IC Medical – Global Leaders in Surgical Smoke Evacuation Technology https://icmedical.com Wed, 06 Jan 2021 00:16:43 +0000 en-US hourly 1 https://wordpress.org/?v=5.6.1 https://secureservercdn.net/ IC Medical – Global Leaders in Surgical Smoke Evacuation Technology https://icmedical.com 32 32 Colorado Deadline May 1, 2021 – law requires hospitals and ambulatory surgical centers to implement surgical smoke policy https://icmedical.com/colorado-deadline-may-1-2021-law-requires-hospitals-and-ambulatory-surgical-centers-to-implement-surgical-smoke-policy/ Wed, 06 Jan 2021 00:15:55 +0000 https://icmedical.com/?p=3321 On March 28, 2019, Colorado Governor Jared Polis signed into law an act that requires hospitals and ambulatory surgical centers to adopt and implement a policy that prevents human exposure to surgical smoke, on or before, May 1, 2021.

IC Medical can assist Colorado hospitals and surgery centers with the implementation and adoption of this policy; including Sample Smoke Evacuation Policy Templates, Nurse Education and Training (CEU), and Various Product Solutions (Smoke Evacuation Equipment, Pencils, Laparoscopic Smoke Filtration, Tubing and In-Line Filtration for Existing Wall Suction).

Of additional consideration when selecting your vendor partner is:

  • IC Medical smoke evacuation products are 100% Made in USA (many competitive pencils are Made in China-which can be a TAA compliance issue for Government operated and/or subsidized facilities).
  • IC Medical is a Certified Women Owned Small Business (may help with any Diversity spend requirements)
  • IC Medical smoke evacuation pencils and equipment are 100% compatible with competing Surgical Energy and Smoke Evacuation products (e.g. Medtronic, Ethicon, Dornoch, Stryker).
  • IC Medical smoke evacuation machines provide for no peritoneal pressure leakage during laparoscopic, as well as peritoneal pressure monitoring. To our IC Medical offers the standalone smoke evacuator (other than cost prohibitive insufflators) to offer these important patient safety features.
  • IC Medical offers the only standalone Smoke Evacuator with Hydrophobic ULPA Filtration Efficiencies tested and rated for > 99.9999% on all particle sizes down to 0.03 micron (which would include all COVID particle sizes).

Please contact IC Medical today at inqury@icmedical.com for a free consultation.

The OSHA Surgical Suite eTool recommends facilities “Evacuate all smoke, no matter how much is generated.” https://icmedical.com/the-osha-surgical-suite-etool-recommends-facilities-evacuate-all-smoke-no-matter-how-much-is-generated/ Tue, 06 Oct 2020 20:15:35 +0000 https://icmedical.com/?p=3217 The OSHA Surgical Suite eTool recommends facilities “Evacuate all smoke, no matter how much is generated.” 1.

 Additionally, the OSHA General Duty Clause and Respiratory Protection Standard may be applicable as surgical smoke is a well-documented hazard.

Also, The Joint Commission Environment of Care Standard EC 02.02.01 EP 9 requires that hospitals minimize risk associated “hazardous gases and vapors” including “vapors generated bycauterizing equipment”.

There are many peer reviewed, journal publications, advocating the mutagenicity 1, 2, 3, 4, carcinogenicity 5, 12, 13 and cytotoxicity 6 of electrosurgical smoke. In fact, one of these studies purports that the mutagenic potential of 1g of ablated tissue via electrosurgery is equal to that of 6 cigarettes 1.

Of additional consideration is Healthcare Worker Exposure to nanoparticles and ultrafine particulate matter (UFPM) 7, 8 found in high concentrations when using electrosurgical, laser and ultrasonic devices 8. Surgical smoke also contains bio-aerosols that subsequently pose risk of infection 9.

Risk to the OR team is further complicated by the potential of UFPM and nanoparticles to be deposited into the pulmonary alveoli7, 10. And, perhaps of equal concern is the potential for nanoparticles to take route through the alveoli or trachea and to translocate into other organs of the body 7, 11.

[1] Tomita Y, et al, Mutation Research, 1981.
[2] The mutagenicity of electrocautery smoke. Gatti JE et al.
[3] Health Hazard Evaluation Report No. HETA 85-126-1932, Bryn Mawr Hospital, Bryn Mawr, Pennsylvania
[4] Mutagenicity of smoke condensates induced by C02-laser irradation and electrocauterization.
[5] Chemical composition of smoke produced by high-frequency electrosurgery, Al Sahaf, O. et al., Irish Journal of Medicine, Volume 176, Number 3, September 2007
[6] Cytotoxicity of Electro-Surgical Smoke Produced in an Anoxic Environment, Hensman, et al 1998
[7] Ultrafine Particles and Health Effects.; Politis, et al 2008
[8] Surgical smoke and ultrafine particles, Brüske-Hohlfeld, et al 2008
[9] Surgical smoke and Infection Control, Alp et al 2005
[10] ISSA, Section on Prevention of Occupational Risks in Health Services, Surgical Smoke, 2011
>[11] Environmental Health & Safety, Business Affairs, University of Florida, UFEH&S-LSP, 2010
[12] Cancer Risk, Tseng, et al 2014
[13] Surgical Smoke – a health hazard in the operating theatre, Hill DS, et al 2012

The American College of Surgeons (ACS) is recommending to “Use smoke evacuator when electrocautery is used” https://icmedical.com/the-american-college-of-surgeons-acs-is-recommending-to-use-smoke-evacuator-when-electrocautery-is-used/ Mon, 06 Jul 2020 20:32:34 +0000 https://icmedical.com/?p=3220 In response to COVID-19, The American College of Surgeons (ACS) is recommending to “Use smoke evacuator when electrocautery is used”. Likewise SAGES recommend active smoke evacuation be used to ensure proper filtration of CO2 and plume during post-operative laparoscopic disinflation.

Journal publications are also concluding a likelihood that COVID-19 remains viable in surgical plumes, citing historical presence of other viruses (HIV, TB) within the plume.

We support ACS and SAGES by providing easy to use smoke evacuation solutions for open electrosurgery and laparoscopy. Evacuate Surgical Smoke: Everyone Has the Right to Clean Air. ®

COVID-19 Risk Prevention

I.C. Medical’s SAFEGUARD BLUE™ Hydrophobic ULPA Filter ensures blood and fluid, potentially contaminated with COVID-19 and OPIM, does not contaminate the reusable filter or machine 5. (COVID-19 average particle size is .125 micron 7 SAFEGUARD BLUE™ is 99.999954% effective to .1 micron).

Quality Controls and Made in the U.S.A.

For more than 30 years I.C. Medical has been at the forefront of surgical smoke evacuation practice. Every I.C. Medical device is produced, assembled, tested and quality assured in-house at the company’s manufacturing facility in Phoenix, AZ.

Laparoscopic Smoke Evacuation and Disinflation

I.C. Medical Laparoscopic Mode 6 can be used to ensure CO2 gas is effectively evacuated from your patient into the SAFEGUARD BLUE™ Hydrophobic ULPA filter. Laparoscopic Mode also provides Pneumoperitoneal Pressure Monitoring and an Occlusion Sensor to further ensure patient safety.

  • Capital # ICM-450-0000 Crystal Vision 450-D Smoke Evacuator (For Open and Lap)
  • Disposable # ICM-000-0003 Inter Abdominal Plume Eliminator Tubing Set w/Luer Connector
  • Accessory # ICM-000-0014 SAFEGUARD BLUE™ Hydrophobic ULPA Filter w/Fluid Trap
  • Accessory # ICM-000-0025 Large Coconut Charcoal Filter
  • Accessory # ICM-000-0546 RF Sensor (Auto Activates 450-D When Smoke is Produced)
  • Model 450-D SAFEGUARD BLUE™ & RF Sensor Inter Abdominal Tubing
I.C. Medical has been awarded with new Smoke Evacuation Pencil U.S. Patent. https://icmedical.com/i-c-medical-has-been-awarded-with-new-smoke-evacuation-pencil-u-s-patent/ Tue, 30 Apr 2019 21:29:10 +0000 https://icmedical.com/?p=758 Great News! I.C. Medical has been awarded with new Smoke Evacuation Pencil U.S. Patent. Patent # 10,213,249 “Electrosurgery Handpiece/Pencil with Smoke Evacuation” that was issued in February 26, 2019.

Inside the mind of an inventor https://icmedical.com/inside-the-mind-of-an-inventor/ Wed, 14 Nov 2018 20:37:28 +0000 https://icmedical.com/?p=713 Ioan Cosmescu designed and fabricated his first invention, a fully functioning radio transmitter, when he was a nine-year old boy in Soviet-occupied Romania. Shortly afterwards, he was forced to destroy his invention when the Soviet police swarmed his neighborhood looking to find and arrest whoever was responsible for the contraband device.

Ioan Cosmescu is a man of insatiable curiosity, genius intellect and widely diverse interests ranging from technology to astronomy to art, architecture and music. An accomplished painter, pianist and guitar player, and a lifelong inventor, he obtained his first U.S. patent in 1989. He has been awarded a total of 138 international patents from countries including Canada, Japan and Australia, as well as 36 U.S. patents for his inventions. In 1996, he was named  “Innovator of the Year” in the Medical/Biotechnology Category by the Arizona Innovation Network.

Ioan Cosmescu’s inventions are breakthroughs, innovations so novel, unique, sophisticated and distinctive that they do not require a patent search for approval.

What inspires this modern-day Renaissance man? What draws his curiosity? What goes on in his mind that gets his creative juices flowing? A modest, humble, gentle man, it is clear that he is not motivated by fortune or fame. Associates say he looks around for a problem or a gap or a make-do – and takes it from there.

“He will see something that is not right or could be made a little bit better, simpler, more straightforward. Something – anything – that might be improved or resolved. In the healthcare setting, he’ll pay attention to things like burns, accidents, or even complaints by hospital nurses. And then he’ll focus on the problem, said Simona Buiga, I.C. Medical’s Vice President of Regulatory Affairs, Quality Assurance and Operations.

“He’ll ask questions. He will think about the end user and how they do things, how they might do things better, more simply or more effectively. He’ll notice when users do not use things according to instructions or for the intended purpose and explore that train of thought. He includes human nature in his thought process.”

Then it’s like a seed grows in him as he thinks about ways to improve. He starts to build solutions in his mind, drawing on his background as a biomedical engineer and his understanding of medical/surgical practice as well as his deep knowledge of physics, science, aesthetics, and natural principles.

“Ioan is a beginning-to-end inventor,” says Elena Cosmescu, co-founder, co-owner and General Manager of I.C. Medical Company. “He isolates a problem and visualizes a solution. Then he buys parts and starts to assemble them. He gets things from The Home Depot or Hobby Lobby, or if it’s something specific he orders it from a specialty manufacturer. He goes through a process of tinkering, adjusting, re-visualizing, calibrating. He tests his inventions over and over and continues adjusting down to the most minute detail. 

“During this time, he’s very focused, very private. His mind is absorbed by this creative process.”

When designing a product, Ioan considers the aesthetic as well as the functional perspective. “He has a very good sense of design, style, and color,” Elena says. “He’s even good at choosing clothes for me.” 

Cosmescu also has an intuition about ergonomic value and an innate understanding of how it influences functionality. The shape of a button, the color of a dial, the weight of a tool in a surgeon’s hand, he thinks carefully about all of these details.

Plus he has an eye for simplicity. Simple is always better and he looks to de-complicate things even though what he holds in his mind is endlessly complex. “He has a complete picture of every detail of his inventions in his mind,” Simona says. “If I ask him about a tiny component or a single measurement, he knows it. He can identify it and describe it, even through iterations in which those details may change. He can refer to a specific tolerance or fitting or dimension or configuration. He has the entire schematic in his memory and doesn’t need to see it on paper to remember or understand it.”

When is an invention complete? “Functionality is the goal,” Simona says. “Something is ready to go to market when it does its job right.” But the design may continues to evolve and improve. For example the PenEvac square buttons became oval buttons because he saw that they were more ergonomic, easier to use, more intuitive in the surgeon’s hand. The design of a device may change in order to simplify it or solve a different problem or make something easier to see or read or use in some way.

And what about Ioan Cosmescu himself? “He’s an amazing person to know and to work with. A genius mind and a fascinating man,” says Simona. “What motivates him is not making money or increasing revenue. If anything, that’s a by-product of his creative process. He is driven to make things better, come up with solutions, improve how things are done. He is a perfectionist and truly a modern-day hero in that respect.”

Go Rhode Island! https://icmedical.com/go-rhode-island/ Thu, 28 Jun 2018 17:12:12 +0000 https://icmedical.com/?p=688 Rhode Island has become the first state to pass legislation requiring ORs to use smoke evacuation systems for surgical procedures that generate plume.

Rhode Island House Bill 5324, signed into law by Governor Gina Raimondo, requires all hospitals and freestanding ambulatory surgical facilities in the state to adopt policies to use a smoke evacuation system for surgical procedures that generate plume. Hospitals are required to report to the R.I. Department of Health within 90 days that they’ve adopted policies regarding surgical smoke ventilation.

This is clearly a landmark law and a key step forward in promoting health and safety in operating rooms.  Kudos to the Association of periOperative Registered Nurses (AORN) and the Rhode Island State Nurses Association, both of which advocated for the law’s passage and provided testimony on the dangers of surgical smoke.

Last year, both California and Rhode Island nearly passed laws requiring surgical plume evacuation. The California legislature is taking another crack at getting a law on the books this year, and the California Nurses Association/National Nurses United have thrown their support behind the measure. The full California legislature is expected to take up the bill this session.

Surgical smoke contains toxic gases and vapors such as benzene, hydrogen cyanide, and formaldehyde, biological aerosols (a suspension of living bacteria, viral particles or fungal spores), and viruses and blood fragments containing blood borne pathogens (including multi-resistant strains and mutagenic cancer producing particles). Prolonged exposure can lead to serious and life-threatening diseases. According to OSHA, an estimated 500,000 healthcare workers, including surgeons, nurses, anesthesiologists, and surgical technologists, are exposed to laser or electrosurgical smoke each year.

As the first state to address surgical smoke evacuation by law in the United States, Rhode Island has set a national precedent for the protection and safety of perioperative nurses and their colleagues on surgical teams. We sincerely hope that Rhode Island’s proactive legislation will lead California and other states to follow suit.

What is an I.C. Medical’s Hydrophobic ULPA Filter? https://icmedical.com/what-is-an-i-c-medicals-hydrophobic-ulpa-filter/ Mon, 14 May 2018 15:53:21 +0000 https://icmedical.com/?p=681 Updated: November 2020

ULPA filters are among the most efficient and effective air purifying filters available. ULPA is an acronym for Ultra-Low Particulate Air, and the term actually refers to the filtration standard and not any specific type of air filter.

COVID-19 Risk Prevention

The I.C. Medical SAFEGUARD BLUE™ Hydrophobic ULPA Filter delivers >99.9999% efficiency on all particle sizes down to 0.03 micron, including all SARS-CoV-2 particles which range from 0.06 – 0.14 micron. SAFEGUARD BLUE™ Hydrophobic ULPA with Built-In Fluid Trap simultaneously ensures that evacuated surgical plumes, bio-aerosols, blood and fluids, potentially contaminated with SARS-CoV-2, will not pass through the reusable ULPA filter to contaminate the smoke evacuation machine, OR staff and patient. *


Laparoscopic Smoke Evacuation and Disinflation

  • In laparoscopic mode Crystal Vision®’s flow is easily adjusted to match the in-flow rate of the insufflator, maintaining pneumoperitoneal pressure.
  • Crystal Vision® stops automatically if tissue is accidently suctioned, preventing tissue damage.
  • If the intra-abdominal pressure reaches 27 mmHg the unit’s indicator will soundly alert. If the intra-abdominal pressure reaches 30 mmHg, the unit will automatically activate to reduce pressure to a safe level.
  • At the end of the procedure CO2 Gas is effectively evacuated from patient’s abdomen into SAFEGUARD BLUE™ Hydrophobic ULPA filter.

Super smart design and engineering

I.C. Medical’s Crystal Vision® smoke evacuation device was designed thoughtfully to separate the ULPA filter from the charcoal output filter. These two filters have entirely different jobs. The ULPA filter does the heavy lifting of trapping fluids and particulates, while the output filter removes odors and gases from the air before releasing it into the OR. They do not depend on each other.

Designed as a separate component, the Crystal Vision®’s Hydrophobic ULPA Hydrophobic Filter with Built-in Fluid Trap can easily be removed, replaced and disposed of after a procedure when fluids are visible. This allows the charcoal output filter to remain attached to the smoke evacuator and continue cleansing exhaust air efficiently and effectively throughout its useful lifespan. Poorly designed models that utilize an enclosed filter system (i.e., one that combines the ULPA and charcoal filters) risk allowing fluids and pathogens to contaminate the device. Moreover, this type of design makes it necessary to replace the entire filter mechanism when only the ULPA filter (a relatively inexpensive disposable item) needs to be changed.

Smart, hydrophobic, sophisticated, convenient, efficient, cost-effective – and thoughtfully designed to be the most advanced SAFEGUARD BLUE™ Hydrophobic ULPA smoke evacuation filter available. What’s not to love about the I.C. Medical Hydrophobic ULPA Filter with Built-in Fluid Trap?

Filtration efficiency results are based on testing done by SGS IBR Laboratories. Testing completed: October 1st, 2020

    • Test #’s
      • IBR JN: 22280A r3
      • IBR JN: 22280B
      • IBR JN: 22280D r2
I.C. Medical’s Booth #939 is the Place to Be at the 2018 AORN Surgical Conference and Expo https://icmedical.com/c-medicals-booth-939-place-2018-aorn-surgical-conference-expo/ Thu, 01 Mar 2018 20:48:39 +0000 https://icmedical.com/?p=674 Surgical SmokeMake it a point to stop by Booth #939 at the 2018 AORN Trade show later this month, where the new I.C. Medical Crystal Vision 450D surgical smoke evacuator will be displayed and demonstrated. This new state-of-the-art smoke evacuator was granted 510(k) patent approval in the U.S. just last October and is now available in the U.S. as well as in Canada, Europe and Japan.

The Crystal Vision 450D is a “smart” medical device, with many sophisticated features and enhanced functionality. Unique among smoke evacuators, the Crystal Vision 450D can operate in either open or laparoscopic mode with just the flick of a switch.

While you’re at the I.C. Medical booth, stop and chat with Ioan Cosmescu, a renowned pioneer in the smoke evacuation industry whose inventions have set the standard for the design and manufacture of devices and techniques that have materially improved surgical safety, efficacy and OR outcomes. Ioan Cosmescu holds 40 U.S. patents and more than 100 international patents for inventions in the field of healthcare, and he continues to advance innovation in the industry.

Also pick up a symbolic “Canary in the Coal Mine” pin, a smart, chic way to signal that you are knowledgeable about the dangers of surgical smoke and are an advocate for OR safety.

The annual AORN trade show is a great opportunity to gain knowledge and exposure to the latest industry trends, products and resources, to participate in informational seminars, earn continuing education credits, learn best practices and network with peers.

Surgical smoke evacuation will be a hot topic at the trade show this year as there is now incontrovertible evidence that surgical plume poses a significant health risk to surgeons, nurses, surgical staff and patients. Calls for regulatory action to mandate effective smoke evacuation protocols in ORs are becoming louder. Learn more about this important topic and/or add your voice to the growing chorus of calls for regulatory action to mandate surgical smoke evacuation protocols in ORs throughout the U.S. at the 2018 AORN Surgical Conference and Expo March 24 – 28 in New Orleans.

Growth and New Beginnings in Phoenix, AZ https://icmedical.com/growth-new-beginnings-phoenix-az/ Fri, 12 Jan 2018 16:37:27 +0000 https://icmedical.com/?p=665 Phoenix is projected to flourish in the years to come driven largely by industries such as high-tech manufacturing, data storage, health care, bioscience, solar energy, tourism and hospitality. Analysts forecast continuing population growth in the Arizona Sun Belt and look for employment to keep pace, based to a large extent on expansion in the healthcare industry.

One small but very promising area of anticipated growth is the medical equipment manufacturing industry – more specifically the surgical smoke evacuation device industry. Surgical smoke is the byproduct of using high energy cutting devices such as an ESU, Laser or Ultrasonic device.

A sweet spot for I.C. Medical: The surgical smoke evacuation industry is rapidly gaining importance worldwide, and surgical smoke evacuation equipment has become an essential part of 21st century surgical settings. Thus, it is a perfect time for us at I.C. Medical to expand our footprint, and we are eagerly preparing for our upcoming move to a new Phoenix headquarters, which we are calling “IC-3” (I.C. for inventor and co-owner Ioan Cosmescu and 3 for our third building).

IC-3 is an attractive, thoughtfully designed, modern, state-of-the-art facility. The building offers many amenities and is located just off Hwy I-17, making it accessible and convenient for employees, vendors and distribution vehicles.

Relocation to this new, larger facility will enable ICM to consolidate its existing operations, expand its production lines, improve fulfillment processes, and better serve its customers. What’s more, the new building is designed to accommodate projected growth into the future.

Mrs. Elena Cosmescu, I.C.M’s co-founder and Managing Director, said this about the upcoming move:

“Ioan and I are humbled by our success since the company’s founding nearly 30 years ago. We are proud to be at the forefront of an industry that is improving healthcare and making surgical practice better and safer for patients and for OR staff. We are also very pleased to be able to provide good, stable jobs and career growth for our employees, and to be in a position to contribute to the economy of the city we call home.

We are bullish about the future of this industry, and we look ahead with excitement and optimism. After a decade at our Shangri La headquarters, it’s time for us to plant the seeds for future growth, expansion and continued success at IC-3.”


Home for the Holidays https://icmedical.com/home-for-the-holidays/ Fri, 22 Dec 2017 15:44:54 +0000 https://icmedical.com/?p=662 Many people look forward to spending time at home with family and friends during the holiday season. At I.C. Medical, our company home and the heart of our business operations for nearly 30 years has been a building on Shangri La Road in Phoenix.

Ioan And Elena Cosmescu first started their business in 1989 working out of a cramped, 700 square foot ground-floor room in this building. Within a few years, I.C. Medical had added employees, gained world-wide recognition, and earned international renown as a trustworthy partner in the surgical smoke evacuation industry. Growth and expansion prompted the company to relocate several times in the ensuing years.

In 2009 fortune smiled on ICM when the Shangri La facility where the company had first begun came available for purchase.  The Cosmescu’s bought the building, renovated it, and set about converting it into a headquarters suitable for an industry-leading company. 

The building was extensively remodeled with consideration given to employee comfort and well-being, as well as aesthetics and functionality. Today, the structure features modern furnishings, spacious well-lighted production areas, ergonomic workstations, beautiful artwork and soothing colors throughout, and a tastefully landscaped courtyard that has been the site of numerous holiday parties and employee gatherings.

It is truly the heart of our company – and it beats every day to the pulse of our employees who regard it as their home away from home.  It is brought to life by this diverse and dedicated group of people who take pride in the company, the products we produce, and the premises we occupy.

Auld Lang Syne: In early 2018, I.C. Medical Company will move again, this time to a 60,000 square foot newly remodeled building a few miles from our present location. This new facility, which we are calling ICM-3 (ICM’s third facility), will accommodate ICM’s administration, production, inspection, quality control, design and engineering, testing, HR and marketing functions, all of which are currently at Shangri La. It will enable us to expand and thrive into the future.

We are excited about this new phase – albeit also a little nostalgic for the home we have outgrown.  As we advance through the holiday season, it seems a perfect time  to reminisce about our humble beginnings, our fondness for this home that has been the heart of our company for so many years, our grateful appreciation for the success we have enjoyed during those years, and promise the future holds for ICM.