Enclose® II
In coronary bypass surgery, precision and control are paramount. Enclose® II Proximal Anastomosis Assist Device from Peters Surgical is designed to enhance these aspects, ensuring a seamless and haemostatic process during graft placement.
Enclose® II is a reliable and efficient device that saves time in the operating room. It comes with its accessories, providing a complete solution for performing anastomosis during beating heart procedures.
The use of Enclose® II device allows the surgeon to perform anastomosis using hand suturing techniques without the use of side biting clamps, thus reducing the potential of neurological deficits. Traditional steel jaw partial occlusion clamps increase the potential for acute traumatic injury to the vessel and embolization, thus increasing procedure risk.
Features
Enclose® II device is engineered to facilitate proximal anastomosis:
- Extension Tube: Ensures hemostasis prior to creating the aortotomy
- Switch: Controls the expansion of the lower jaw membrane using the Actuator tool
- Upper Knob: Manages the vertical movement of the upper jaw
- Upper Jaw: Constructed from non-expandable wireform, providing structural stability
- Lower Jaw Membrane: Expandable region designed for secure hemostasis
- Lower Jaw: Provides the foundation for the expandable membrane
- Lower Knob: Allows manual control of the lower jaw membrane expansion
Enclose® II device is used to streamline the process of proximal anastomosis, ensuring a precise and haemostatic seal.
Here is a step-by-step guide to its application:
- Measurements for Graft Placement: Accurate measurements are taken to determine the optimal site for graft placement
- Insertion of Needle: The needle is carefully inserted
- Insertion of Enclose® II Device: The Enclose® II device is then inserted into the surgical site
- Creation of Hemostatic Seal: The device is used to create a hemostatic seal, preventing blood leakage
- Testing the Seal: The seal is tested to ensure complete hemostasis before proceeding
- Incision for Graft (Aortotomy): An incision is made to create the aortotomy for graft insertion
- Initial Anastomosis: The initial anastomosis is completed, often using a half-curve needle to avoid puncturing the membrane
- Positioning for Second Anastomosis: The device is repositioned as needed for subsequent anastomoses
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