According to an article in this month's Outpatient Surgery Magazine, many doctors are resisting hospital efforts to convert to safety scalpels.  According to Ron Stoker, "There are a number of entrenched objections [to using safety scalpels]. Some argue that safety scalpels feel too light, don't fit in their hands well and feel clumsy to use. Others note that their retractable shields and other safety mechanisms obstruct the view of the blade and make them unsuitable for deeper incisions. While safety scalpel design has advanced beyond the early, box-cutter-like models, for many physicians there's no substitute for conventional blades."

"Another frequent objection is the fact that safety scalpels are active devices, meaning that a clinician has to consciously activate the products' safety features. Unlike the passive blood collection devices, whose spring-loaded mechanisms simply require needle insertion to automatically activate the retracting feature, safety scalpels require the proactive retracting or shielding of the blade between uses. This adds steps to a surgical procedure, and some surgeons even fear injuries may accidentally occur while the steps are taken."

The article also quoted a study of scalpel blade injuries which "In essence, they compared safety scalpels to scalpel safety. The use of a neutral zone or passing tray in tandem with a scalpel blade remover, they found, compared favorably to the use of safety-engineered scalpels in that both strategies had the potential to prevent a large number of the injuries.2 Further, their study suggested, the more passive transfer and removal safety methods represented more effective interventions than safety scalpels' required user activations."

Scalpel Blade removal solutions from Qlicksmart were profiled as a safer and often preferred alternative converting to safety scalpels.

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