The Global Pulse Lavage Systems Market is expected to grow at a CAGR of 8.0% from 2018 to reach $327.8 million by 2024. Pulse lavage is required in the treatment of orthopedic disorders and injuries to clean wounds, which will expedite wound healing by initiating tissue granulation and re-epithelialization. Owing to the rapid increase in geriatric population and growing volume of orthopedic procedures, pulse lavage market has witnessed a steady growth. Further, significant opportunities from emerging economies have helped to improve the adoption of pulse lavage.

Pulsed lavage, or pulsatile jet lavage, is a type of mechanical hydrotherapy that involves pressurized, pulsed solution to irrigate and debride wounds of necrotic tissue. Suction is also used with pulsed lavage to remove both wound debris and irrigation solution to improve growth of granulation tissue without disrupting the underlying normal tissues. In addition, negative pressure created by the suction stimulate granulation and helps in speedy recovery of the wound.
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Pulse lavage prevents microembolization of the marrow contents and minimizes circulatory changes while inserting the prosthesis, reducing the risk of fat embolism. Also, according to recent investigations, it is concluded that pulse lavaging increases the cement strength by removing aseptic loosening of tibial components and removal of blood and debris from bone cavity. In orthopedic procedures, in order to achieve a good cement fixation and penetration into the cancellous bone, the pulse lavage system offers various benefits compared to syringes while removing blood and debris. According to a recent research published in Orthopedic Proceedings, it is suggested that bone-cement interlocking is better when the cut surfaces of the bone are prepared using pulsed lavage with saline prior to application of cement and the prostheses during total knee joint arthroplasty.
In the recent years, the growing aging population coupled with rising prevalence of bone disorders have made the use of pulse lavage systems a modern approach for cleaning of bone beds in bone cementing techniques during knee and hip replacement procedures. The population aged 80 years or above is projected to increase threefold between 2017 and 2050, rising from 137 million to 425 million. Owing to this, the orthopedic disorders and associated volume of surgical procedures is on rise across the globe. For instance, according to Australian Orthopaedic Association National Joint Replacement Registry (AOANJRR), in Australia, in 2016, 98,660 hip replacements and 592,577 knee replacements were performed compared to 410,767 hip replacements and 480,440 knee replacements procedures in 2014. Further, according to Canadian Joint Replacement Registry, in 2014–2015, 51,272 hip replacement procedures were performed in Canada, with 20% increase compared to 42,713 in 2010-2011.
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Key players offer various designs of pulse lavage devices for orthopedic and other applications. For instance, Zimmer Biomet Holdings, Inc. (U.S.) provides pulsavac plus wound debridement system with high capacity single stream tip with splash shield suitable for total knee replacement. Similarly, Simpulse SOLO by C.R. Bard, Inc. (U.S.) provides controlled powered irrigation during open orthopaedic, general surgical procedures, and cleansing of burns or wounds. BioJet pulse lavage systems by Atlantis Surgical (Ireland) is ergonomically designed with low noise and lightweight design to cater all orthopedic and trauma applications. Also, MicroAire Surgical Instruments, LLC (U.S.) offers light weight systems having battery pack outside the system to ease instrument handling.

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