Cleaner is Better

Why Use CarboJet CO₂ Compressed Gas Lavage to Clean Bone?

• Potential for Increased Cement Penetration Into the Bone Bed
• Reduced Opportunity for Micro-Emboli

A compressed CO₂ gas jet is more effective at removing fluid and fluid-suspended debris from a porous matrix than a liquid cleaning jet. The liquid jet is useful for “washing” of gross debris, but is much less effective at removing fluid debris in the interstices of cancellous bone. The fluid jet works in a porous structure by incremental mixing, dilution and displacement. The compressed gas jet accomplishes fluid- debris removal by creating strong, fluctuating pressure gradients, displacing debris rapidly and more thoroughly.

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 laprascopic 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

VIDEOS

CarboJet Lavage System Video

TKA Sans Tourniquet by Richard "Dickey" Jones, M.D. - CCJR May 2010

PUBLICATIONS

Click here to view a published clinical study showing improved cement penetration with use of CarboJet

Click here to view another published clinical study showing improved cement penetration with use of CarboJet

Click here to view a published clinical study showing reduced cardiac emboli in TKA with use of CarboJet

CarboJet Usage in Hip Resurfacing Arthroplasty

Click here to learn about a textbook by Dr. Harlan Amstutz that describes the use of CarboJet in hip resurfacing arthroplasty

Click here for a paper on benefits of tourniquet-free TKA with use of CarboJet

Click here to view a published study showing improved bone-cement interface strength with use of CarboJet

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)