Amy R. Coffey, M.D. has used a wide range of technologies to perform tonsillectomies – from cold knife dissection to laser – but like most surgeons performing this procedure, she finds that patients can still suffer from post-operative complications. Dr. Coffey began using Starion's ENTceps™ in the fall of 2010 and found that patients who underwent tonsillectomy with the device experienced far less swelling and pain and no post-operative bleeding – making it her technology of choice for these procedures.

In an effort to improve patient outcomes, Amy R. Coffey, M.D., an assistant professor of pediatric otolaryngology at UT Southwestern Medical Center in Dallas, has used a variety of technologies for cutting and sealing tissue during tonsillectomy procedures, including cautery, Coblation® and laser, but nothing had satisfied her quest for perfection.

"Tonsillectomies have been performed for hundreds of years but surgeons still haven't found a technique that eliminates pain, swelling, bleeding and infection," said Dr. Coffey. "Whenever a new technology comes out, I like to give it a try because I am always looking for that technique that will bring me closer to performing the perfect tonsillectomy."

In the fall of 2010, Dr. Coffey learned about Starion Instruments' ENTceps™ and decided to put the bayonet-style forceps to the test in her practice. Unlike conventional devices that use monopolar, bipolar or ultrasonic energy as modes of operation, ENTceps features Starion's patented Tissue Welding technology, which employs only direct heat and pressure to quickly and delicately seal and divide soft tissue, minimizing collateral tissue damage. Dr. Coffey found that ENTceps' performance and precision improved both intra-operative care and post-operative outcomes for her patients.

"ENTceps only affects the tissue between its jaws so I can carefully control the dissection," said Dr. Coffey. "This provides a cleaner surface with minimal scarring and swelling and much better visualization of the vessels so that I can weld them shut before dividing them. To date, none of my patients have experienced post-operative bleeding following an ENTceps tonsillectomy and they have had much less pain as evidenced by the amount of pain medication prescribed by my anesthesiologist. Even the recovery room nurses have noticed a reduction in pain issues with ENTceps cases."

In addition to improved clinical outcomes, ENTceps offers Dr. Coffey ease of use, efficiency and economy. The device's simple yet effective design features just a few key components, including Starion's Universal Power Supply (UPS), a compact, three-pound, reusable power source that can hang from an IV pole or sit on a tabletop.

"The scrub technicians love tonsillectomy cases with ENTceps because they are so easy to set up," said Dr. Coffey. "Unlike Coblation where they have to worry about the irrigation, hand sets and other apparatus, ENTceps is a very simple device — they just plug it in and we're ready to go. It is easy to use in both hands and the foot pedals make it simple to switch between low and high settings. As for cost, ENTceps is no more expensive than Coblation techniques and far less expensive than laser."

According to Dr. Coffey, ENTceps has brought her much closer to achieving her goal of performing the perfect tonsillectomy:

"ENTceps has definitely come much closer than any other technology to meeting my needs for decreased patient pain, swelling and other post-operative complications," said Dr. Coffey. "I use ENTceps exclusively when I have a choice and reassure my patients that this is the best technique that I've found to date."