Saline lavage is effective at removing gross debris, but fluid mixing in the interstices of bone prevents thorough cleaning. A compressed gas jet effectively displaces fluid and fluid- suspended debris, thereby cleaning and drying porous structures.
The CarboJet CO2 Lavage System, in clinical use since 1993, has been used safely on thousands of joint replacement patients. Compressed CO2 gas has been employed as an insufflation medium in laparoscopic procedures for many years and is readily available at all hospitals.
“I have made gas jet lavage with CarboJet the critical last step in bone preparation in all my cemented arthroplasty cases. The removal of additional marrow elements that could otherwise form embolic debris during cement pressurization is important to patient safety.”
H.M. “Mac” Reynolds, MD, Oakland, California, In Memorium
CarboJet Lavage provides the opportunity for complete “whiteout” of the cement mantle in the hip and increased cement penetration under the tibial component in the knee. (X-rays courtesy of H.M. Reynolds, Oakland, CA, In Memorium)
CarboJet® and Reduced Debris Arthroplasty™ are trademarks of Kinamed®, Inc.