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Carter-Thomason CloseSure System

The Carter-Thomason CloseSure system enables surgeons to close trocar sites efficiently and reliably. The system comprises of two precisely engineered components: A Pilot Guide and a Carter-Thomason suture passer.

The easy-to–use, cone-shaped, patented Pilot Guide is long enough to correctly angle the suture passer and assure full-thickness closure including fascia and peritoneum (preventing Richter’s Hernias), while maintaining pneumoperitoneum.

The Carter-Thomason suture passer has a hinged jaw to load and pick up a suture, and a sharp needle that glides through tissue for easily duplicated, secure sutures.

 

The Carter-Thomason CloseSure System XL for Bariatric Port-Site Closures

There is a high incidence of incisional hernias and recurrence of hernias following surgical procedures in the obese population¹. The Carter-Thomason CloseSure System XL is designed specifically for minimally invasive surgery for morbidly obese and bariatric patients. The XL version has the same benefits of the base system, plus additional features such as elongated instruments for quick and predictable full-fascial closure in heavier patients, preventing port-site herniation for this high-risk group. It also provides two more suture holes on the 15 mm Pilot Guide.

Proven Results

In a prospective, randomised study of patients undergoing transperitoneal laparoscopic procedures, patents were randomised to one of eight different port-site closure techniques including the Carter-Thomason CloseSure System, hand suturing, and six other closure devices. Compared with other port-site closure techniques, the Carter-Thomason CloseSure System was faster, and produced fewer port-closure related complications.²


Applications

In addition to closing port sites for average to obese patients the Carter-Thomason CloseSure System is well suited for the following surgical applications.

  • Ligate abdominal wall bleeders
  • Tack hernia mesh
  • Repair ventral hernias
  • Temporarily reposition anatomic structures

 

For further information about the Carter-Thomason CloseSure system or to arrange a visit by one of our product specialists, please contact us here.


Reference Material

References

1.    Bonatti H, Hoeller E, Kirchmayr W, Muhlmann G, Zitt M,Aigner F, Weiss H, Klaus A. Ventral Hernia Repair in Bariatric Surgery. Obesity Surgery 2004; 14:655-658
2.    Omar M. Elashry, MD, Stephen Y. Nakada, MD, J. Stuart Wolf, Jr, MD, R. Sherburne Figenshau, MD, Elspeth M. McDougall, MD, and Ralph Clayman, MD. FACS J AMCol/Surg. 1996; 183:335-355