,000
3.Surgix Surgical Cautery 400 Watts Matrix DIGITALINR 1,13,971 to 1,28,217
4.ESU MEDILAP 400 PRIMO (Bipolar Cautery unit)INR 96,000 to 96,768
5.Valleylab FT10 Energy Platform , Cautery machine & Vessel sealerINR 1 cr to 5,38,611
6.Eclips Ultra-M Cautery MachineINR 2lac to 2,58,485 
7.Eclips Force 400 Cautery MachineINR 1.35 to 1.3 lac 
8.Valleylab Legasure LS10 Surgical Vessel sealerINR 10lac to 9,75,878
9.Medilap Surgical Cautery 250 Watts INR 60,000 to 39,000
10.BPL SurgiX – E2 Cautery Machine
11.ALAN Lite Series Cautery Machine
12.BPL SurgiX – E3 Dual Cautery Machine
13.Dermacell RF Cautery Machine (3 in 1)
14.Eclipse Cresta Radio Frequency Cautery Machine
15.Shalya Bipolar TUR Cautery
16.Valleylab FT10 Energy Platform , Cautery machine & Vessel sealer

Things to consider before investing in Cautery Machine

Various factors in the operation room can be the changes or artifacts while monitoring somatosensory responses. Drugs, anaesthetic, irrigation, manipulation of spinal column changes in the patient’s blood pressure and several other electric types of equipment in the area can all changes.

it is the responsibility of the technologist to determine the possible cause of changes in the EPs and how to determine the source of artifact.

The surgeon must be of any critical changes. And they are familiar with the surgical procedure equipment and medications.

Conclusion

There are many things you must know before expanding on any treatment there are lots of factors and different types of machines available in the market of cautery before starting the treatment you must know the requirements of your skin and consult with your surgeon.

frequently asked questions:-

What is a cautery machine used for?

Electrocauterization is often used in surgery to remove unwanted or harmful tissue. It can also be used to burn and seal blood vessels. This helps reduce or stop bleeding during surgery or after an injury.

What instrument is used for cauterization?

Electrosurgical pencils are the pen-like instrument used to both make and cauterize incisions during electrosurgical procedures. These tools are typically designed with easy-to-use switches that allow the user to switch between cut and coagulation settings on the device.

How does a cautery machine work?

Electrocautery, also known as thermal cautery, refers to a process in which a direct or alternating current is passed through a resistant metal wire electrode, generating heat. The heated electrode is then applied to living tissue to achieve hemostasis or varying degrees of tissue destruction.

What flammable agents could be ignited by a cautery device?

The primary oxidizers leading to surgical fires are oxygen and nitrous oxide. Most reported surgical fires involve electrosurgical units and lasers as the ignition source, oxygen-rich atmospheres as the oxidizer, and alcohol-based surgical preps as the fuel.

How many operating room fires are estimated to occur each year?

Surgical fires are rare but serious events. The ECRI Institute estimates that approximately 550 to 600 surgical fires occur each year.

What percentage of fires are caused by electrocautery?

A recent survey of otolaryngologists reported that the electrocautery was the most common ignition source in OR fires (59% of fires) and the most common fuel was the endotracheal tube (31%).