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Dr. James Franklin Daniell

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    www.sec.gov/Archives/edgar/data/1217275/0001209191-08-0 - [Cached Version]
    Published on: 6/3/2008    Last Visited: 6/4/2008  

    0001217275 DANIELL JAMES 132 BRIGHTON CLOSE NASHVILLE TN 37205 1 0 0 0

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    www.sec.gov/Archives/edgar/data/1095565/0000950144-07-0 - [Cached Version]
    Published on: 4/30/2007    Last Visited: 5/1/2007  

    (1) To elect James F. Daniell, Thompson S. Dent, Dale Polley, and William W. Stead for election as
    ...
    James F. Daniell, Thompson S. Dent, Dale Polley, and William W. Stead, and Gerard M. Hayden,

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    AHN.COM To Host First Live Laparoscopic Hysterectomy... - [Cached Version]
    Published on: 11/30/2000    Last Visited: 3/15/2001  

    The surgery will be performed by James Daniell , MD , FACOG and Ted L. Anderson , MD , Ph.D. , at Centennial Medical Center in Nashville , Tennessee.
    ...
    Dr. Daniell is the former president of the International Society for Gynecologic Endoscopy.The patient , 35 year old Jami , was diagnosed nine years ago with endometriosis , the growth of the inner lining of the uterus outside of its normal location.

    Laparoscopic Hysterectomy is a high-tech procedure developed to simplify what is the second-most performed operation in America , said Dr. Daniell.The advantages of laparoscopic hysterectomy over a traditional hysterectomy are : fewer complications , reduced postoperative pain , better cosmetic results , shorter hospital stays , quicker return to work and reduced costs to consumers and providers..

    The one and one-half hour surgery will be available to both consumers and professionals through streaming video on AHN.COM.Also on the site will be an ongoing live chat with physicians , a detailed explanation of the procedure and more information.

    Hysterectomy is the most common non-pregnancy related operation performed on women and the second most performed surgery in the U.S. Every year , well over half a million women in the United States have a hysterectomy , according to the National Center for Health Statistics.

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    About MEA - [Cached Version]
    Published on: 9/3/2000    Last Visited: 1/6/2002  

    Hosted by Dr. Jim Daniell, past President of ISGE, the speakers including Prof. Togas Tulandi from Canada who performs the technique, Dr. Nick Sharp from Bath, UK who performed the first clinical cases and Dr. David Parkin from Aberdeen, Scotland who has performed the randomised trials in the procedure, along with other UK gynaecologists Dr. Peter O'Donovan and Dr. Ellis Downes.
    ...
    Dr.Tulandi: Thank you Jim.
    ...
    Dr. Daniell: So, we have a chance here today to inform the people who log on to OBGYN.net about the new microwave technology by Microsulis.I think, as a non-user, who personally has had no experience with the new technique I am interested to hear what you have to say.
    ...
    Dr. Sharp: Ok, well, thanks very much Jim.
    ...
    Dr. Daniell - Now, Microsulis has supported, I think, proper investigative studies in England.Could you introduce some of your co-investigators and let's hear about some of their early research.I know you can't give us hard facts because the publications are still in press but you could give us some information about what's been done in the control studies investigating microwave technology for Endometrial Thermal Ablation.

    ...
    Dr. Daniell: People are criticizing this, I mean, your competitors are criticizing this, but I see this as a safe device.This is large enough that it is going to be difficult to perforate with this and the treatment consist of withdrawing it while you're monitoring the actual temperature at the tissue level and so it becomes very difficult to perforate.The only skill necessary is to sound the uterus and to be able to move back and forth as you draw back.And again, this is going to be a very brief treatment therefore women can tolerate this with local or light sedation.I certainly think that women in the United States will really like this technique.I just can't wait until Microsulis brings this to the United States.
    ...
    Dr. Daniell: That's true, in the states, the only commercial available product for Thermal Ablation costs over $600.This becomes very expensive and I think the opportunity to have a system that is reusable - because the number one criteria in medicine, is safety first, but then cost effective.And I predict that this will replace the use of the balloon.The other problem with our experience with the balloon therapy has been that the amenorrhagia rate is very low - less than 15%.What do you predict will be the 3-year amenorrhagia rate for microwave technology - what sort of a consensus from your expertise?

    ...
    Dr. Daniell: Another concern with the balloon techniques has been - what appears to be the high rate of adenomyosis that has either been misdiagnosed or which you are actually inducing because you're getting just a superficial coagulation and causing more glands and stroma to actually be active and invade.
    ...
    Dr. Daniell: How about your longer, much longer follow-ups?

    ...
    Dr. Daniell: So here we have it.We have the world's first company, Microsulis, which is producing a reusable system, for Endometrial Ablation that is going to have a very low rate of uterine perforation, because you're withdrawing this device.It's going to potentially penetrate deep enough to destroy the Endometrium and the superficial myometrium.This should theoretically, in my opinion, as a non-experienced user, reduce the long-term failure rate related to dysmenorrhea and undiagnosed or induced adenomyosis.
    ...
    Dr. Daniell: Well, thanks to OBGYN.net for allowing us to gather these experts today and for Microsulis for letting us bring these researchers together while they're here very busy at the ISGE meeting in Montreal.

    Home | Hospitals | Doctors | About MEA

    © Microsulis PLC 2000

    Website by Web Solutions

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    About MEA - [Cached Version]
    Published on: 7/9/2001    Last Visited: 3/4/2002  

    Hosted by Dr. Jim Daniell, past President of ISGE, the speakers including Prof. Togas Tulandi from Canada who performs the technique, Dr. Nick Sharp from Bath, UK who performed the first clinical cases and Dr. David Parkin from Aberdeen, Scotland who has performed the randomised trials in the procedure, along with other UK gynaecologists Dr. Peter O'Donovan and Dr. Ellis Downes.
    ...
    Dr.Tulandi: Thank you Jim.
    ...
    Dr. Daniell: So, we have a chance here today to inform the people who log on to OBGYN.net about the new microwave technology by Microsulis.I think, as a non-user, who personally has had no experience with the new technique I am interested to hear what you have to say.
    ...
    Dr. Sharp: Ok, well, thanks very much Jim.
    ...
    Dr. Daniell - Now, Microsulis has supported, I think, proper investigative studies in England.Could you introduce some of your co-investigators and let's hear about some of their early research.I know you can't give us hard facts because the publications are still in press but you could give us some information about what's been done in the control studies investigating microwave technology for Endometrial Thermal Ablation.

    ...
    Dr. Daniell: People are criticizing this, I mean, your competitors are criticizing this, but I see this as a safe device.This is large enough that it is going to be difficult to perforate with this and the treatment consist of withdrawing it while you're monitoring the actual temperature at the tissue level and so it becomes very difficult to perforate.The only skill necessary is to sound the uterus and to be able to move back and forth as you draw back.And again, this is going to be a very brief treatment therefore women can tolerate this with local or light sedation.I certainly think that women in the United States will really like this technique.I just can't wait until Microsulis brings this to the United States.
    ...
    Dr. Daniell: That's true, in the states, the only commercial available product for Thermal Ablation costs over $600.This becomes very expensive and I think the opportunity to have a system that is reusable - because the number one criteria in medicine, is safety first, but then cost effective.And I predict that this will replace the use of the balloon.The other problem with our experience with the balloon therapy has been that the amenorrhagia rate is very low - less than 15%.What do you predict will be the 3-year amenorrhagia rate for microwave technology - what sort of a consensus from your expertise?

    ...
    Dr. Daniell: Another concern with the balloon techniques has been - what appears to be the high rate of adenomyosis that has either been misdiagnosed or which you are actually inducing because you're getting just a superficial coagulation and causing more glands and stroma to actually be active and invade.
    ...
    Dr. Daniell: How about your longer, much longer follow-ups?

    ...
    Dr. Daniell: So here we have it.We have the world's first company, Microsulis, which is producing a reusable system, for Endometrial Ablation that is going to have a very low rate of uterine perforation, because you're withdrawing this device.It's going to potentially penetrate deep enough to destroy the Endometrium and the superficial myometrium.This should theoretically, in my opinion, as a non-experienced user, reduce the long-term failure rate related to dysmenorrhea and undiagnosed or induced adenomyosis.
    ...
    Dr. Daniell: Well, thanks to OBGYN.net for allowing us to gather these experts today and for Microsulis for letting us bring these researchers together while they're here very busy at the ISGE meeting in Montreal.

    Home | Hospitals | Doctors | About MEA

    © Microsulis 2002

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    Electrocautery - [Cached Version]
    Published on: 2/1/2002    Last Visited: 2/16/2006  

    Damage of this type can be circumvented by the incorporation of active end point electrode monitoring for laparoscopic instruments, says James F. Daniell, MD. In a letter to the editor of the newsletter for the International Society for Gynecologic Endoscopy, Daniell notes that laparoscopic active electrode end point monitoring has been available in North America for more than five years -- in 1999 -- but that despite this, it is seldom used in laparoscopy.

    Daniell makes several recommendations for electrosurgery:

  • View Online Source
    Issues in Electrosurgery - July 2001 - [Cached Version]
    Published on: 10/25/2001    Last Visited: 10/25/2001  

    Adds James Daniell , MD , clinical professor of gynecology at Vanderbilt University , Nashville , Tenn. , Electrosurgery is a wonderful tool that is very safe nowadays , but it's still nothing to trifle with.Many doctors take a very cavalier attitude about electrosurgery.They think that because they've never had a problem , they never will.They don't seem to recognize that if lightning should strike , it's too late.That's why I think that safety concerns can't be emphasized enough..

    Manufacturers have developed some features that make new electrosurgery devices unquestionably safer and more effective than older models ; using return electrode monitoring grounding pads and smoke evacuation , for example , is akin to wearing a seatbelt when driving ( see sidebar ).
    ...
    The primary reason , say Drs. Pfenninger and Daniell , is cost.
    ...
    Adds Dr. Daniell , Lasers haven't made much of a comeback in most practices , including gynecology.I doubt they ever will , either.In the US , it's just too expensive to use the laser..

    Three fields in which laser surgery has become equally-and often more- widely-favored than electrosurgery are ophthalmology , dermatology , and plastics.

    ...
    Says Dr. Daniell , If you do it right , re-usables are easily more cost-effective.The problem is that most facilities , especially hospitals , end up outsourcing the routine maintenance of electrosurgical instruments , which runs up the cost..In addition to having an internal system for the care of the instruments , the staff must be well-trained and vigilant in inspecting the instruments and accessories.

    ...
    Says Dr. Daniell , These pads were a major breakthrough in the safe use of electrosurgery.They virtually eliminate the possibility of electrode burns at the site where the energy grounding plate is placed on the patient..

    ...
    An isolated generator won't function if the electricity doesn't recycle properly , notes Dr. Daniell.

    Active electrode monitoring.Not all electrosurgery units have active electrode monitoring , a feature that helps warn surgeons of defective insulation and prevents capacitive coupling.Systems with AEM continuously monitor the electrical circuit and automatically shut down and sound an alarm if electricity escapes or reaches dangerous levels.Dr. Daniell is a major proponent of AEM technology , which he believes will eventually become standard for endoscopic procedures.

  • View Online Source
    Issues in Electrosurgery - July 2001 - [Cached Version]
    Published on: 7/1/2001    Last Visited: 7/24/2003  

    Adds James Daniell, MD, clinical professor of gynecology at Vanderbilt University, Nashville, Tenn., "Electrosurgery is a wonderful tool that is very safe nowadays, but it's still nothing to trifle with.
    ...
    The primary reason, say Drs. Pfenninger and Daniell, is cost.
    ...
    Adds Dr. Daniell, "Lasers haven't made much of a comeback in most practices, including gynecology.
    ...
    Says Dr. Daniell, "If you do it right, re-usables are easily more cost-effective.
    ...
    Says Dr. Daniell, "These pads were a major breakthrough in the safe use of electrosurgery.
    ...
    An isolated generator won't function if the electricity doesn't recycle properly, notes Dr. Daniell.

    Active electrode monitoring (AEM).Not all electrosurgery units have active electrode monitoring, a feature that helps warn surgeons of defective insulation and prevents capacitive coupling.Systems with AEM continuously monitor the electrical circuit and automatically shut down and sound an alarm if electricity escapes or reaches dangerous levels.Dr. Daniell is a major proponent of AEM technology, which he believes will eventually become standard for endoscopic procedures.

  • View Online Source
    Issues in Electrosurgery - July 2001 - [Cached Version]
    Published on: 7/1/2001    Last Visited: 3/28/2003  

    Adds James Daniell, MD, clinical professor of gynecology at Vanderbilt University, Nashville, Tenn., "Electrosurgery is a wonderful tool that is very safe nowadays, but it's still nothing to trifle with.Many doctors take a very cavalier attitude about electrosurgery.They think that because they've never had a problem, they never will.They don't seem to recognize that if lightning should strike, it's too late.That's why I think that safety concerns can't be emphasized enough."

    Manufacturers have developed some features that make new electrosurgery devices unquestionably safer and more effective than older models; using return electrode monitoring grounding pads and smoke evacuation, for example, is akin to wearing a seatbelt when driving (see sidebar).
    ...
    The primary reason, say Drs. Pfenninger and Daniell, is cost.
    ...
    Adds Dr. Daniell, "Lasers haven't made much of a comeback in most practices, including gynecology.I doubt they ever will, either.In the US, it's just too expensive to use the laser."

    Three fields in which laser surgery has become equally-and often more- widely-favored than electrosurgery are ophthalmology, dermatology, and plastics.

    ...
    Says Dr. Daniell, "If you do it right, re-usables are easily more cost-effective.The problem is that most facilities, especially hospitals, end up outsourcing the routine maintenance of electrosurgical instruments, which runs up the cost."In addition to having an internal system for the care of the instruments, the staff must be well-trained and vigilant in inspecting the instruments and accessories.

    ...
    Says Dr. Daniell, "These pads were a major breakthrough in the safe use of electrosurgery.They virtually eliminate the possibility of electrode burns at the site where the energy grounding plate is placed on the patient."

    ...
    An isolated generator won't function if the electricity doesn't recycle properly, notes Dr. Daniell.

    Active electrode monitoring (AEM).Not all electrosurgery units have active electrode monitoring, a feature that helps warn surgeons of defective insulation and prevents capacitive coupling.Systems with AEM continuously monitor the electrical circuit and automatically shut down and sound an alarm if electricity escapes or reaches dangerous levels.Dr. Daniell is a major proponent of AEM technology, which he believes will eventually become standard for endoscopic procedures.

  • View Online Source
    News from Africa - [Cached Version]
    Published on: 2/13/2001    Last Visited: 2/13/2001  

    A very successful 1995 workshop has just been completed at the University of Stellenbosch with our president Jim Daniell, the editor of Endoscopic Surgery, Ray Garry, Charles Koh, Grace Janek and T. Vancaillie as faculty members.
    ...
    Jim Daniell (President of ISGE) visited Sun City personally to inspect the venue and facilities.His reaction was very positive and he assured me he is looking forward to a most exciting meeting in Sun City in 1998.Sun City can be described as South Africa's kindgom of pleasure.It lies about 100 miles northwest of Johannesburg in a sun-drenched mountainous crater.It glitters under the African sun like no other resort complex in the world.

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