Taking action for yourself and others Many substances within surgical smoke are known to be mutagenic and carcinogenic. It has been associated with a spectrum of morbidities including eye, skin and throat irritation,10 carcinogenic exposure,12 double the incidence of respiratory problems,13 and tonsillar/oropharyngeal squamous cell carcinomas.11,14-15 The perfect balance of precision and protection of 24 million annual procedures involve electrosurgery, and the OR Team spends the majority of their working days breathing its smoke.5 All 16 U.S. EPA priority pollutant PAHs (polycyclic aromatic hydrocarbons) have been detected in surgical smoke.18 of materials managers believe smoke evacuation will soon be regulated in the U.S.16 Surgical smoke affects everyone, even non-scrubbed members of your OR team.5,17 Implementing solutions today will help protect you, as well as the colleagues who support you each day. unfiltered cigarettes; the average daily impact of surgical smoke on the OR team.19 of particles within surgical smoke are less than 1.1 microns in size; easily deposited in the alveoli and circulated throughout the body.1,5 microns is the limit for effective filtering by standard surgical masks. Surgical smoke can contain viruses much smaller. (e.g., HIV = 0.15 microns, HPV = 0.055 microns, HepB = 0.042 microns).5 OR particles multiply 17 times from 60,000 particles/cubic feet to more than 1 million particles/cubic feet within five minutes of ESU activation.20 1. P. McCormick, MD. AANS Neurosurgeon. 2008, Vol 17, No. 1 2. AORN Position Statement on Surgical Smoke & Bio-Aerosols, and Recommended Practices for Electro-, Laser and MIS Surgery 3. NOISH Hazard Control Alert HC11: Control of Smoke from Laser/Electrosurgical Procedures (DHHS Publication #96-128) 4. Engineering Department specifications on file at Stryker Instruments. September 2014. 5. K. Ball. AORN Annual Conference Presentation, “Management of Surgical Smoke in the Perioperative Setting” 6. ANSI Safe Use of Lasers in Healthcare (7.4 of Z136.3) 7. OSHA General Duty Clause (Public Law 91-596 Section 5), Blood Borne Pathogens Standard (29CFR 1910.1030), and PPE Standard (29 CFR 1910.134) 8. ECRI Health Devices: Laser Smoke Evacuators 9. The Joint Commission, Environment of Care Standard (EC.02.02.01) 10. E. Alp et al. J of Hospital Infection, 2006. 11. Rioux et al: Journal of Otolaryngology - Head and Neck Surgery 2013, 42:54. 12. Pierce et al: J Occup Environ Hyg 2011, 8(7):447-466. 13. Ball: AORN Journal, Aug 2010, Vol 92, Issue 2, pages 142-149. 14. Hallmo et al: Eur Arch Otorhinolaryngol 1991, 248(7):425-427. 15. Calero et al: Laryngorhinootologie 2003, 82(11):790-793. 16. Clinician survey, GLG Research, LiNA Medical, July 2012. 17. B. Ulmer. AORN Journal, April 2008, Vol 87, No 4. 18. Andreasson, Sara et al. J. of Environmental and Public Health, Volume 2012 19. Hill et al. J of Plastic Reconstructive & Aesthetic Surg, 2012 20. Brandon HJ, Young LV. Characterization and removal of electrosurgical smoke. Surg Serv Manage. 1997;3(3):14-16. The information presented in this brochure is intended to demonstrate the breadth of Stryker product offerings. Always refer to the package insert, product label and/or user instructions before using any Stryker product. Products may not be available in all markets. Product availability is subject to the regulatory or medical practices that govern individual markets. Please contact your Stryker surgical representative if you have questions about the availability of Stryker products in your area. Products referenced with TM designation are trademarks of Stryker. Products referenced with ® designation are registered trademarks of Stryker. Literature Number: 9100-003-025 Rev None G55/PS Copyright © 2015 Stryker Printed in USA Refer to the Neptune Smoke Evacuation Pencil IFU for complete details. Neptune E-SEP Smoke Evacuation Pencil ® Stryker Instruments 4100 East Milham Avenue Kalamazoo, MI 49001 USA t: 269 323 7700 f: 800 999 3811 toll free: 800 253 3210 www.stryker.com/surgica

Neptune® E-SEP™ Smoke Evacuation Pencil Feel the Difference Transparent, X-ray detectable suction sleeve provides “on-tip” smoke evacuation, to help capture smoke – and the potential hazards it carries – directly at the source for optimal effectiveness.1-3 Ribbing and knurling optimize grip and comfort. “Ergonomically, it’s a winner!” - Orthopaedic surgeon and participant in simulated surgical lab Lightweight, natural feel. Just 14 grams – equivalent to a No. 2 pencil. Light, flexible tubing provides tangle-free cord management and range of motion. ACTU A L S IZE 70 mm blade electrode, coated...