| Pressure-Controlled Combined Pump | Regulates irrigation inflow to maintain a selected joint pressure; outflow is managed through a controlled suction or drainage pathway. | Common arthroscopic procedures where maintaining joint distension and visualization is important, including knee and shoulder arthroscopy. | Helps maintain a consistent operative space as fluid escapes or instruments are used. | Pressure settings should be selected by the clinical team for the procedure and patient. Excessive pressure or fluid extravasation can create risks. |
| Flow-Controlled Combined Pump | Controls or adjusts irrigation flow while providing a separate route for fluid evacuation; some systems also monitor pressure. | Procedures in which irrigation turnover and removal of fluid or debris need to be adjusted during the operation. | Allows the team to adjust fluid delivery and outflow to support visualization and manage fluid exchange. | Flow rate alone does not indicate joint pressure. Actual pressure depends on factors such as the outflow pathway, cannula, and tissue leakage. |
| Pressure-and-Flow-Regulated Pump | Uses pressure feedback to regulate inflow and provides adjustable outflow control, coordinating fluid delivery with evacuation. | Arthroscopy requiring responsive fluid management as instruments, suction, or outflow conditions change. | Combines pressure maintenance with adjustable fluid exchange, which can help the team respond to changing operative conditions. | Performance depends on correct setup, compatible tubing and instruments, and appropriate settings; monitoring by the surgical team remains essential. |
| Integrated Suction and Irrigation Pump | Combines powered irrigation inflow with a built-in or connected suction function for active outflow and fluid removal. | Procedures where active evacuation of fluid and debris is needed alongside continuous irrigation. | Can simplify fluid management by bringing irrigation and suction functions into one system. | Suction may affect joint distension and fluid balance. The team should coordinate suction use with irrigation and monitor the operative field. |
| Procedure-Specific Combined Pump | Uses combined inflow and outflow controls configured for a particular procedure or joint, with settings and connections selected for that use. | Joint-specific arthroscopy, such as procedures that require different fluid-management workflows or instrument connections. | May offer controls and connections suited to the intended procedure and operating-room workflow. | Configuration and compatible accessories vary by system. Follow the device instructions and the facility’s clinical protocols. |