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Bevel Rotation and Insertion
Angle: Decreasing Surgical
Impacts on Salmonids
SHON A. ZIMMERMAN, RHONDA K. KARLS, ERIC S. FISCHER,
BISHES RAYAMAJHI, AND CHRISTA M. WOODLEY
PRESENTED BY MARK WEILAND*
1
Pacific Northwest National Laboratory
AFS 2013
Outline
Background
Objectives
Implantation Technique
Wound Healing Assessments
Recommendations
2
Zimmerman et al. 2013
Background: Surgical Approach
November 24, 2015 3
Current technique for biotelemetry and survival
studies in the basin is surgical implantation into the
coelomic cavity
Extensive handling
Induction Stage 4 anesthesia
Requires incisions 5-7 mm
Insertion of 2 tags
JSATS acoustic transmitters (AT)
Passive integrate transponders (PIT)
Requires 2 sutures
Overall time per fish: 4.5 - 10 min
Invasive “surgical” technique
Background: AT Designs
4Zimmerman et al. 2013
Criteria for downsized, injectable JSATS acoustic
transmitters
Reduce:
handling and anesthesia exposure
implantation trauma (externally and internally)
wound extent and healing time
Maintain high tag retention
5Zimmerman et al. 2013
Background: Surgical Approach
Objectives
6
Develop implantation procedure to MINIMIZE
Implantation time
Bio-effects
Healing time
Maintaining high AMT/PIT retention
Provide guidance to the JSATS injectable design
Size range of AMT
AMT meets biological objectives
Zimmerman et al. 2013
Implantation: PIT Injections
7
Intra-coelomic injections
Injection site
No sutures
Reduced
Handling and anesthetic exposure
Risk of tag loss
Risk of infection
Healing time
Implantation time
Reduced risk to fish and projects
Zimmerman et al. 2013
Implantation: PIT Design
PIT Design
Established Protocols
http://www.ptagis.org more specific to salmon and
Columbia Basin
8
PIT
Length
(mm)
PIT Weight
(±0.005 g)
PIT Outer
Diameter
(mm)
Needle
Gauge
(GA)
8.4 0.33 1.4 14
9-12.5 0.08-0.1 2.1 12
22-32 0.6-0.8 3.65 6
Zimmerman et al. 2013
Implantation: Needle Gauges
Needle
Gauge
Outer Diameter
(mm)
Inner Diameter
(mm)
JSATS AT
Diameter (mm)
12 2.77 2.16 2.08
9 3.75 2.99 2.91
8 4.19 3.42 3.40
9
8 GA
12 GA
Photo By M Halvorsen
Fish AT Limitations
PIT OD
3.6 mm
6 GA: 5.16 mm OD, 4.39 mm ID
Zimmerman et al. 2013
Needle Assessments
Metrics assessed for acceptance were:
Survival: Day 0-14 or -28
Tag retention: Day 0-14 or -28
Implantation time: Day 0
Wound healing: Day 0, 7, 14, 21, 28
Above metrics :
Assessed within and between experiments
Ranked by a performance index
10Zimmerman et al. 2013
Implantation Techniques: Rotational Cut
11
0-degree Rotation 90-degree Rotation 180-degree Rotation
Zimmerman et al. 2013
- 8 GA for injection of proposed AT designs
- 12 GA for injection of PIT (BioMark TX1411SST-1)
Results: Rotational Cut
12
- Tags drop
- Tended to slide down shaft premature
0-degree rotation 90-degree rotation 180-degree rotation
Zimmerman et al. 2013
Day 0 Day 7 Day 14
WoundExtent(mm2)
0.0
1.0
2.0
3.0
4.0
5.0
6.0
90-degree
180-degree
Results: Rotational Cut
Bryson, A.J., et al., Comparison of 180-degree and 90-degree needle rotation to reduce wound size in PIT-injected
juvenile Chinook salmon. Fish. Res. (2013) http://dx.doi.org/10.1016/j.fishres.2013.02.011
13
Implantation Techniques: Rotational Cut
Factors to consider:
Axial force to penetrate skin
Peak force to cut through tissue
Target tissues depth and consistency
Force related to target tissue
Scales, thickness, etc.
Force related to target tissue location
Coelomic cavity, axial muscular, etc.
Observations:
Variable wound shapes
Wound shapes prevalent with surgeon
November 24, 2015 14
Implantation Techniques: Rotational Angles
November 24, 2015 15
Were wounds attributable to surgeon technique?
Variable wound shapes
Literature attributed to needle dullness (12 GA)
Angles of needle during injection phases:
Angle of insertion
Angle of rotation
Angle of injection
Angle of extraction
16
Results: Rotation Angles
Wound Shape Mean Angle
Insertion
1-Stage 41.9 ± 4.6
4-Stages 45.8 ± 3.6*
Rotation
1-Stage
4-Stages 22.9 ± 4.3
Injection
1-Stage
4-Stages 27.3 ± 2.7
Extraction
1-Stage 28.8 ± 4.6
4-Stages 27.9 ± 2.6 17
Days
0 14 21 28
WoundExtent(cmsq)
0.00
0.02
0.04
0.06
0.08
1-Stage
4-Stages
November 24, 2015 18
Results: Rotation Angles
Or this graph your choice
19Days
0 14 21 28
WoundExtent(cmsq)
0.02
0.03
0.04
0.05
0.06
0.07
0.08
1-Stage
4-Stages
Summary
Survival
100% within and among experiments
Tag Retention
100% within and among experiments
Implantation Time
1 tag is faster to load/implant than 2 tags
Smaller needles easier to handle and implant
20Zimmerman et al. 2013
Summary
21Zimmerman et al. 2013
Wound extent
Injection technique can result in variable wounds
extents
90 degree rotation results in smaller wound extent until
Day 7
Using a 3-4 stage approach resulted in smaller wound
extent until Day 14
Relevance to Telemetry
No indications
AT or PIT moving out of injection point using 8, 9, or 12 GA
External infections of 8, 9, or 12 GA injection sites
Latent or delayed mortality from AT designs
Reduced
Anesthetic exposure
Surgical times by min 50%
Overall time
Increased efficacy
Fish health
Implantation and handling time
Costs
22Zimmerman et al. 2013
Next Steps…
Current Testing
Rapid decompression exposure
Tag burden
Acoustic signal detection within fish
In-river survival
Technique Development
Surgeon training
Maintenance of needle sharpness
Handling dual tags
Sterilization
AT activation and tag assignment
23Zimmerman et al. 2013

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Bevel Rotation and Insertion Angle: Decreasing Surgical Impacts On Salmonids

  • 1. Bevel Rotation and Insertion Angle: Decreasing Surgical Impacts on Salmonids SHON A. ZIMMERMAN, RHONDA K. KARLS, ERIC S. FISCHER, BISHES RAYAMAJHI, AND CHRISTA M. WOODLEY PRESENTED BY MARK WEILAND* 1 Pacific Northwest National Laboratory AFS 2013
  • 2. Outline Background Objectives Implantation Technique Wound Healing Assessments Recommendations 2 Zimmerman et al. 2013
  • 3. Background: Surgical Approach November 24, 2015 3 Current technique for biotelemetry and survival studies in the basin is surgical implantation into the coelomic cavity Extensive handling Induction Stage 4 anesthesia Requires incisions 5-7 mm Insertion of 2 tags JSATS acoustic transmitters (AT) Passive integrate transponders (PIT) Requires 2 sutures Overall time per fish: 4.5 - 10 min Invasive “surgical” technique
  • 5. Criteria for downsized, injectable JSATS acoustic transmitters Reduce: handling and anesthesia exposure implantation trauma (externally and internally) wound extent and healing time Maintain high tag retention 5Zimmerman et al. 2013 Background: Surgical Approach
  • 6. Objectives 6 Develop implantation procedure to MINIMIZE Implantation time Bio-effects Healing time Maintaining high AMT/PIT retention Provide guidance to the JSATS injectable design Size range of AMT AMT meets biological objectives Zimmerman et al. 2013
  • 7. Implantation: PIT Injections 7 Intra-coelomic injections Injection site No sutures Reduced Handling and anesthetic exposure Risk of tag loss Risk of infection Healing time Implantation time Reduced risk to fish and projects Zimmerman et al. 2013
  • 8. Implantation: PIT Design PIT Design Established Protocols http://www.ptagis.org more specific to salmon and Columbia Basin 8 PIT Length (mm) PIT Weight (±0.005 g) PIT Outer Diameter (mm) Needle Gauge (GA) 8.4 0.33 1.4 14 9-12.5 0.08-0.1 2.1 12 22-32 0.6-0.8 3.65 6 Zimmerman et al. 2013
  • 9. Implantation: Needle Gauges Needle Gauge Outer Diameter (mm) Inner Diameter (mm) JSATS AT Diameter (mm) 12 2.77 2.16 2.08 9 3.75 2.99 2.91 8 4.19 3.42 3.40 9 8 GA 12 GA Photo By M Halvorsen Fish AT Limitations PIT OD 3.6 mm 6 GA: 5.16 mm OD, 4.39 mm ID Zimmerman et al. 2013
  • 10. Needle Assessments Metrics assessed for acceptance were: Survival: Day 0-14 or -28 Tag retention: Day 0-14 or -28 Implantation time: Day 0 Wound healing: Day 0, 7, 14, 21, 28 Above metrics : Assessed within and between experiments Ranked by a performance index 10Zimmerman et al. 2013
  • 11. Implantation Techniques: Rotational Cut 11 0-degree Rotation 90-degree Rotation 180-degree Rotation Zimmerman et al. 2013 - 8 GA for injection of proposed AT designs - 12 GA for injection of PIT (BioMark TX1411SST-1)
  • 12. Results: Rotational Cut 12 - Tags drop - Tended to slide down shaft premature 0-degree rotation 90-degree rotation 180-degree rotation Zimmerman et al. 2013
  • 13. Day 0 Day 7 Day 14 WoundExtent(mm2) 0.0 1.0 2.0 3.0 4.0 5.0 6.0 90-degree 180-degree Results: Rotational Cut Bryson, A.J., et al., Comparison of 180-degree and 90-degree needle rotation to reduce wound size in PIT-injected juvenile Chinook salmon. Fish. Res. (2013) http://dx.doi.org/10.1016/j.fishres.2013.02.011 13
  • 14. Implantation Techniques: Rotational Cut Factors to consider: Axial force to penetrate skin Peak force to cut through tissue Target tissues depth and consistency Force related to target tissue Scales, thickness, etc. Force related to target tissue location Coelomic cavity, axial muscular, etc. Observations: Variable wound shapes Wound shapes prevalent with surgeon November 24, 2015 14
  • 15. Implantation Techniques: Rotational Angles November 24, 2015 15 Were wounds attributable to surgeon technique? Variable wound shapes Literature attributed to needle dullness (12 GA) Angles of needle during injection phases: Angle of insertion Angle of rotation Angle of injection Angle of extraction
  • 16. 16
  • 17. Results: Rotation Angles Wound Shape Mean Angle Insertion 1-Stage 41.9 ± 4.6 4-Stages 45.8 ± 3.6* Rotation 1-Stage 4-Stages 22.9 ± 4.3 Injection 1-Stage 4-Stages 27.3 ± 2.7 Extraction 1-Stage 28.8 ± 4.6 4-Stages 27.9 ± 2.6 17
  • 18. Days 0 14 21 28 WoundExtent(cmsq) 0.00 0.02 0.04 0.06 0.08 1-Stage 4-Stages November 24, 2015 18 Results: Rotation Angles
  • 19. Or this graph your choice 19Days 0 14 21 28 WoundExtent(cmsq) 0.02 0.03 0.04 0.05 0.06 0.07 0.08 1-Stage 4-Stages
  • 20. Summary Survival 100% within and among experiments Tag Retention 100% within and among experiments Implantation Time 1 tag is faster to load/implant than 2 tags Smaller needles easier to handle and implant 20Zimmerman et al. 2013
  • 21. Summary 21Zimmerman et al. 2013 Wound extent Injection technique can result in variable wounds extents 90 degree rotation results in smaller wound extent until Day 7 Using a 3-4 stage approach resulted in smaller wound extent until Day 14
  • 22. Relevance to Telemetry No indications AT or PIT moving out of injection point using 8, 9, or 12 GA External infections of 8, 9, or 12 GA injection sites Latent or delayed mortality from AT designs Reduced Anesthetic exposure Surgical times by min 50% Overall time Increased efficacy Fish health Implantation and handling time Costs 22Zimmerman et al. 2013
  • 23. Next Steps… Current Testing Rapid decompression exposure Tag burden Acoustic signal detection within fish In-river survival Technique Development Surgeon training Maintenance of needle sharpness Handling dual tags Sterilization AT activation and tag assignment 23Zimmerman et al. 2013