Surgical Endoscopy

, Volume 32, Issue 6, pp 2583–2602 | Cite as

The SAGES Fundamental Use of Surgical Energy program (FUSE): history, development, and purpose

  • P. Fuchshuber
  • S. Schwaitzberg
  • D. Jones
  • S. B. Jones
  • L. Feldman
  • M. Munro
  • T. Robinson
  • G. Purcell-Jackson
  • D. Mikami
  • A. Madani
  • M. Brunt
  • B. Dunkin
  • C. Gugliemi
  • L. Groah
  • R. Lim
  • J. Mischna
  • C. R. Voyles



Adverse events due to energy device use in surgical operating rooms are a daily occurrence. These occur at a rate of approximately 1–2 per 1000 operations. Hundreds of operating room fires occur each year in the United States, some causing severe injury and even mortality. The Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) therefore created the first comprehensive educational curriculum on the safe use of surgical energy devices, called Fundamental Use of Surgical Energy (FUSE). This paper describes the history, development, and purpose of this important training program for all members of the operating room team.


The databases of SAGES and the FUSE committee as well as personal photographs and documents of members of the FUSE task force were used to establish a brief history of the FUSE program from its inception to its current status.


The authors were able to detail all aspects of the history, development, and national as well as global implementation of the third SAGES Fundamentals Program FUSE.


The written documentation of the making of FUSE is an important contribution to the history and mission of SAGES and allows the reader to understand the idea, concept, realization, and implementation of the only free online educational tool for physicians on energy devices available today. FUSE is the culmination of the SAGES efforts to recognize gaps in patient safety and develop state-of-the-art educational programs to address those gaps. It is the goal of the FUSE task force to ensure that general FUSE implementation becomes multinational, involving as many countries as possible.


Energy device Electrosurgery Operating room Surgical education Patient safety Curriculum 



The authors acknowledge Dr. Marc Allen Rozner, PhD, MD (1952–2017), who was a significant contributor and leader to the FUSE program before his death in January 2017. He will be remembered as a brilliant innovator in translating complex electrophysiological processes into easily understood concepts for the practicing health care provider.


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Copyright information

© Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) 2017

Authors and Affiliations

  • P. Fuchshuber
    • 1
  • S. Schwaitzberg
    • 2
  • D. Jones
    • 3
    • 4
    • 5
    • 6
  • S. B. Jones
    • 7
    • 8
  • L. Feldman
    • 9
  • M. Munro
    • 10
  • T. Robinson
    • 11
  • G. Purcell-Jackson
    • 12
  • D. Mikami
    • 13
  • A. Madani
    • 14
  • M. Brunt
    • 15
  • B. Dunkin
    • 16
  • C. Gugliemi
    • 17
  • L. Groah
    • 18
  • R. Lim
    • 19
  • J. Mischna
    • 20
  • C. R. Voyles
    • 21
  1. 1.Department of Surgery, Kaiser Walnut Creek Medical CenterThe Permanente Medical Group, Inc.Walnut CreekUSA
  2. 2.Department of Surgery, Jacobs School of Medicine and Biomedical SciencesThe State University of New York, Buffalo General HospitalBuffaloUSA
  3. 3.Harvard Medical SchoolBostonUSA
  4. 4.Office of Technology and InnovationBostonUSA
  5. 5.Division of Minimally Invasive Surgical ServicesBostonUSA
  6. 6.Beth Israel Deaconess Medical CenterBostonUSA
  7. 7.Department of AnesthesiologyHarvard Medical SchoolBostonUSA
  8. 8.Department of Anesthesia/Crit Care/PainBIDMCBostonUSA
  9. 9.Department of SurgeryMcGill University Health CentreMontrealCanada
  10. 10.Department of Obstetrics & GynecologyDavid Geffen School of Medicine at UCLA and Kaiser Permanenete Los Angeles Medical CenterLos AngelesUSA
  11. 11.Rocky Mountain VA Medical CenterUniversity of ColoradoAuroraUSA
  12. 12.Vanderbilt University Medical CenterNashvilleUSA
  13. 13.John A. Burn School of MedicineUniversity of HawaiiHonoluluUSA
  14. 14.Department of SurgeryMcGill UniversityMontrealCanada
  15. 15.Washington University School of MedicineSt. LouisUSA
  16. 16.Houston Methodist Institute for Technology, Innovation & Education, Institute for Academic MedicineHouston Methodist, Weill Cornell Medical CollegeHoustonUSA
  17. 17.Beth Israel Deaconess Medical CenterBostonUSA
  18. 18.AORNDenverUSA
  19. 19.Uniformed Services University of Health Sciences, Tripler Army Medical CenterHonoluluUSA
  20. 20.Fundamentals Department SAGESLos AngelesUSA
  21. 21.JacksonUSA

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