Aquamantys Bipolar Sealers

Applications in Orthopaedics, Spine, Oncology, Neurosurgery, Thoracic, and Cardiac Implantable Electronic Devices


Aquamantys™ bipolar sealers  combine radiofrequency (RF) energy and saline to provide hemostatic sealing of soft tissue and bone without the smoke or char found in other methods. The combination of RF energy and saline allows the device to operate at approximately 100˚C — nearly 200˚C less than traditional electrosurgical devices.1



These illustrations show how the Aquamantys achieves hemostasis with heat-induced collagen shrinkage in blood vessel walls.

Transcollation Illustration


  1. RF energy and saline are applied to tissue, generating heat.
  2. Heat-induced collagen shrinkage occurs, mantaining temperature at ~100ºC.
  3. Vessels ˂1 mm may be occluded, reducing bleeding.

observed benefits

Less blood loss

Up to 57% less blood loss6  = Decreased complications and reduced post-operative morbidity

reduction in surgery time

Up to 35% reduction in surgery time8 = Up to 17 minutes per level fused.

Reducation in transfusion rates

Up to 58% reduction in transfusion rates7= Reduced  length of hospital stay (LOS)

save hospital costs 

Thanks to the improved operative efficiency

Expand All


  • Multilevel spinal fusion
  • Posterior cervical discectomy and fusion
  • Posterior lumbar interbody fusion (PLIF)

Mini evs 3.4 epidural vein sealer

Aquamantys epidural vein sealer

Optimized for MIS  treatment in the epidural space

Evs epidural vein sealer

EVS epidural vein sealer

Optimized for MIS  treatment in the epidural space

6.0 bipolar sealer

Aquamantys 6.0 Bipolar Sealer

Large-sized electrodes

  • Anterior lumbar interbody fusion (ALIF)
  • Minimally invasive TLIF
  • Laminotomy, discectomy, and decompression

Sbs 5.0 sheathed bipolar sealer

Aquamantys SBS 5.0 sheatheed bipolar sealer

Retractable sheath for use in muscle tissue and near critical structures

MBS malleable bipolar sealer

MBS malleable bipolar sealer with light

Allows access to difficult-to-reach anatomy and provides illumination

2.3 Bipolar sealer

Aquamantys 2.3 Bipolar Sealer

Medium-sized electrodes

Surgical oncology



AEX Generator

All Advanced Energy technologies works with the AEX Generator. Powers Aquamantys and PlasmaBlade X devices and provides simultaneous activation of both technologies.

  • Touchscreen interface
  • Four memory settings
  • Lightweight
  • Rapid startup and priming
AEX Generator

Geller DA, Tsung A, Maheshwari V, Rutstein LA, Fung JJ, Marsh JW. Hepatic resection in 170 patients using saline-cooled radiofrequency coagulation. HPB (Oxford). 2005;7(3):208-213.


Marulanda GA, Ulrich SD, Seyler TM, Delanois RE, Mont MA. Reductions in blood loss with a bipolar sealer in total hip arthroplasty. Expert Rev Med Devices. 2008;5(2):125-131.


Ackerman SJ, Tapia CI, Baik R, Pivec R, Mont MA. Use of a bipolar sealer in total hip arthroplasty: medical resource use and costs using a hospital administrative database. Orthopedics 2014;37(5):e472-481.


Weeden SH, Schmidt RH, Isabell G. Hemostatic efficacy of a bipolar sealing device in minimally invasive total knee arthroplasty. J Bone Joint Surg Br Proceedings 2009; 91-B:45.


Clement RC, Kamath AF, Derman PB, et al. Bipolar sealing in revision total hip arthroplasty for infection: efficacy and cost analysis. J Arthroplasty 2012;27(7):1376-1381.


Mankin KP, Moore CA, Miller LE, Block JE. Hemostasis with a bipolar sealer during surgical correction of adolescent idiopathic scoliosis. J Spinal Disord Tech. 2012;25(5):259-263


Gordon ZL, Son-Hing JP, Poe-Kochert C, Thompson GH. Bipolar sealer device reduces blood loss and transfusion requirements in posterior spinal fusion for adolescent idiopathic scoliosis. J Pediatr Orthop. 2013;33(7):700-706.


B. Snyder, et al. Bipolar Sealing Technology to Control Bleeding in Pediatric Spine Surgery : A Retrospective Study, Poster presentation at Pediatric Orthopaedic Society of North America Annual Meeting 2007; Hollywood FL, no. c, 2007.


Kamath AF, Clement RC, Durmon PB et al. Bipolar sealing in revision total hip arthroplasty for infection: efficacy and cost analysis. Journal of Arthroplasty 2012; 27(7):1376-81.


Data on file. Report 66-20-0003.