Pulse Lavage - Bone Bed Cleaning with palaJet®

palaJet - The disposable system for Bone Bed Cleaning

Modern cementing technique is critical for the long-term success of a cemented endoprosthesis. Cleaning the bone bed using a pulse lavage system is an essential element and the first step in the modern cementing technique, where all cement-receiving bone surfaces are thoroughly cleaned to remove any fat residue, bone debris, marrow, and blood.1,2

Why is pulse lavage important?

  • better cement interlocking with the cancellous bone3
  • fewer thromboembolic complications4
  • significantly lower risk of revision5
  • lower postoperative infection rate in hemiarthroplasty6

palaJet® - Removing and Improving

palaJet - the disposable system for Bone Bed Cleaning with matching Hip and Knee nozzles

palaJet®, the powerful disposable system at a glance:

  • Hip and Knee nozzles included in each set
  • simple to use design, batteries included
  • high flow rate (up to 1,300 ml/min) and pressure (up to 15 psi) - regulated by switch on handpiece - 2 options
  • Pre-sterile
  • lower risk of cross-contamination (compared to reusable systems)

palaJet® - All attachments at a glance

  • Nozzle with reduced pressure for spine surgery
  • Dimensions: 97 mm x 32.5 mm
  • Attachment for knee surgery and other wound cleaning
  • Dimensions: 97 mm x 32.5 mm
  • included in the palaJet system
  • Attachment for hip revisions
  • Dimensions: 252 mm x 8.4 mm
  • Attachment for thorough cleaning of the femoral bone bed
  • Dimensions: 252 mm x 8.4 mm
  • included in the palaJet system
  • Additional splash shield for the knee and shower spray nozzles for intensive wound cleaning
  • Dimensions: 120 mm x 58 mm

All nozzles enable simultaneous cleaning and suction and allow to adjust the cleaning pressure.

The dimensions do not include the clip-on part.

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1 Breusch SJ et al. Lavage technique in total hip arthroplasty: jet lavage produces better cement penetration than syringe lavage in the proximal femur. J Arthroplasty 2000; 15 (7): 921–927.

2 Seeger JB et al. The effect of bone lavage on femoral cement penetration and interface temperature during Oxford unicompartmental knee arthroplasty with cement. J Bone Joint Surg Am 2013; 95 (1): 48–53.

3 Helwig P et al. Tibial cleaning method for cemented total knee arthroplasty: An experimental study. Indian J Orthop 2013; 47 (1): 18–22.

4 Breusch SJ et al. Zementierte Hüftendoprothetik – Verminderung des Fettembolierisikos mittels gepulster Druckspülung. Orthopäde 2000; 29: 578–586.

5 Malchau H et al. Prognosis of Total Hip Replacement – Update and Validation of Results from the Swedish National Hip Arthroplasty Register 1979 – 1998. The international journal of risk and safety in medicine 1996; 8(1): 27–45.

6 Hargrove R et al. Does pulse lavage reduce hip hemiarthroplasty infection rates. J Hosp Infect. 2006; 62(4): 446–449.