Published Sep 19, 2017
heather2084, BSN
101 Posts
We are having a problem with doing tubal fulgurations using the kleppinger and wondering what other facilities use? Currently using kleppinger bipolar handpiece with valley lab generator and seem to keep having issues. The bipolar cords seem lose when placed in the generator and we keep having to open multiple ones to finally get an instrument that will work. I remember using the Wolff generator when I started about 10 years ago but the facility no longer has that.
Is anyone else having this issue? What do you use at your facility??
Argo
1,221 Posts
It has to be the wolf generator unless that changed recently. Wolf and Gyrus were the only two approved methods for cautery tubal ligation.
WhoDatWhoDare, BSN, RN
222 Posts
I don't do gyn... that said, could ligasure or harmonic be used in this instance for vessel sealing, so to speak?
It could but that's much more costly opening the handpiece. And using clips are not desired
The website says the cord is compatible with valley lab triforce and a couple others but it's the valley lab the facility has. They haven't had a wolf generator in many years now
According to our Covidien rep, the Triad is no longer being manufactured, so your facility needs to move up to the newest Covidien generator, a small (relatively speaking) expenditure versus a lawsuit in the small chance there's a problem and the plaintiff is able to prove a non approved generator was used in the case, I would think. I'm no lawyer so this is pure speculation on my part.
RobtheORNurse
126 Posts
It sounds like your cables may need to be replaced. They do wear out from time to time