Archived News

The Magic of the Section 179 Tax Deduction

General business tax practices call for any fixed asset placed in service to be capitalized and depreciated over a set period of time (typically five to seven years) until its book value is zero. Qualified Section 179 deductions, however, allow the entire cost—with certain stipulations—to be taken immediately in the year the asset is placed in service. Such immediate deductions can be valuable as they free up cash for expansion, growth and self-investment.

For a veterinarian in a U.S. practice in a 35% tax bracket, the typical Section 179 deduction/tax savings for each Biovision suite is:

  • NeedleView Arthroscope Suite
    • $5,232 in tax savings (calculated as $14,950 purchase price x 0.35)
    • Takes effective cost down to $8,417
    • The typical NeedleView customer bills each NeedleView procedure at $1,000 and performs 2-4 procedures per month
  • EndoDiagnostic+Surgical Suite (EDSS)
    • $12,582 in tax savings (calculated as $35,950 purchase price x 0.35)
    • Takes effective cost down to $23,367
    • The typical EDSS customer bills each EDSS procedure at $500 and
    • performs 4 procedures per month

Plan capital expenditures — such as the purchase of endoscopic/laparoscopic and/or arthroscopic equipment suites — wisely, factoring in current and future practice needs, price, return on investment, useful life/depreciation and tax deductibility. If old equipment needs to be replaced to sustain a currently-offered service, the determination is relatively simple. Don’t limit your vision, though! Take time to consider how new equipment or technology could help expand your service lines, add to your skills (even re-igniting your passion for your work), and set your practice apart from the competition for being innovative or offering the highest standard of care.

It’s crucial that you place your new equipment into service by December 31, 2016 if you wish to take the Section 179 deduction for the 2016 tax year. Orders should be placed ASAP to allow sufficient time for processing, shipping, delivery/set-up and integration into your practice by December 31.

Laparoscopy/Endoscopy CE Course Reviews: July 2016 Session

“THE COURSE WAS SO WELL DONE THAT IF I HAD THE EQUIPMENT TOMORROW,
I’D FEEL COMFORTABLE STARTING TO PERFORM PROCEDURES.”
Garth Waddoups, DVM,
Mountain River Veterinary Hospital (Rigby, ID)

“HAVING HAD A GREAT EXPERIENCE WITH LAPAROSCOPIC SURGERY MYSELF,
I KNEW THIS WAS SOMETHING WE WANTED TO EXPLORE FOR OUR CLINIC.”
Kevin Lamczyk, DVM,  and Jo Lynn Lamczyk, DVM,
Lamczyk Veterinary Clinic (Mount Vernon, IL)

If you’re on the fence about attending “Practical Single-Port Laparoscopy for the General Practitioner” hosted by Biovision’s partner the Center for the Advancement of Rigid Endoscopy (C.A.R.E.) in Littleton, CO on November 10, 2016, the experience of three recent attendees may help you decide.

Garth Waddoups, DVM, operates a mixed practice at Mountain River Veterinary Hospital in Rigby, ID. There really is no “typical day” in the practice. Dr. Waddoups and his team might be repairing a torn cranial cruciate ligament on a Labrador retriever, performing artificial insemination on a horse, and checking the health of a herd of beef cattle.

“There’s a clinic in southwest Idaho — the other side of the state — that performs laparoscopic spays, and that’s how I first learned about the modality,” said Dr. Waddoups. “I then did some web searches about it. I teach laser surgery, and I happened to be instructing out at Deer Creek Animal Hospital in Littleton, Colorado. That’s the practice of Dr. Ray Cox, who teaches the Practical Single-Port Laparoscopic Procedures CE course along with Dr. Markee Kuschel. I knew this was something I wanted to check out, so I signed up for the July session.”

“The first half of the day, the course covered the advantages of laparoscopy over conventional surgery. We also learned how to market laparoscopic services and how to ensure we could be profitable with the equipment. The second half of the day was the hands-on wetlab. Both parts together just validated everything I thought about laparoscopy as the way to go. The course was so well done that if I had the equipment tomorrow, I’d feel comfortable starting to perform procedures.”

“Taking the course was sure worthwhile. After 26 years in practice, I still do new things every week, and courses like this allow me to grow and offer a better level of service to my clients and patients.”

Jo Lynn Lamczyk, DVM and Kevin Lamczyk, DVM operate Lamczyk Veterinary Clinic, a mixed practice in Mount Vernon, IL, caring for the smallest exotic pets up to the largest horses with services ranging from acupuncture to surgery to physical therapy and more.

“I first became interested in the laparoscopic modality a few years ago when I saw it at a veterinary convention” said Dr. Kevin. “Not too long after, I had laparoscopic surgery on myself. There was so much less pain. Having had a great experience with laparoscopic surgery myself, I knew this was something we wanted to explore for our clinic. We’re not aware of any vets in our area who offer the laparoscopic modality, so we think this is something that can really set our clinic apart.”

Both Dr. Jo Lynn and Dr. Kevin enjoyed the low student-to-instructor ratio of the course, which allows for in-depth, personal teaching. “We each performed two lap spays and a prophylactic gastropexy for GDV,” said Dr. Kevin. “I really enjoyed the GDV surgery and can see how this can be a valuable part of our practice. We also appreciated that this truly was a learning experience. We never felt pressured to buy, and we could tell that the instructors genuinely wanted to show us the modality and its advantages, then have us make up our own minds.”

Register today for the November 10 session!

Explore the Laparoscopic Modality in Beautiful Colorado this November!

Practical Single-Port Laparoscopy for the General Practitioner

Nov. 10, 2016 from 8 a.m. to 6:00 p.m.
Center for the Advancement of Rigid Endoscopy, Littleton, CO

“Pursue it. You won’t regret it.” —
Dr. Kimberly May, Arvada Veterinary Hospital, Arvada, CO

According to Biovision customers who have successfully implemented laparoscopic and laparoscopic-assisted procedures into their practices, more than 70% of veterinary clients will choose laparoscopy for their animal if it is available and if they are given the choice–even if the cost is higher.

This fall, explore the laparoscopic modality for yourself at a full-day, hands-on CE course in breathtaking Colorado!

Taught by Dr. Ray Cox and Dr. Markee Kuschel, who pioneered single-port techniques, the class will introduce you to techniques necessary for incorporating rigid endoscopy into your everyday practice. Procedures are practical, easy to learn, and profitable, allowing you to utilize them right away in practice.

The course will:

  • Demonstrate the varied applications of laparoscopy
  • Allow each practitioner to participate in at least two single-port ovariohysterectomies
  • Allow each practitioner to participate in performing a laparoscopic assisted gastropexy
  • Discuss incorporating rigid endoscopy into private practice, including:
    • Benefits to the patient
    • Best practices
    • Profitability

All teaching surgeries are performed with live animals (who are then adopted into homes). Labs are taught using one instructor per one or two attendees, allowing for in-depth personal teaching.

Come and experience laparoscopy’s short, comfortable learning curve for yourself on user-friendly equipment doing everyday procedures and learning from instructors who pioneered single-port techniques and have taught them across the country.

Early registration is $895; registration within two weeks of a class increases to $995. Space is limited to ensure a quality experience.

Still not sure? Read course reviews here from Drs. Kevin and Jo Lynn Lamczyk and Dr. Garth Waddoups, each of whom attended the July 2016 session.

CLICK HERE TO REGISTER
RESERVE YOUR SPACE TODAY!

Questions? Call CARE at 303-296-3000. We look forward to welcoming you in November!

Issue 3, Q4 2016

Our final newsletter of the year brings you important information about:

  • An under-utilized U.S. income tax deduction that helps make capital equipment more affordable (and therefore more profitable);
  • Participant feedback on the value and applicability of exploring the laparoscopic modality through CE at the Center for the Advancement of Rigid Endoscopy (C.A.R.E.); and
  • The opportunity to register to attend the final C.A.R.E. CE session of 2016 — “Practical Single-Port Laparoscopy for the General Practitioner” on November 10 in Littleton, CO.

As always, please feel free to contact us with any questions. We can put you in contact with peers who can share their experiences with the modalities and help you determine if it’s a good fit for your practice. Call us any time at 303-225-0960 or send an email to .

Featured Practitioner: Aris Atakem, DVM

Who doesn’t love to hear a story? We love to tell the stories of the veterinarians who use our equipment to provide gold-standard care to their clients and patients. In this issue, we feature a Colorado veterinarian who overcame incredible odds to succeed. This is his story:

Location of Chad on African Continent
Location of Chad on African Continent

A French-speaking boy grows up in the war-torn African nation of Chad. He’s bright and eager. He wants to become a doctor. Even with parents who earned master’s degrees, there’s simply no money for college — and there’s no such thing as student loans in Chad. But he won’t give up.

He applies for 50 scholarships at colleges and universities around the world. He gets no offers. But he won’t give up.

He comes to realize that the challenge of being a veterinarian suits him better. There are two scholarships available in his entire country to go to vet school. He applies and wins one. The vet school is in Senegal — more than 2,000 miles away. But he won’t give up.

Location of Senegal on the African Continent
Location of Senegal on the African Continent

He moves away from his family, studies diligently, and earns his degree. His dream now is to emigrate to the United States and build a veterinary practice there. He has an uncle who lives in Colorado. That’s more than 5,000 miles away. But he won’t give up.

He emigrates to the United States and arrives speaking only French. He moves in with his uncle. The uncle runs a gas station and wants the young man to work for him for $300 a month. When the young man tells his uncle he is determined to follow his dream, his uncle tells him he’s doomed to fail and will never amount to anything. He has to move out if he wants to pursue his dream. But he won’t give up.

He cannot take the veterinary licensing exams until he can read and write English well enough. He takes the English competency test and is unable to pass all of the sections the first time. And the second time. And the third time. But he won’t give up.

Ray Cox, DVM — Deer Creek Animal Hospital
Ray Cox, DVM — Deer Creek Animal Hospital

He connects with Ray Cox, DVM, a distinguished veterinarian and co-founder of Deer Creek Animal Hospital in Littleton. Dr. Cox is so impressed by the young man, he takes him under his wing. Not only does Dr. Cox provide him with an externship and a place to live, he also co-signs the young man’s student loan to solidify his skills at Kansas State University…and lends him $20,000 from his own pocket.Then, he trains him to become an expert in performing single-port, minimally-invasive, laparoscopic surgical procedures that are clinically proven to provide for smaller incisions, less pain, increased intra-operative safety, superior intra-operative visualization, and faster recovery.

The young man passed the English exam. And the veterinary licensing exam. And he’s already paid back his student loan. Because he never gave up.

Aris Atakem, DVM — Liberty Animal Hospital
Aris Atakem, DVM — Liberty Animal Hospital

That young man is Aristophane Atakem. He just opened Liberty Animal Hospital in Westminster, Colorado, providing everything from routine wellness and dental care to emergency services and surgeries of all kinds. Dr. Atakem particularly enjoys performing laparoscopic procedures using Biovision’s EndoDiagnostic+Surgical Suite (EDSS). We at Biovision could not be more pleased and proud to be associated with him, and wish him the brightest of futures.

Featured Product: Next-Generation Needleview Arthroscope Suite

HUGE CAPABILITIES IN AN ULTRA-COMPACT SYSTEM

SMALL ANIMAL: Elbow — Hip — Knee — Shoulder
LARGE ANIMAL: Carpus — Coffin — Fetlock — Hock — Navicular Bursa — Shoulder — Stifle

The Biovision 1.2mm NeedleView™ system is a breakthrough technology that offers a visualization tool the size of an 18-gauge needle! You can perform diagnostic and therapeutic arthroscopic procedures that bring a “value added element” to your equine/large animal or small/companion animal practice. The system combines several essential surgical and diagnostic features into a single compact and portable all-digital visualization platform.

When Biovision introduced the NeedleView Arthroscope Suite in 2010, it was the only system that allowed veterinarians to perform conscious/standing micro-arthroscopy. That’s still true in 2016 — but updates have made our next-generation suite more remarkable. In this issue, we review the suite in depth, pointing out not just what it can do, but what it can now do even better.


Key Benefits

• Easy to Learn – You don’t necessarily need to be a surgeon to be able to use the NeedleView Arthroscope Suite effectively. You do need to be comfortable with joint anatomy and know how to be in a joint without damaging cartilage; this can be taught in a wetlab or weekend workshop. But the actual technique is easily taught if you’re in joints frequently (for example, using PRP, stem cells, IRAP, or other therapeutic agents).

• Minimally Invasive – At 1.2mm, the NeedleView scope is the size of an 18-gauge needle. You can scope with just a local block and sedation. If you don’t have a surgery room or ventilator, NeedleView opens up a way to diagnose cases in a treatment room, trailer, or wash rack.

• Meaningful Information – NeedleView helps you give clients the information they need to make good decisions about how to proceed with their animal. It helps you know what paths to consider. For example, if the animal has been treated with biologic agents or regenerative therapies and doesn’t seem to be responding, NeedleView lets you easily take a look to see what’s going on. NeedleView can also help you give the owner the information and options – for example, to proceed with surgery, debride to speed healing, or – if the injury is too severe, particularly with working or sport horses – to choose the right next step.


It’s Better Medicine: Capabilities Proven by Both Research and Practice

In a seminal peer-reviewed study¹ published in 2014, researchers confirmed:

  • The 18-gauge NeedleView arthroscope can be used to perform complete diagnostic examination of the three compartments of the stifle joint in standing horses.
  • In areas of the joint where space was limited, the small diameter of the scope was an advantage despite the smaller field of view.

One of the study’s lead authors (David Frisbie, DVM, PhD, MS, DACVS, DACVSMR, Professor of Equine Surgery, Colorado State University, Fort Collins, CO) has successfully used the NeedleView arthroscope to diagnose injuries in more than 100 stifles, including:

  • Meniscal tears and lesions
  • Cartilage damage
  • Cruciate ligament tears and lesions
  • Floating joint fragments
  • Subchondral bone cysts

Needle arthroscopy can also be used to confirm the presence of a lesion identified by either x-rays or ultrasound and confirm that no additional lesions are present.

Another study² concluded:

  • “When combined, arthroscopy and ultrasound can provide a more global assessment of pathological changes within the equine stifle.”

And it’s not limited to the stifle. A 2015 study³ explored direct and transthecal approaches to the navicular bursa using Biovision’s NeedleView scope. Among its conclusions:

  • “Needle endoscopy offers a reliable technique to evaluate the navicular bursa and may complement or replace other diagnostic modalities in horses with lameness localized to the navicular region.”

Leading veterinary schools and forward-thinking practices across the United States and around the world are beginning to perform and teach standing equine diagnostics using the NeedleView Arthroscope suite.

Institutions adopting the technology include:

  • Colorado State University College of Veterinary Medicine and Biosciences
  • University of Florida College of Veterinary Medicine
  • Oklahoma State University Veterinary Teaching Hospital
  • VetSuisse Faculty (University of Bern and University of Zurich)
  • University of Montreal
  • University of Melbourne Veterinary Clinic

Practices adopting NeedleView can be found from coast to coast in the United States and around the world:

  • Veterinary Specialists of the Southeast (Savannah, GA)
  • Premier Equine Veterinary Services (Whitesboro, TX)
  • Pferdeklinik Burg Müggenhausen (Müggenhausen, Germany)
  • Comstock Equine Hospital (Reno, NV)
  • Littleton Equine Medical Center (Littleton, CO)
  • Veterinary Specialty Center (Buffalo Grove, IL)
  • VRCC Veterinary Specialty & Emergency Hospital (Englewood, CO)

References

1 Frisbie DD, Barrett MF, McIlwraith CW, and Ullmer J. Diagnostic stifle joint arthroscopy using a needle arthroscope in standing horses. Vet Surg. 2014 Jan;43(1):12-8. doi: 10.1111/j.1532-950X.2013.12068.x. Epub 2013 Oct 31.

2 Adrian AM, Barrett MF, Werpy NM, et al. A comparison of arthroscopy to ultrasonography for identification of pathology of the equine stifle. Equine Vet J. 2015 Nov 18. doi: 10.1111/evj.12541. [Epub ahead of print]

3 Mahlmann K, Koch C, and Bodo G. Diagnostic endoscopy of the navicular bursa using a needle endoscope by direct or transthecal approach: a comparative cadaver study. Vet Surg. 2015;44:816-824.

It’s Profitable: Equine/Large Animal

ESTIMATING CONSERVATIVELY


  • 2 procedures per month
  • $1,000-$1,200/procedure from diagnostic first looks
  • Additional $500-$850/procedure from post-treatment, confirmatory second looks
  • Income from therapy and/or surgery from your own clients or referrals

ROI EXAMPLE

  • 247% Year One cash-on-cash return
  • Assumptions:
    • 5-year loan
    • 6% simple interest
    • 35% marginal U.S. tax rate
    • Use of Section 179 deduction (U.S. only)

CALCULATE THE ROI FOR YOURSELF

This interactive financing calculator from Bank of America lets you model “what if?” scenarios for loan length, interest rate, and more; use $14,950 as the equipment price for the NeedleView™ Arthroscope Suite.

CASE SCENARIOS


  • Case 1 — Diagnostic
    • Acute 4/5 lameness
    • 3/4+ MFT effusion, with >80% response to anesthesia
    • Radiographs within normal limits
    • Ultrasound — suspect meniscal involvement
  • Case 2 — Lack of Response
    • 2 previous MFT arthroscopies
    • Unable to return to work
    • Known meniscal damage
    • No other diagnostic changes

Click on the image for full size spreadsheet.

Biovision Needleview Arthroscope Suite Equine Large Animal Return on Investment Calculation 2019

It’s Profitable: Small/Companion Animal

ESTIMATING CONSERVATIVELY


  • 2 procedures per month
  • $300-$500/procedure from diagnostic first looks
  • Additional $250-$300/procedure from post-treatment, confirmatory second looks
  • Income from therapy and/or surgery from your own clients or referrals
  • ROI Example

    • 99% Year One cash-on-cash return
    • Assumptions:
      • 5-year loan
      • 6% simple interest
      • 35% marginal U.S. tax rate
      • Use of Section 179 deduction (U.S. only)

CALCULATE THE ROI FOR YOURSELF


CASE SCENARIOS


  • Case 1 — Diagnostic
    • 5 year-old female canine presents with stiffness and other symptoms of arthritis
    • X-ray and CT inconclusive — suspect fragmented medial coronoid process
  • Case 2 — Therapeutic
    • 9 year-old male canine presents with lameness, periarticular enlargement, joint effusion, loss of range of motion, and pain, laxity, and crepitus upon joint manipulation
    • X-ray and arthrocentesis reveal loss of and degraded quality of synovial fluid

Click on the image for full size spreadsheet.

Biovision Needleview Arthroscope Suite Small Companion Animal Return on Investment Calculation 2019

Included Equipment

Click the image below for a printable PDF overview of Biovision Veterinary Endoscopy’s NeedleView Arthroscope Suite, including a list of all suite components.

Needleview System PDf

You Can Do It: See for Yourself

Check out the videos below demonstrating the use and discussing the learning curve of the NeedleView™ 1.2mm O.D. arthroscope for diagnostic and therapeutic use in both large animals and small animals.

Make 2017 the Year You Learn Laparoscopy

According to Biovision customers who have successfully implemented laparoscopic and laparoscopic-assisted procedures into their practices, more than 70% of veterinary clients will choose laparoscopy for their animal if it is available and if they are given the choice–even if the cost is higher.


MINIMALLY INVASIVE
Biopsy • Cryptorchid • Cystoscopy • Foreign Body • Ovariectomy/Ovariohysterectomy
Prophylactic Gastropexy • Video Otoscopy • Thoracoscopy • More


With the doctor’s help, clients come to understand that laparoscopic surgeries offer the following advantages:

  • Less painful — A groundbreaking study published in 2005- (J Am Vet Med Assoc.2005 Sep 15;227(6):921-7) showed that dogs who underwent laparoscopic-assisted ovariohysterectomy (LAOHE) had lower pain scores than dogs who underwent traditional OHEs. Nine of 10 dogs in the OHE group required additional pain medication on the basis of pain scores, whereas none of the dogs in the LAOHE group did.
  • Less stressful — In the same study, blood glucose concentrations were significantly increased from preoperative concentrations in both groups at 1 hour postoperatively; however, blood glucose concentrations remained elevated only in the OHE group, and remained elevated at 2, 4, and 6 hours postoperatively. Cortisol concentrations were significantly increased at 1 and 2 hours postoperatively only in the OHE group.
  • Faster recovery — In most cases of routine laparoscopic-assisted procedures such as spay, cryptorchid neuter, gastropexy, and biopsy, the animal is able to return home the same day.
  • Smaller incision with smaller resulting scar — In many cases, the incision for a laparoscopic-assisted procedure is as small across as a dime. Accordingly, preoperative shaving usually involves a much smaller area.

Register Button

SEE FOR YOURSELF

Click on a link to view a brief procedure video


FULL-DAY HANDS-ON CONTINUING EDUCATION COURSE:

“Practical Single-Port Laparoscopy for the General Practitioner”
November 2, 2017
Littleton, CO

Come and experience laparoscopy’s short, comfortable learning curve for yourself on user-friendly equipment doing everyday procedures and learning from instructors who pioneered single-port techniques and have taught them across the country. Early registration is $895; registration within two weeks of a class increases to $995. Space is extremely limited; only 6 participants per session — click to REGISTER TODAY!

Issue 2, Q3 2016

2525 15th Street
Suite 1A
Denver, CO 80211

Our phone and fax numbers remain unchanged:

Phone: 303-225-0960
Fax: 720-259-5235

Click for map and directions

Next-Generation Suites Are Ready to Ship!

From Biovision’s Views Newsletter, Issue 1, Q1 2016

When Biovision introduced the EndoDiagnostic+Surgical Suite (EDSS) in 2003, it was a game-changer, giving veterinarians a way to perform highly profitable procedures such as spays, cryptorchid neuters, biopsies, and more through a single port and with faster recovery and less pain, stress, and scarring for their patients.

When the NeedleView Arthroscope Suite debuted in 2011, it revolutionized joint diagnostics, allowing many procedures to be performed without general anesthesia and its attendant risks.

We are thrilled to announce that following extensive development and refinement, the next-generation EDSS and NeedleView suites are ready to ship!

Both suites have:

  • Improved cameras that allow you to see in greater detail (HD camera in the EDSS; CCD camera in the NeedleView);
  • Brighter-than-ever illumination so you can see more, period (xenon arc in the EDSS; LED in the NeedleView); and
  • Intelligent LCD touch screens with integrated media capture that allow you to enter patient data, capture still and video images, and generate comprehensive visit reports (LCD monitor in the EDSS; 10.1” terminal in the NeedleView).

“WOW! The detail and HD resolution are outstanding and the colour is more saturated. The illumination is also much brighter.” — Paul Hodges, DVM (Toronto, ON), long-time EDSS owner who recently purchased the next-generation EDSS


Pricing remains extremely competitive, even in light of the suites’ enhanced capabilities – which means ROI remains high, as well. Existing customers may be eligible for trade-in discounts or special upgrade pricing (call to inquire).

Contact Biovision directly at 303-225-0960 or stop by the Biovision booth at any upcoming conference.

Get Hands-On with Biovision’s Next-Generation Endoscopy and Arthroscopy Suites at WVC

From Biovision’s Views Newsletter, Issue 1, Q1 2016

Are you one of the 15,000+ veterinary professionals planning to attend the Western Veterinary Conference’s 88th Annual Conference from March 6-10, 2016 at the Mandalay Bay Convention Center in Las Vegas, NV? If so, be sure to include a visit to Booth 2739! That’s where you will find Biovision and have a chance to see and try the next-generation EndoDiagnostic+Surgery Suite (EDSS) and NeedleViewTM Arthroscope Suite for yourself. We look forward to meeting you and showing you how EDSS and NeedleView can integrate quickly, easily, and – most important – profitably into your practice.

Learn Profitable Lap-Assisted Procedures in Beautiful Colorado — May 5, 2016

From Biovision’s Views Newsletter, Issue 1, Q1 2016

More than 70% of veterinary clients will choose laparoscopy for their animal if it is available and if they are given the choice–-even if the cost is higher

That’s been the experience of Biovision customers who have successfully implemented laparoscopic and laparoscopic-assisted procedures into their practices.

With the doctor’s help, clients come to understand that laparoscopic surgeries offer the following advantages:

  • Less painful — A groundbreaking study published in 2005 (J Am Vet Med Assoc. 2005 Sep 15;227(6):921-7) showed that dogs who underwent laparoscopic-assisted ovariohysterectomy (LAOHE) had lower pain scores than dogs who underwent traditional OHEs. Nine of 10 dogs in the OHE group required additional pain medication on the basis of pain scores, whereas none of the dogs in the LAOHE group did.
  • Less stressful — In the same study, blood glucose concentrations were significantly increased from preoperative concentrations in both groups at 1 hour postoperatively; however, blood glucose concentrations remained elevated only in the OHE group, and remained elevated at 2, 4, and 6 hours postoperatively. Cortisol concentrations were significantly increased at 1 and 2 hours postoperatively only in the OHE group.
  • Faster recovery — In most cases of routine laparoscopic-assisted procedures such as spay, cryptorchid neuter, gastropexy, and biopsy, the animal is able to return home the same day.
  • Smaller incision with smaller resulting scar— In many cases, the incision for a laparoscopic-assisted procedure is as small across as a dime. Accordingly, preoperative shaving usually involves a much smaller area.

Now you can learn practical, profitable lap-assisted procedures in a full-day, hands-on CE course in beautiful Colorado! In partnership with the Center for the Advancement of Rigid Endoscopy (C.A.R.E.), Biovision is hosting this popular course on May 5, 2016 in Littleton, Colorado (a suburb approximately 10 miles southwest of Denver).

Come and experience laparoscopy’s short, comfortable learning curve for yourself on user-friendly equipment doing everyday procedures and learning from instructors who pioneered single-port techniques and have taught them across the country.

Early registration is $895; registration within two weeks of a class increases to $995. Space is extremely limited; register today!

New Needleview Procedure: Lavage of Septic Joints

From Biovision’s Views Newsletter, Issue 1, Q1 2016

Every day, all around the world, veterinarians are using Biovision’s 1.2mm NeedleView™ arthroscope to provide a higher standard of care for animals both large and small. Many are investigating or developing new procedures for the technology (see Views newsletter, Issue 2, 2nd quarter 2015 at https://biovisionvet.com/about-us/news-events/archived-news/ for details).

Recently, we learned that Shane Miller, DVM, DACVS of Comstock Equine Hospital in Reno, NV has been using NeedleView in the diagnosis and treatment of septic arthritis in horses. We caught up with him on the phone to learn more.

Biovision (BV): How long have you been using Biovision’s NeedleView arthroscope in your practice?
Shane Miller (SM): I purchased the NeedleViewTMArthroscope Suite in October, 2012, so a little more than three years.

BV: How do you use the NeedleView most days?
SM: I do a lot of stifle diagnostics, primarily because of my practice’s population and caseload. I also use it for exploration in areas like the tendon sheath, coffin, fetlock, and carpus. I even use it for sinuses to see masses, tumors, and fluid. I think I like it best in the navicular bursa when there has been penetration of a foreign object – although I don’t do those cases with the horse standing.

BV: Was it difficult for you to learn to use the NeedleView and incorporate it into your practice?
SM: It was really simple for me, because I had already done a lot of surgery and arthroscopy. Once you are comfortable with the anatomy of whatever space you’re in, using the NeedleView becomes a lateral move to a tool that gives you enhanced access and allows you to do more procedures with the animal standing and conscious.

BV: Tell us about the new way you’re using the NeedleView.
SM: I recently started using the NeedleView on horses that present with septic arthritis. [Editor’s note: septic arthritis is inflammation of a joint caused by bacteria or other micro-organisms.]  The typical approach is to lay the horse down with general anesthesia and use a standard 4mm arthroscope to lavage or flush the joint. With the NeedleView, I can leave the horse standing and conscious but sedated, I can flush the joint, and I can generally get further into the joint than with a 4mm scope. If I see lots of fibrin deposition, I can put an instrument in from the other side – using the NeedleView to guide me – and pull it out.

BV: How have clients responded to your use of the NeedleView?
SM: Whenever I can do an effective procedure without laying a horse down, it’s a win for the animal, the client, and me. When there’s no general anesthesia, there’s typically less morbidity and it’s almost always more cost-effective for the client. I’ve found that clients are more willing to move forward with the procedures – even if they are more expensive – if it means the horse can remain standing and conscious.

 

Editor’s Comment from Guest Editor Josh Zacharias, DVM, MS, DACVS, DACVSMR

From Biovision’s Views Newsletter, Issue 2, May 2015

Josh Zacharias

Vet: Josh Zacharias, DVM, MS, DACVS, DACVSMR
Affiliation: Countryside Large Animal Veterinary Services, PLLC
Position: Full-time surgeon
Focus: Equine, livestock, food production animals
Location: Greeley, CO
Contact:
URL: http://www.csidevet.com

I am pleased to write the Editor’s Comment for this issue of Biovision’s “Views” newsletter. I’ve been an equine vet since 2003 and am the full-time surgeon in a four-vet practice – Countryside Large Animal Veterinary Services, PLLC – in Greeley, a town of approximately 100,000 people on the eastern plains 50 miles north-northeast of Denver, Colorado. Our services for livestock and large animals include surgery, lameness, equine treadmill, equine dentistry, and vaccinations and total health care for individuals and herds/flocks of food animals and production livestock.

This issue of the newsletter focuses exclusively on Biovision’s NeedleView Arthroscope Suite, recapping its development, documenting its growing worldwide adoption, and looking ahead to potential new applications. Biovision asked me to write the Editor’s Comment specifically because of my experience with the product.

I first encountered the NeedleView scope at the American College of Veterinary Surgeons (ACVS) Surgery Summit in Seattle, Washington, in 2010, where Biovision was an exhibitor. I met John Small, the company’s president, and immediately was intrigued and excited by the potential of this new diagnostic tool. We got our hands on one in 2012 and began using it as a way to definitively diagnose stifle disease without the expense and risk of general anesthesia and surgery. NeedleView piqued my interest because it’s been my experience that it’s easy for private practitioners to get comfortable – and rusty – doing what they’ve always done. My goal is to always be learning and growing.

The standing stifle procedure developed by Dr. David Frisbie of Colorado State University became our “bread and butter” in regard to the NeedleView, and it easily paid for itself. Keep in mind, our practice is in Colorado State University’s “back yard,” and we’re not all that far from Littleton Equine Medical Center. But with the NeedleView, we can compete with an academic institution and a large practice and more than hold our own treating Western performance horses (rodeo horses, barrel racers, cutters, etc.). Now, three years in to having the NeedleView, we pull clients from as far away as Colorado’s western slope, Wyoming, Nebraska, Kansas, and even Montana.

We’re able to compete and distinguish our practice because of NeedleView’s unique advantages:

  1. Easy to learn – You don’t necessarily need to be a surgeon to be able to use the NeedleView Arthroscope Suite effectively. You do need to be comfortable with joint anatomy and know how to be in a joint without damaging cartilage; this can be taught in a wetlab or weekend workshop. But the actual technique is easily taught it you’re in joints frequently (for example, using IRAP or other therapeutic agents).
  2. Minimally-invasive – The NeedleView scope is the size of an 18-gauge needle. You can scope with just a local block and sedation. If you see a lot of lameness cases but don’t have a surgery room or ventilator, NeedleView opens up a way to diagnose these cases.
  3. Meaningful information – NeedleView helps us give clients the information they need to make good decisions about how to proceed with an injured horse. It helps us know what paths to consider. For example, if a horse has been treated with IRAP and doesn’t seem to be responding, NeedleView lets us easily take a look to see what’s going on. Or if a horse has a meniscal tear, NeedleView can help us give the owner the information to decide to proceed with surgery, debride to speed healing, or – if the injury is so severe that the horse is still likely to be only 50/50 a year out – maybe not opt for the “Cadillac” level of treatment.

The profiles in this issue will give you insight into NeedleView’s early history in horses (Dr. Frisbie) and small animals (Dr. Devitt), its current applications (Dr. Frisbie and Dr. Robbins), and its growing worldwide adoption and research into potential future applications (Dr. Grant, Dr. Koch, and Dr. Canapp).

I hope the profiles get you excited about NeedleView and its potential. I’m proof that you can use this versatile tool to enable better medicine at your practice and simultaneously create a new profit center; I challenge you to consider how you can do the same.

Needleview Pioneer: Dr. Chad Devitt

From Biovision’s Views Newsletter, Issue 2, May 2015

Cha Devitt

Vet: Chad Devitt
Affiliation: VRCC Veterinary Specialty and Emergency Hospital
Position: One of the owners of Veterinary Surgical Services at VRCC
Focus: Small/companion animals
Location: Englewood, CO
Contact: 
URL: http://www.vrcc.com

I first became involved with Biovision around 2004. Dr. Jim Hailey, now of Alpine Vet Clinic of Fraser, CO, called me about developing equipment and technology to perform laparoscopically-assisted ovariohysterectomies in dogs. Along with Dr. Ray Cox of Deer Creek Animal Hospital of Littleton, CO, we conducted a research study to describe a simple method of laparoscopic-assisted ovariohysterectomy (LAOHE) and compare duration of surgery, complications, measures of surgical stress, and postoperative pain with open ovariohysterectomy (OHE) in dogs. We used Biovision’s EndoDiagnostic & Surgical Suite (EDSS) product to perform the procedures. Our results, published in the Journal of the American Veterinary Medical Association (J Am Vet Med Assoc. 2005 Sep 15;227(6):921-7), showed that LAOHE caused less pain and surgical stress than OHE and could be appropriate for an outpatient setting.

A few years after that, John [Small] asked me to try out the NeedleView system and give him feedback about what it enabled us to see and how it affected our clinical decision-making. Since then, we use the NeedleView an average of 2-3 times per month, depending on our caseload.

I’ve used it primarily for diagnostics in dogs that present with lameness, stiffness, or other symptoms of arthritis. X-ray and CT may not demonstrate findings – for example, in cases of fragmented medial coronoid process. The NeedleView scope is helpful to decide if the dog would benefit from debridement.

Key benefit(s) of the NeedleView modality: The benefits to NeedleView include that it’s less costly to perform than full-blown arthroscopy. We can generally do it with heavy sedation and a local block, so we avoid the risks and costs of general anesthesia. We also like that we can perform NeedleView diagnostic procedures on a prep table; this removes the need for OR time and its associated costs, plus it means that clients can usually watch the procedure.

For what practitioner/practice is NeedleView best suited? I wouldn’t say NeedleView arthoscopy is easier than conventional arthroscopy; you need to be experienced with arthroscopy techniques to get the full benefit from NeedleView. While it won’t replace a full conventional arthroscopy kit, NeedleView is plenty useful.

Needleview Pioneer: Dr. David Frisbie

From Biovision’s Views Newsletter, Issue 2, May 2015

David Frisbie

Vet: David Frisbie, DVM, PhD, MS, DACVS, DACVSMR
Affiliation: CO State University Equine Orthopedic Research Center
Position: Professor of Equine Surgery
Focus: Equine
Location: Fort Collins, CO
Contact: 
URL: https://tmi.colostate.edu/about/

I specialize in orthopaedic research, intra-articular therapeutics, new methods of cartilage repair, equine lameness, orthopaedic surgery and biologics for the treatment of musculoskeletal injuries with an emphasis on stem cells, gene therapy, and sports medicine. I’ve worked on projects with Chad Devitt since residency, primarily in canine orthopaedics. As Biovision moved into arthroscopy, Chad suggested John Small should get me involved in evaluating and developing potential equine applications for the NeedleView scope.

With Chad’s recommendation, we knew we could probably find applications and develop techniques. I met with John Small, and we came up with a plan to look at NeedleView in the field and see where the technology could make the biggest impact. Then we would conduct research and publish for solid science. The outcome of that research was the standing stifle diagnostic arthroscopy procedure.

Definitive diagnosis of slight to moderate stifle pathology has been limited. Many practitioners are uncomfortable performing diagnostic anesthesia of the stifle. Many lesions (particularly soft tissue lesions) go undetected with radiography. Ultrasonography has helped, but use of this modality to examine cruciate ligaments remains difficult because of the orientation and deep anatomic location of these structures. CT using contrast arthrography has been used to image the stifle, but limitations exist to its availability and the availability of MRI. The NeedleView scope’s field of view is smaller than that of a standard 4mm arthroscope, but we feel it provides a better exploratory of the stifle joint than we get with a 2.7mm arthroscope.

In our study (“Diagnostic stifle joint arthroscopy using a needle arthroscope in standing horses,” Vet Surg. 2014 Jan;43(1):12-8. doi: 10.1111/j.1532-950X.2013.12068.x. Epub 2013 Oct 31.), we were able to confirm that the 18-gauge NeedleView arthroscope could be used to perform complete diagnostic examination of the three compartments of the stifle joint in standing horses. Further, we found that in some areas of the joint where space was limited, the small diameter of the scope was an advantage despite the smaller field of view.

I presented the standing stifle diagnostic procedure at the American Association of Equine Practitioners (AAEP) Annual Conference in 2013, in conjunction with Dr. Josh Zacharias of Countryside Large Animal Clinic of Greeley, CO. Combined, we’ve performed the procedure on more than 100 joints. Additionally, my colleagues and I have demonstrated and/or taught the procedure worldwide — two CE courses in Fort Collins (2013 and 2014, with another coming up in September 2015); two at Newmarket Equine Hospital in the United Kingdom; and one each in Germany, Switzerland, and Canada.

We’ve pretty much established what NeedleView can do, and our experience will stand in any arena. I’m now looking at using NeedleView in the navicular bursa and tendon sheaths, following essentially the same plan to prove its efficacy as we did for stifle diagnostics.

Key benefit(s) of NeedleView modality: Because of the NeedleView scope’s small size, we can “drive it around” the stifle and image everything. No other technology gives us that ability. Traditional imaging modalities typically require transporting the animal and then putting it under general anesthesia and handling the subsequent recovery…all of which can be costly and may require significant lead time. The NeedleView Arthroscope Suite is so small and portable, we can perform diagnostic arthroscopy in our trailer at equine events. It truly lets us get an instant answer anywhere. We like that NeedleView gives us a way to diagnose mild to moderate stifle disease earlier in the process, before it has progressed too far to be amenable to treatment.

For what practitioner/practice is NeedleView best suited? The people who will experience the best ease of use with NeedleView are those who already use arthroscopy and know the anatomy. Surgeons who feel a need to reinvent themselves in a hard economy have had success using it to perform diagnostics and preventive procedures. That said, it should be kept in mind that NeedleView is a diagnostic tool; if a vet sees something with that indicates the animal needs surgery, he or she can refer it out if they are not trained for orthopaedic surgery. Similarly, NeedleView can help with the clinical decision to use a regenerative medicine approach.

Current Needleview User: Dr. Mitch Robbins

From Biovision’s Views Newsletter, Issue 2, May 2015

Vet: Mitch Robbins, DVM, DACVS
Affiliation: Veterinary Specialty Center
Position: Director of Surgery and Anesthesia/Pain Management
Focus: Small/companion animals
Location: Buffalo Grove, IL
Contact: 
URL: http://www.vetspecialty.com

I was introduced to the NeedleView modality during a presentation at an ACVS meeting. The simplicity of the diagnostic arthroscopy tool drew my attention. Following the meeting, I contacted John [Small] regarding some basic questions about cost and usefulness of the needle arthroscope. John came out to visit Veterinary Specialty Center to demonstrate the unit to our surgical service. This was our first experience with NeedleView. When our six surgeons observed the efficiency of use compared to traditional arthroscopy, we decided to purchase the unit to use for our clinical cases.

My hope for the NeedleView modality was that it would provide us a resource for the rapid evaluation of joints arthroscopically. Disorders such as elbow fragmented medial coronoid process, medial shoulder instability, cranial cruciate and meniscal injury can be frustrating and expensive to rule in and out of our differential diagnosis list. We were hoping that by increasing efficiency and decreasing time, we could provide superior diagnostics for a lower cost.

Veterinary Specialty Center is always looking towards innovation and technology to help us provide extraordinary care to our patients and their families. The NeedleView is an excellent tool in this tool box.

The scope is very useful in our practice. We can perform diagnostic arthroscopy on a multitude of patients with ease and efficiency. Our expectations certainly have been met. I use the scope an average of one time per day for all of the above techniques. We also own the attachment and the insufflator that allows us to use our regular scope for laparoscopy, thoracoscopy, and therapeutic arthroscopy [Editor’s note – Dr. Robbins is referring to the SurgAssist Insufflator and Electrosurgical Generator, which together with the SurgView Xenon Imaging System included as part of the NeedleView Arthroscope Suite, can be used with an operating laparoscope for single-port laparoscopic and laparoscopic-assisted procedures].

Key benefit(s) of the NeedleView modality: Simplicity of use and small size are very big advantages. The other is that the scope is very durable.

For what practitioner/practice is NeedleView best suited? I think the NeedleView scope has more value for busy specialty practices than for general practitioners.

Needleview Researcher: Dr. Christoph Koch

From Biovision’s Views Newsletter, Issue 2, May 2015

Vet: Christoph Koch, Dr. Med. Vet., DACVS, DECVS
Affiliation: ISME –Swiss Institute of Equine Medicine
Position: Clinical Lecturer in Surgery and Deputy Head of ISME-Clinic Bern
Focus: Equine
Location: Bern, Switzerland
Contact: 
URL: http://ismequine.ch

Use: Currently performing clinical research into feasibility of needle arthroscope bursoscopy in standing horses

My colleague Dr. Gabor Bodo was attending an equine stifle arthroscopy course at Cornell (Ithaca, NY) in 2011. There, Dr. Wayne McIlwraith, one of the course instructors, reported on Dr. David Frisbie’s work using the NeedleView scope for diagnostic [stifle] procedures in standing sedated horses. Following the course, Dr. Bodo contacted Dr. Frisbie to get more information about this particular procedure.

We soon gained some experience with the equipment and felt that the dimensions of the cannula and the field of view of the NeedleView equipment were also perfect for applications in either small joints or bursae of the horse. In particular, the region of the navicular bursa of the horse is a common source of lameness in horses. However, conventional, and even advanced imaging techniques like low-field MR, cannot provide sufficient information to explain the exact nature of the underlying pathology localized to that area. A well described approach to improve the diagnostic yield of this field is bursoscopy using standard rigid arthroscopic equipment in the anesthetized, recumbent patient. Seeing the possibility of a truly minimally-invasive diagnostic procedure that could potentially be performed in the standing, sedated patient (with regional anesthesia only), we performed a cadaver study to investigate the feasibility, diagnostic potential and best technique/approach to explore the navicular bursa using the needle-view equipment. This study has been accepted for publication in a peer-reviewed journal.

Currently, we are working on a subsequent proof-of-principle study to investigate the feasibility of needle arthroscope bursoscopy in standing horses. Having successfully performed the procedure in nearly 20 bursae, we feel confident that it can be performed in a clinical setting. However, more experience, refinements in technique and possibly adaptions regarding the equipment are required to make it a valuable diagnostic procedure in the hands of equine practitioners. Nonetheless, the recent developments are encouraging, and we feel that for selected indications, the NeedleView will find its place in equine veterinary medicine.

Key benefit(s) of the NeedleView modality: The small dimension and easy set-up to generate images of diagnostic quality.

For what practitioner/practice is NeedleView best suited? Anyone facing a situation with incomplete diagnoses regarding particularly the stifle and navicular region in horses. The NeedleView modality can provide them and their clients with a minimally invasive procedure at hand that carries the potential to overcome this unsatisfying situation.

Needleview Researcher: Dr. Barrie Grant

From Biovision’s Views Newsletter, Issue 2, May 2015

Vet: Barrie D. Grant, DVM, MS, DACVS, MRCVS
Affiliation: Barrie Grant Equine Consultant
Position: Consultant in private practice
Focus: Equine
Location: Bonsall, CA
Contact: 
URL: http://equinewobblers.com

Use: Currently performing clinical research into the feasibility and safety of implanting mesenchymal stem cells underneath the pia mater using the NeedleView scope with a ventral cervical intervertebral approach between C3-C4 and C4-C5 in healthy horses

I first became aware of Biovision when they exhibited at the American College of Veterinary Surgeons (ACVS) Surgery Summit in Chicago in 2011. I had been looking for an approach to image the spinal cord that was not too invasive. I talked to John [Small, Biovision’s president] as well as to other vets. Soon after that, I went to South Africa and encountered Dr. Olivier Lepage, who was on sabbatical from the University of Lyon. He was looking for a project but had no funding. When I got back home, I connected with Dr. Elaine Carpenter at Cave Creek Equine Surgical and Diagnostic Imaging Center in Phoenix, AZ. She has assisted me in the past with spinal surgeries, and Cave Creek has been using Biovision’s NeedleView Arthroscope Suite since early 2012. Cave Creek soon had a case; they got great video and we were able to share it with Dr. Lepage. Not long thereafter, one of his students received approval for a research proposal using the NeedleView. We have recently completed the first phase of that 6-month study (undertaken with Olivier Lepage, DMV, MSc, PhD, HDR, DipECVS of the University of Lyon and his student Isé B. François, DMV, in Marcy L’Etoile, France).

Cervical stenotic myelopathy (wobbler syndrome) is a common cause of spinal ataxia in young horses. This developmental disorder is characterized by postnatal deformation of the cervical vertebrae, resulting in stenosis of the vertebral canal and spinal cord compression. Dysfunction of the equine cervical cord can result in a wide spectrum of clinical signs ranging from total paresis to poor performance as a result of the neuropraxia and discomfort in proprioception. The diagnosis is based on history, clinical signs, radiographic changes, myelography, and cerebrospinal fluid analysis. Presently, the treatment of wobbler horses is based on the principle of eliminating cervical cord compression by the surgical stabilization of the intervertebral space with a threaded titanium implant (Seattle Slew implant).

It seemed possible that the open approach used for the stabilization surgery would permit successful insertion of a 25-gauge catheter into the subarachnoid space. Then the NeedleView scope was inserted through this catheter and the spinal cord visualized for signs of myelographic compression. The objectives of the study are to describe the ventral intercervical approach for endoscopy assessment of the cervical canal and to evaluate the safety and innocuousness of the implantation of mesenchymal stem cells underneath the pia mater. Stem cell transplantation has shown benefit in canines with spinal cord injury and in humans with amyotrophic lateral sclerosis (ALS); we believe direct transplantation of mesenchymal stem cells into the cervical canal may improve the postoperative success of the surgery and reduce the convalescence time of horses with cervical stenotic myelopathy. Our clinical experimentation took place in late February and early March 2015. Our schedule calls for two months for statistical analysis and another three months for writing up the results and the article.

Key benefit(s) of the NeedleView modality: The scope’s small size will make it possible to put it directly into the spinal cord, allowing the direct placement of stem cells.

Needleview Researcher: Dr. Sherman Canapp

From Biovision’s Views Newsletter, Issue 2, May 2015

Sherman Canapp

Vet: Sherman Canapp, DVM, DACVS, DACVSRM
Affiliation: VOSM — Veterinary Orthopedic & Sports Medicine Group
Position: Owner and Chief of Staff
Focus: Canine
Location: Annapolis Junction, MD
Contact: 
URL: http://vetsportsmedicine.com/

Use: Currently performing clinical research into the efficacy of regenerative medicine therapies in canine unilateral supraspinatus tendinopathy

I most recently became involved with Biovision at the start of Veterinary Orthopedic & Sports Medicine Group’s Canine Health Foundation clinical trial on the efficacy of regenerative medicine therapies. This is a pioneer study with Virginia Tech that we hope will shape the future of veterinary medicine, and therefore a great opportunity for Biovision’s involvement. This trial requires a confirmed diagnosis of unilateral supraspinatus tendinopathy, which can be confirmed through diagnostic ultrasound. This trial also has extensive exclusion criteria, including concurrent pathologies, which can only be confirmed through arthroscopy.

The NeedleView technology then came into play for this clinical trial since we require a definitive diagnosis before treatment–something that only arthroscopy can provide. The NeedleView is less invasive than traditional arthroscopy and allows us to perform advanced diagnostics without the need for a full setup in an operating room. We believe that the NeedleView will be an advantage to this study moving forward.

Our use of the NeedleView technology will expand upon the feasibility of using this technology in a clinical setting, as well as its ease of use in advanced diagnostics. Through our study on regenerative medicine therapies, we will be able to gain a better understanding of the uses of the technology as a diagnostic tool for canine shoulder injuries and develop efficient protocols for use in a clinical setting.

Key benefits of the NeedleView modality: Traditional arthroscopy is a tool that we use on a daily basis, but there are times that traditional arthroscopy is not needed. One of the biggest benefits of the NeedleView technology is that it allows for advanced diagnostics by a less invasive means. Veterinary medicine focuses on advances in medicine and patient care. Minimally invasive procedures that also allow a patient to be under anesthesia for less time are a huge benefit to the community overall. The NeedleView can be used for intra-articular and soft tissue imaging, such as arthroscopy of the meniscus, cranial cruciate ligament, medial shoulder instability, biceps tears, fragmented medical coronoid processes, and osteochondritis dissecans. The NeedleView is versatile in that it can be used in all joints, including the shoulder, carpus, hip, stifle, and hock.

For what practitioner/practice is NeedleView best suited? Arthroscopy in general requires dedicated training and expertise. If a veterinarian has the skills necessary to perform arthroscopies for his or her patients, it should be recommended to utilize these skills as arthroscopy is less invasive for the patient as compared to traditional exploratory surgery. Diagnostic musculoskeletal ultrasound, MRI, and CT scan are also viable advanced diagnostic options, but may not always be the most effective depending on the injury or suspected injury. All advanced diagnostics require training and considerable monetary commitment, but few are as versatile as arthroscopy and minimally-invasive procedures. Veterinarians who have less experience with arthroscopy should also be encouraged that the NeedleView technology, at 1.2 millimeters O.D., is less challenging to insert into a joint as compared to a 2.4- or 1.9-millimeter scope. As a cost benefit, we have found that arthroscopy with the NeedleView can be performed in our treatment or procedure area and does not require full draping in an operating room. By using our treatment area, we have also found that our patients require less time spent under anesthesia, as we do not have the added time of setting up arthroscopy equipment and patient preparation in an operating room.

Trying Single-Port Lap Spay and Gastropexy for the First Time

From Biovision’s “Views” newsletter (Q1 2015)

What Vets Have to Say About:
Trying Single-Port Laparoscopic Spay and Gastropexy for the First Time

By Marjorie Wallwey, Biovision Veterinary Endoscopy

Eight of your veterinarian colleagues took part in a Biovision-sponsored hands-on lab at the North American Veterinary Community (NAVC) conference in Orlando, FL. They came from across the country (Minnesota; Florida; New Jersey; and Kentucky) and around the world (United Kingdom; Bermuda; and Trinidad and Tobago). Their practice settings range from a single-doc hospital to a university, and from a 3-doc clinic in a village of 11,000 to an internationally-accredited nonprofit organization that trains and places guide dogs with visually-impaired individuals. What they all had in common was a desire to explore the single-port laparoscopic modality and see whether it lives up to its promise. Spoiler alert: it does, indeed.

First, Some Background

The lab was promoted in NAVC’s conference program. Pre-registration was required, at a cost of $1,150 per participant. Participants were required to read educational material and view procedure videos in advance. In addition, they were required to attend a presentation the night before the wetlab (the presentation recapped the lead instructor’s experience performing 3,000+ lap-assisted OHEs). The lab combined didactic and hands-on settings; after an introductory discussion, participants scrubbed in to perform a laparoscopic-assisted ovariohysterectomy/ovariectomy/prophylactic gastropexy combination and laparoscopic exploratory on live, recoverable dogs. All procedures were performed on patients as part of their preparation for adoption.

Purposely keeping the class size small — with a student-to-instructor ratio of 2:1 — allowed for lots of interaction and individualized instruction. By the end of the session, participants were able to:

  • Place a trocar
  • Manipulate instruments inside the abdomen
  • Use bipolar cautery
  • Use the video/visualization tower equipment
  • Use CO2 insufflation
  • Use a surgical positioning table (Tippy Table) for patient positioning to utilize gravity as a retractor
  • Use transabdominal procedures for fixation

Instructors were Ray Cox, DVM and Markee Kuschel, DVM of Deer Creek Animal Hospital and the Center for the Advancement of Rigid Endoscopy (C.A.R.E.) in Littleton, CO, as well as Jim Houchens, DVM of Arvada Veterinary Hospital in Arvada, CO. Drs. Cox and Kuschel pioneered single-port laparoscopic procedures and have made the modality a profitable centerpiece of their practice for nearly 20 years. Dr. Houchens has nearly a decade of experience using the modality. The wetlab included discussion of the science of rigid endoscopy, the economics, and the profitability of incorporating rigid endoscopy into private practice.

What the Participants Had to Say

As part of its standard procedures for hands-on labs, NAVC asked participants to complete evaluations rating aspects of the lab. Five of the 8 participants returned evaluations. Here’s what they had to say about trying single-port laparoscopic spay and gastropexy for the first time.

Please rate the lab instructors:

  • Jim Houchens — “Very Good” = 80%; “Excellent” = 20%
  • Ray Cox — “Very Good” = 60%; “Excellent” = 40%
  • Markee Kuschel — “Very Good’ = 60%; “Excellent” = 40%

Were you able to complete the objectives laid out in the beginning of the lab:

  • Yes = 100%

How would you rate the overall experience of the lab:

  • “Good” = 60%
  • “Excellent” = 40%

Will these new procedures apply to your practice:

  • “Agree” = 100%

Considering the price, did you get your money’s worth:

  • “Strongly Agree” = 20%
  • “Agree” = 80%

Will the procedures/skills learned in this lab:

  • Improve your ability to practice? “Yes” = 100%
  • Make your practice more professionally rewarding? “Yes” = 100%

And, perhaps most telling of all…

Having experienced this lab, would you attend another NAVC hands-on lab:

  • “Yes” = 100%

As the participants discussed, lap-assisted spay and gastropexy are merely the foundational procedures. Once learned, they open up the possibility of a myriad of procedures.

It’s time to try the laparoscopic modality for yourself.

Openings are available for C.A.R.E.’s full-dayhands-on2:1 student-to-instructor ratio CE session —
“Practical Single-Port Laparoscopy for the General Practitioner” — on May 14, 2015 in Littleton, CO. Registration is $895.

CLICK HERE to learn more and register.

 

CE Course: “Practical Single-Port Laparoscopy for the General Practitioner” on May 14, 2015

CE Course: “Practical Single-Port Laparoscopy for the General Practitioner” on May 14, 2015

Openings Still Available — May 14, 2015 — Littleton, CO

CE Course: “Practical Single-Port Laparoscopy for the General Practitioner”

When your peers who take a CE course answer:

  • Will the procedures/skills learned in this lab improve your ability to practice? — 100% Yes
  • Will the procedures/skills learned in this lab make your practice more professionally rewarding? — 100% Yes
  • Considering the price [to register for the lab], did you get your money’s worth? — 100% Yes

…it might just be time to check it out for yourself! The laparoscopic modality offers:

  • Smaller incisions
  • Less Pain
  • Increased Safety
  • Superior Visualization
  • Faster Recovery
  • Higher Profits

And then when you learn that more than 70% of clients on average will choose laparoscopy if it is available and if they are given a choice — even if the cost is higher — it’s time to secure your space in “Practical Single-Port Laparoscopy for the General Practitioner.”

Co-sponsored by Biovision and presented by the Center for the Advancement of Rigid Endoscopy (C.A.R.E.), this full-day, hands-on wetlab is offered on May 14, 2015 from 8 a.m. to 6 p.m. in Littleton, Colorado.

At C.A.R.E., the focus is on keeping the student-to-instructor ratio purposely low. Drs. Cox and Kuschel feel strongly that by doing so, they give their students the greatest opportunities for hands-on experience and one-on-one instruction.

SEE FOR YOURSELF!

Click any image for a short video

vid-01

Ray Cox, DVM, Center for the Advancement of Rigid Endoscopy (CARE)

Dr. Ray Cox, founder of the Center for the Advancement of Rigid Endoscopy (C.A.R.E.), and Dr. Markee Kuschel discuss the benefits and learning curve of laparoscopy and how C.A.R.E.’s “hands-on” continuing education (CE) differs from others.

vid-02

Dr. Bill Moyle of Lone Tree Veterinary Medical Center

Dr. Bill Moyle — who first learned laparoscopic-assisted procedures at age 70 — and Dr. Lamar Burstein of Lone Tree Veterinary Medical Center (Lone Tree, CO) discuss the benefits of laparoscopy, the learning curve of this modality, and their experience being trained by Dr. Ray Cox and Dr. Markee Kuschel at C.A.R.E.

vid-03

Dr. Mark Motichka of Parker Center Animal Clinic

Dr. Mark Motichka of Parker Center Animal Clinic (Parker, CO) discusses how learning and incorporating laparoscopic-assisted procedures helps his practice deliver on its commitment to provide the best medicine and care to their patients.

Click to register and explore what you’ll have the opportunity to learn from the vets who pioneered single-port laparoscopic techniques and have been using the modality for 20+ years.

Big Changes to Section 179 Deduction for U.S. Practices

From Biovision’s “Views” newsletter, Issue 4 (April/May 2014)

Industry News

First-Year Write-Off of Tangible Property Decreased; Bonus Depreciation Eliminated

Deduction Remains an Important Component of Assessing Affordability and ROI

By Marjorie A. Wallwey, Biovision Veterinary Endoscopy

Benjamin Franklin once said, “…in this world nothing can be said to be certain, except death and taxes.” While the existence of taxes remains certain, the amount of those taxes can change seemingly at random. The Section 179 deduction available to business owners under the United States Internal Revenue Service Code provides a prime example.

General business tax practices call for any fixed asset placed in service to be capitalized and depreciated over a set period of time (typically five to seven years) until its book value is zero. Qualified Section 179 deductions, however, allow the entire cost—with certain stipulations—to be taken immediately in the year the asset is placed in service. Such immediate deductions can be valuable as they free up cash for expansion, growth and self-investment.

In 2013, Section 179 permitted business owners to deduct the entire cost of a range of business property in the first year the property was put into use, up to a limit of $500,000 (although several states imposed their own limits). However, this provision expired at the end of 2013 and reverted to the limits stated in the 1986 tax law when the deduction was first introduced. This means that if Congress doesn’t take action, for 2014 and later years, the total amount that a business can expense via Section 179 will be $25,000. The tax provision for bonus depreciation also expired on Dec. 31, 2013.

It is unlikely that Congress will take action to reinstate the ATRA ’12 limit, increase it beyond $25,000, or reinstate bonus depreciation. So where does that leave U.S. veterinary practices and their capital equipment purchases?

  • First and foremost, seek advice from your tax professional: You know the specifics of your practice better than anyone; your tax professional knows the specifics of your tax situation better than anyone. He or she will be able to provide you with unbiased advice based on your goals and best interests–whether that means purchasing equipment in 2014 or holding off, claiming a full deduction this year or just a partial deduction to preserve deductions against income in future years, etc.
  • Plan capital expenditures wisely, factoring in current and future practice needs, price, return on investment, useful life/depreciation and tax deductibility: If old equipment needs to be replaced to sustain a currently-offered service, the determination is relatively simple. Don’t limit your vision, though. Take time to consider how new equipment or technology could help expand your service lines, add to your skills (even re-igniting your passion for your work), and set your practice apart from the competition for being innovative or offering the highest standard of care. While looming changes in tax law should never be a primary factor driving your capital expenditure decisions, return on investment (ROI) definitely should be. Here’s a basic fill-in chart for making sure your ROI calculation accounts for the Section 179 deduction. For purposes of illustration, we’ve inserted the respective figures for the purchase of a Biovision EndoDiagnostic + Surgical Suite (EDSS) and a Biovision NeedleView Arthro equipment suite.

(click on the images below to view full-size spreadsheets; EDSS is on the top; NeedleView Arthro is on the bottom — NOTE: THESE CALCULATIONS HAVE BEEN UPDATED FOR 2016; SEE HERE FOR EDSS AND HERE FOR NEEDLEVIEW)

Biovision Veterinary Endoscopy EndoDiagnostic + Surgical Suite EDSS ROI CalculationBiovision Veterinary Endoscopy NeedleView Arthro Suite ROI Calculation

  • Finally, if you do buy, time it to take advantage of the current tax law: As long as you start using your newly purchased business equipment before the end of the tax year, you get the entire expensing deduction for that year, whether you started using the equipment in January or December. You’ll want to be sure that potentially-qualifying equipment is both fully paid and put into service before December 31, 2014.

Customer and Prospect Surveys Show High Regard for Biovision

From Biovision’s “Views” newsletter, Issue 4 (April/May 2014)

Biovision Comment

By Marjorie Wallwey, Biovision Veterinary Endoscopy

Earlier this year, Biovision completed its annual survey. We did things a little differently this time, though. We asked customers to indicate their satisfaction with Biovision equipment, sales, and service, just as we normally do. But we also asked them to tell us what factors influence their decision to purchase from Biovision. And for the first time ever, we asked the same things of prospective customers—those we’ve met at industry conferences over the years who’ve expressed an interest in our products but have not yet purchased from us. The results from both groups provided insight, and we’d like to share some of it with you.

Survey Results

Survey Results 2

By far, the majority of respondents said the key factors that convinced them of the value of Biovision equipment were:

  • Seeing the equipment in person at a veterinary conference (92.8%)
  • The ability to perform many procedures without needing a second vet (97.6%)
  • Taking part hands-on in a Biovision-sponsored wetlab or continuing education event (86.3%) – Don’t miss your chance to “take a test drive” at these upcoming events:
    • Ultrasound and Standing Arthroscopy of the Equine Stifle Joint – Advanced Hands-on Diagnostic Course (8 CE Credits) — 8:00 a.m. to 5:00 p.m. — August 23, 2014 – Fort Collins, CO (Colorado State University) — $750
    • Practical Single-Port Laparoscopy for the General Practitioner — 8:00 a.m. to 6 p.m. — November 13, 2014 – Littleton, CO (Center for the Advancement of Rigid Endoscopy) — $895

We are gratified by the results of the survey and are committed to always being worthy of your confidence and your business. We would be happy to address any questions or concerns you may have. Please contact us at 303-225-0960 or .