LAPAROSCOPIC SURGERY

Uniquely suited for speed and security in robotic wound closure

  • Stronger, more water-tight closures3
  • Reduced tissue 'recoil' during suturing5
  • Elimination of knot-tying

Laparoscopic Surgery

Significantly Superior Performance in Security and Speed

In an in-vitro study performed with the daVinci Surgical system comparing standard Monocryl™ sutures with the Quill™ device

Failure Rates (Complete Disruption) of Monocryl™ vs Quill™ device Before and After Cutting

  • The Quill™ device was rated equally secure - and maintained its hold even when every fourth suture was cut, a test that caused the complete disruption of the standard suture

*Some parting of edge, but repair holds

 

Significantly Faster Urethrovesical Anastomoses

  • The Quill™ device was significantly faster—enabling the surgeon to spend approximately 10% less time performing urethrovesical anastomoses compared with the Monocryl™ suture (P<0.05)

Demonstrated Advantages in Forming Urethrovesical Anastomosis in RARP Procedures with The Quill Device

  • Continuous tension reduces the risk of bladder “recoil” when preparing for urethrovesical anastomosis
  • Watertight seals with fewer gaps and more consistent tension and hold around the closure
  • Useful in bladder/posterior repair during RARP (robot assisted radical prostatectomy) and in robot assisted radical cystectomy

In Robotic Urologic and Gynecologic Procedures

  • Eliminates the need to tie knots, which can be time-consuming in robotic procedures
  • Avoids the problem of "broken knots" that can occur due to the lack of hapatic feedback
  • Maintains third-arm tension - potentially expanding field of vision

Published Papers in Laparoscopic Surgery

Over 3,200 patients have been studied in >80 clinical studies in orthopedic, plastic, gynecologic & urologic surgery with the Quill™ device. Published papers in the field of laparoscopic surgery can be found below.

Urologic surgery

Bidirectional-barbed sutured knotless running anastomosis v classic Van Velthoven suturing in a model system. Moran ME, Marsh C, Perrotti M.?J Endourol. 2007;21:1175-1178.

Knotless Closure of the Collecting System and Renal Parenchyma with a Novel Barbed Suture during Laparoscopic Porcine Partial Nephrectomy. Shikanov S, Wille M, Large, M, Lifshitz DA, Zorn KC, Shalhav AL, Eggener, SE. Journal of Endourology. 2009: 23(7):1157-60.

Use of a Bidirectional Barbed Suture and Early Clamp Removal in Laparoscopic Partial Nephrectomy. Metcalf M, Langille G, Rendon R. Canadian Urological Association meeting abstract. June 29, 2010 vol 4, supp 1.

Biomechanical Proof of Barbed Sutures for the Efficacy of Laparoscopic Pyeloplasty.Amend B, Muller, O, Bedke J, Leichtle U, Nagele U, Kruk S, Stenzl A, Sievert K. Journal of Endourology. 2011. vol 25.

Gynecologic surgery

The use of barbed sutures in obstetrics and gynecology. Greenberg JA.Rev Obstet Gynecol. 2010;3:82-91.

Use of bidirectional barbed suture in laparoscopic myomectomy: evaluation of perioperative outcomes,safety, and efficacy.Einarsson JI, Chavan NR, Suzuki Y, Jonsdottir G, Vellinga TT, Greenberg JA. J Minim Invasive Gynecol. 2011;18:92-95.

Single-incision laparoscopic myomectomy. Einarsson JI. J Minim Invasive Gynecol. 2010;17:371-373.

Laparoscopic myomectomy: 8 pearls. Einarsson JI.OBG Management. 2010;22.

Decreased incidence of vaginal cuff dehiscence after laparoscopic closure with bi-directional barbed suture. Siedhoff MT, Yunker AC, Steege JF.J Minim Invasive Gynecol. 2010;17(suppl):S24.

Use of a bidirectional barbed suture in robot-assisted sacrocolpopexy. Ghomi A, Askari R. J Robotic Surg. doi:10.1007/s11701-010-0188-9.