Global

‡ In these countries please contact our distributor

VERSAJET II

Hydrosurgery System

VERSAJET II

VERSAJET in handPrecise excision
The VERSAJET II Hydrosurgery System enhances preservation of viable tissue during surgical debridement and reduces time to closure. 4,8 Certain VERSAJET II handpieces can also be used outside of theatre to further drive savings of time and resources.

The VERSAJET II system enables a clinician to precisely select, excise and evacuate nonviable tissue, bacteria and contaminants from wounds, burns and soft tissue injuries using a tissue-preserving technique. 1,3,4

 

Precision to preserve
Compare the difference between conventional surgical and VERSAJET excision.

 Compare the difference

read more


 

Precision and performance

Clinical efficacy 

Helps reduce time to wound closure 1,2
Creates a smooth wound bed for improved graft and synthetic dressing results 13
Reduces bacterial burden, soft tissue biofilms and other inhibitory elements 10
Removes unwanted tissue and contaminants, while preserving healthy tissue 1,3,5
Accesses difficult-to-reach and contoured areas with ease and control 4,14,15

 Graph

read more

 


 

 

Precision and value  

Cost effectiveness
Requires fewer debridement procedures, which can improve hospital revenue 1
Helps reduce time to closure, which may shorten hospital stay 1,2
Removes bacteria to help reduce the risk of infection 1,3
Uses fewer instruments/supplies, potentially reducing cost per procedure 9

 

 Graph

read more

 


 VERSAJET II Hydrosurgery System

VERSAJET II System

 

Number 1 Redesigned system
• easier, faster set-up
• enhanced control
Number 2 Intuitive connection
• key lock mechanism
• quicker set-up
• consistant performance
• faster procedural
Close up VERSAJET II connection 
 
 
Number 3

Illuminated locking ring
• lock/unlock symbols guide connection
• green light indicates positive engagement
• confirmed ready

 

Close Up- Locking Ring  Number 4 Gravity prime
• quicker prime
• reduces set-up time
• faster procedure onset
 
 
Number 5 Larger LED window
• 150% larger window
• clear view of power setting from a distance of up to 15 ft
Number 6 Multi-function footswitch
• surgical command of power up/down and jet on/off
• improves control
 Close Up - Footswitch

All the comparisons above are the VERSAJET II Hydrosurgery System compared with the original Versajet system.

Smith & Nephew VERSAJET II Hydrosurgery System ordering information

References

1. Granick MS, Posnett J, Jacoby M, Noruthun S, Ganchi PA, Datiashvili RO, Efficacy and cost-effectiveness of a high-powered parallel waterjet for wound debridement. Wound Repair Regen. 2006;14:394-397
2. Mosti G, Maltaliano V, The debridement of chronic leg ulcers by means of a new, fluidjet-based device. Wounds. 2006;18:227-237
3. Granick M, Boykin J, Gamelli R, Schultz G, Tenenhaus M, Toward a common language: surgical wound bed preparation and debridement. Wound Repair Regen. 2006;14:S1-S10
4. Cubison TC, Pape SA, Jeffery SL, Dermal preservation using the VERSAJET* hydrosurgery system for debridement of paediatric burns. Burns. 2006;32:714-720
5. Vanwijck R, Kaba L, Boland S, Gonzales y Azero M, Delange A, Tourbach S, Immediate skin grafting of sub-acute and chronic wounds debrided by hydrosurgery. J Plast Reconstr Aesthet Surg. 2010;63:544-549
6. Abernathie B, Granick MS, Centrifugal debridement: tissue sparing surgical treatment of chronic wounds. J Wound Technol. 2009;5:10-11
7. Jeffery SLA, Device related tangential excision in burns. Injury, Int J Care Injured. 2007;38S:S35-S38
8. Paola LD, Brocco E, Senesi A, De Vido D, Merico M, Ninkovic S, The use of VERSAJET in the limb salvage following failure of minor amputation in diabetic foot. Data on file report 4649/5025
9. Caputo WJ, Beggs DJ, DeFede JL, Simm L, Dharma H, A prospective randomised controlled clinical trial comparing hydrosurgery debridement with conventional surgical debridement in lower extremity ulcers. Int Wound J. 2008;5:288-294
10. Allan N, Olson M, Nagel D, Martin R, The impact of VERSAJET hydrosurgical debridement on wounds containing bacterial biofilms. Wound Rep Reg 2010 18:A88. 20th Meeting of the European Tissue Repair Society, Gent, Belgium, September 15-17, 2010
11. Gravante G, Delogu D, et al, VERSAJET hydrosurgery versus classic escharectomy for burn debridement; a prospective randomized trial. J Burn Care Res 2007;28(5);1-5 (data for VERSAJET & escharectomy combined)
12. Gurunlouglu R, Experiences with waterjet hydrosurgery in wound debridement. World J Emerg Surg 2007 May 2;2:10
13. McCardle J E, VERSAJET hydroscalpel:treatment of diabetic foot ulceration. British Journal of Nursing 2006,15, Tissue Viability Supplement
14. Klein M B et al, The Versajet Water Dissector: A new tool for tangential excision. Journal of Burn Care & Rehabilitation, 2005, 26, 483-487
15. Rennekampff HO et al, Debridement of burn wounds with a water jet surgical tool. Burns, 2006, 32, 64-69

Science

Experience the cutting edge of advanced hydrosurgery

The VERSAJET II system uses a high-pressure stream of sterile saline to optimise surgical debridement. 1,3,5 As the handpiece moves tangentially across the wound, the device's razor-thin saline jet rapidly removes necrotic tissue , bacteria and debris - sparing the surrounding viable tissue. 1-5

The VERSAJET II system quickly prepares a cleaner, more uniform wound bed, simultaneously addressing multiple barriers to healing. 2-4

Tangential movement with a high-speed saline jet

VERSAJET II Diagram   

Selects

Target necrotic tissue and debris using the localised vacuum 1,3-5

 VERSAJET II Diagram  

Excises

Ablate nonviable tissue with maximum precision 1,3-5

 VERSAJET II diagram  

Evacuates

Remove debris and slough while preserving viable tissue 1,3-5


Precision and control

At lower power levels, VERSAJET II functions mainly as a vacuum and cleanser, removing little tissue with each pass.

As the power is increased, tissue ablation increases, as does the ability to remove dense tissue and embedded debris.

At higher power levels, the VERSAJET II system removes non-viable tissue and contaminants rapidly and cuts all but the hardest tissue.

References

1. Granick MS, Posnett J, Jacoby M, Noruthun S, Ganchi PA, Datiashvili RO, Efficacy and cost-effectiveness of a high-powered parallel waterjet for wound debridement. Wound Repair Regen. 2006;14:394-397
2. Mosti G, Maltaliano V, The debridement of chronic leg ulcers by means of a new, fluidjet-based device. Wounds. 2006;18:227-237
3. Granick M, Boykin J, Gamelli R, Schultz G, Tenenhaus M, Toward a common language: surgical wound bed preparation and debridement. Wound Repair Regen. 2006;14:S1-S10
4. Cubison TC, Pape SA, Jeffery SL, Dermal preservation using the VERSAJET* hydrosurgery system for debridement of paediatric burns. Burns. 2006;32:714-720
5. Vanwijck R, Kaba L, Boland S, Gonzales y Azero M, Delange A, Tourbach S, Immediate skin grafting of sub-acute and chronic wounds debrided by hydrosurgery. J Plast Reconstr Aesthet Surg. 2010;63:544-549
6. Abernathie B, Granick MS, Centrifugal debridement: tissue sparing surgical treatment of chronic wounds. J Wound Technol. 2009;5:10-11
7. Jeffery SLA, Device related tangential excision in burns. Injury, Int J Care Injured. 2007;38S:S35-S38
8. Paola LD, Brocco E, Senesi A, De Vido D, Merico M, Ninkovic S, The use of VERSAJET in the limb salvage following failure of minor amputation in diabetic foot. Data on file report 4649/5025
9. Caputo WJ, Beggs DJ, DeFede JL, Simm L, Dharma H, A prospective randomised controlled clinical trial comparing hydrosurgery debridement with conventional surgical debridement in lower extremity ulcers. Int Wound J. 2008;5:288-294
10. Allan N, Olson M, Nagel D, Martin R, The impact of VERSAJET hydrosurgical debridement on wounds containing bacterial biofilms. Wound Rep Reg 2010 18:A88. 20th Meeting of the European Tissue Repair Society, Gent, Belgium, September 15-17, 2010
11. Gravante G, Delogu D, et al, VERSAJET hydrosurgery versus classic escharectomy for burn debridement; a prospective randomized trial. J Burn Care Res 2007;28(5);1-5 (data for VERSAJET & escharectomy combined)
12. Gurunlouglu R, Experiences with waterjet hydrosurgery in wound debridement. World J Emerg Surg 2007 May 2;2:10
13. McCardle J E, VERSAJET hydroscalpel:treatment of diabetic foot ulceration. British Journal of Nursing 2006,15, Tissue Viability Supplement
14. Klein M B et al, The Versajet Water Dissector: A new tool for tangential excision. Journal of Burn Care & Rehabilitation, 2005, 26, 483-487
15. Rennekampff HO et al, Debridement of burn wounds with a water jet surgical tool. Burns, 2006, 32, 64-69

Evidence

Peer reviewed evidence

Granick MS et al, "Toward a common language; surgical wound bed preparation and debridement", Wound Repair & Regeneration, 2006, 14, S1-S10.

Poster evidence

Author Title Abstract
Nick Allan, Merle Olson, Dennis Nagel and Robin Martin
The impact of hydrosurgical debridement on wounds containing bacterial biofilms

View poster(1.83 MB)

Luca Dalla Paola, Enrico Brocco, Antonella Senesi, Daniele De Vido, Maurizio Merico, Sasa Ninkovic The clinical advantage of VERSAJET in the limb salvage of diabetic patients following minor amputation. View poster (160 KB)

Jody McAleer, Eric Kaplan, Gianni Persich, Wayne Axman

A prospective randomized study evaluation the time efficiency of the VERSAJET Hydrosurgery System and traditional wound debridement

View Poster (204 KB)

Mark Granick, John Posnett

Retrospective evaluation of the VERSAJET Hydrosurgery System as a debridement instrument View Poster (152 KB)
Jeffrey Nelson VERSAJET usage algorithms

View poster(1.06 MB)

Instructions For Use

For full instructions on how to operate VERSAJET II please refer to the VERSAJET II User Guide - download the VERSAJET II User Guide pdf (2.4 MB)

Indications

The VERSAJET II Hydrosurgery System is intended for wound debridement (acute, chronic wounds and burns), soft tissue debridement and cleansing of the surgical site in applications that, in the physician's judgment, require sharp debridement and pulsed lavage irrigation.

Safety

The VERSAJET II system is designed for use by qualified and trained medical professionals. It is recommended to study this user guide, paying particular attention to all Warnings and Precautions, prior to any surgical procedure. Improper system use or set up, or failure to follow this user guide may cause injury or damage not covered under the warranty.

Warnings

Precautions


Console

The VERSAJET II console is an electrically powered device that drives the VERSAJET II handpieces.  The console is provided with an attachable footswitch and power cord.

Front panel layout

VERSAJET II Front panel

1. Illuminated power switch - turns the power ON and OFF

2. Footswitch socket - interfaces with the footswitch

3. Power display - displays power setting

4. Footswitch connection indicator (LED)

5. System fault indicator (LED)

6. Power controls - allows the user to sequentially select power settings from 1 (lowest) through 10 (highest)

7. Illuminated green light ring - indicates positive handset engagement

8. Pump interface - interfaces and secures the handpiece pump assembly to the console

9. Key lock symbols - directs user to the open (UNLOCKED) and the closed (LOCKED) handpiece pump positions

Power display and fault indicators

 VERSAJET II Power display

1. Power display - displays power setting Fault indicators - illuminate if a fault is present 

VERSAJET II System

2. Footswitch not connected indicator 
- an amber LED will illuminate when the footswitch is not fully connected or is a defective footswitch 

VERSAJET II System

3. System fault indicator 
- a red LED will illuminate indicating a power fault or an out of tolerance pressure condition 
• If a fault occurs, the console should be sent back to the manufacturer for service. DO NOT attempt to open the unit to perform repair.

Footswitch

 VERSAJET II Footswitch 1. Footswitch pedal - depressing the footswitch pedal activates the cutting jet
2. UP toe button - depressing the toe button next to the UP arrow increases the power setting
3. DOWN toe button - depressing the toe button next to the DOWN arrow decreases the power setting
 4. Footswitch connector - connects the footswitch to the footswitch socket on the console
5. Footswitch cable - connects the footswitch connector to the footswitch

Rear panel layout

VERSAJET II rear panel

  1. Input power cord socket - interfaces with the detachable power cord through a three prong socket 
    • The power cord provides electrical power to the console from an electrical outlet. For details of available power cords, please refer to the Ordering Information section.
  2. Protective earth ground terminal (equipotentiality) - allows connection to the main system ground for testing the equipment
  3. Device label - contains information and symbols specific for device

Handpiece components

Single-use handpiece assembly

The VERSAJET II single-use handpiece assembly is a sterile device and should be disposed of after use.

The handpiece has an operating window located at the instrument's distal tip. When the system is in operation, a stream of pressurized saline travels across the opening and creates a localized vaccum effect. By applying/passing the operating window over the debridement area the user can excise non-viable tissue and contaminants.

WARNING: The VERSAJET II handpiece is designed for connection only to the VERSAJET II Hydrosurgery System Console (66800039). Do NOT attempt to connect to any other equipment.

VERSAJET Handpiece

  1. Instrument tip - the metal tip with a small, precise opening where a high velocity stream of sterile saline 
    selects and excises non-viable tissue and contaminants contained in the operating site • the instrument tip contains the evacuation oriface
  2. Handpiece - an ergonomic handle supporting the instrument tip; receives the high-pressure line and waste evacuation line at the proximal end (white)
  3. Inflow tube - a clear tube with white spike and pinch clamp that connects to a saline bag
  4. Pump cartridge - couples with the pump interface on the console (orange)
  5. High pressure tube - a tube that carries pressurized saline to the distal tip of the handpiece
  6. Waste evacuation tube - a clear tube with a blue connector end that carries evacuated fluid, non-viable tissue and contaminants to an appropriate waste container
  7. Clam shell - a clear plastic enclosure that holds the handpiece and pump cartridge

VERSAJET II System set up

Maintaining the VERSAJET II power console

Download the VERSAJET II User guide in PDF (2.4 MB)

FAQs

Clinical and General FAQs

What do the warning lights mean?

There are two indicator lights located to the left of the digital display:
1. Pump Interface: this ring illuminates green when the pump is properly locked into place.
2. Foot Switch: when illuminated, an amber foot switch light indicated that the foot pedal is not properly connected.
3. Error: when illuminated, a red Error light indicates a system error.  This may be cleared by toggling the power switch off and on.  If the console does not function after this, please return it for service.

What happens if the saline bag empties?

Once the system has been primed with saline, do not allow the saline bag to empty; an empty bag will allow air into the system and reduce the system's efficiency. Therefore, always change to a new saline bag before the bag in use empties. If air does enter the system, pump fluid on high setting until the system is purged of all air.

What happens if the device tip becomes blocked with foreign matter?

Remove the hand piece from the wound site. Stop the jet flow by releasing the foot pedal. Remove the obstruction with forceps taking care not to touch the opening in the high-pressure jet. Once removed, depress the foot pedal and check that there is a single coherent jet flow. If the obstruction is not completely removed, repeat procedure.

Can VERSAJET II be used for minimally invasive surgery?

VERSAJET II is intended to debride wounds of damaged, diseased or necrotic soft tissue. In addition it will remove contaminants and debris. VERSAJET II creates a localised vacuum to hold cut and remove tissue and aspirate wounds. VERSAJET II can be used in difficult to reach areas with limited access. VERSAJET II is not suitable for use in areas that are required to be filled with fluid or gas for visualisation purposes as VERSAJET II will evacuate these as it debrides.

Is VERSAJET II the same as pulsed lavage?

VERSAJET II is not the same as pulsed lavage. VERSAJET II is intended to debride wounds of damaged, diseased or necrotic soft tissue. In addition it will remove contaminants and debris. VERSAJET II works in a completely different way to pulsed lavage. With VERSAJET II a controlled tight beam of sterile saline travels parallel to the wound creating a localised vacuum that enables the surgeon to hold cut and remove tissue and debris and at the same time irrigate and aspirate the area covered. VERSAJET II does not spray saline directly into the wound. Pulsed lavage sprays saline directly into the wound and onto debris.

Will VERSAJET II cut Arteries and Nerves?

VERSAJET II is intended to debride wounds of damaged, diseased or necrotic soft tissue. In addition it will remove contaminants and debris. VERSAJET II is a debridement device and at higher power settings will cut soft tissues. VERSAJET II should be used with caution around delicate structures and should be used at low settings to begin with.

Will VERSAJET II cut bone?

VERSAJET II is intended to debride wounds of damaged, diseased or necrotic soft tissue. In addition it will remove contaminants and debris. VERSAJET II is not intended to cut bone, however in higher power settings it can debride wounds of small bone fragments and may remove very soft diseased bone.

Will VERSAJET II remove bone cement?

VERSAJET II is intended to debride wounds of damaged, diseased or necrotic soft tissue. In addition it will remove contaminants and debris. VERSAJET II is not intended as a cement removal tool and is not designed to cut up or remove cement mantles or large pieces of cement mantle. However VERSAJET II will remove smaller particles of cement from the soft tissues and joint spaces.

Does VERSAJET II have a cautery action?

VERSAJET II is intended to debride wounds of damaged, diseased or necrotic soft tissue. In addition it will remove contaminants and debris. Accurate debridement of the soft tissue can been seen to reduce bleeding due to the ability to debride down to punctuate bleeding tissue rather than taking more tissue than desired and encouraging copious bleeding. VERSAJET II facilitates accurate debridement of wounds by allowing the surgeon to plane down through the tissues and get very good visibility of the operative sight. VERSAJET II does not have a cautery action.

Read the VERSAJET II troubleshooting guide (PDF) 

Patients

Smith & Nephew is providing information in this site for general educational use only, and does not intend for this to be construed as medical advice or used as a substitute for the advice of your physician. For questions or concerns about a previous or upcoming surgery, Smith & Nephew recommends that you contact your healthcare professional.