VersaStep* is not a sharp cutting trocar Conventional trocars can cut or tear tissue (vascular, With VersaStep*, the initial needle tract is non-vascular, fascial, muscular). Trocars require radially expanded, and tissues are stretched not cut. substantial axial force to penetrate the abdominal This effectively tamponades blood vessels, firmly wall. Axial force is required to thrust a bladed or anchors the cannula in place, enables easy expansion of access ports to larger sizes, and leaves slit- tapered cutting device downward through tissues which may cause one or all of the following: tenting like wounds that are approximately half the size of of abdominal wall tissue, severing of blood those created by comparably sized trocars. vessels, displacement/disruption of the tissue and incisional tissue trauma. VersaStep* is self-anchoring Following insufflation the expandable needle system is inserted, the needle is withdrawn, leaving the expandable sleeve in place. Radial traction helps to prevent cannula displacement. Conventional trocars, especially those used as operating ports, frequently become dislodged. This is particularly true during long procedures, resulting in loss of pneumoperitoneum. Repositioning displaced trocars requires reentry of a sharp trocar and reinsufflation of the abdomen, which is time consuming Radially expanding dilation results in stretching and compression of tissue fixing the VersaStep* cannula securely to the abdominal wall. A tapered blunt dilator is inserted through the sleeve, dilating the tract created by the needle... This self-anchoring feature virtually eliminates the likelihood of port displacement and re-entry of another sharp device. Rarely, if ever, does slippage occur with VersaStep*....leaving a working port securely in place.
Ordering Information All products are shipped sterile. All VersaStep* products are latex-free. REF Product Description Units per Box VersaStep* (100mm working length) S100000 Insufflation/Access Needle, 14 Gauge 10 (Compatible with Step* and VersaStep* Access Systems) VS101000 Radially Expandable Sleeve 6 VS101005 5mm Cannula & Dilator with Radially Expandable Sleeve 3 VS101011 11mm Cannula & Dilator with Radially Expandable Sleeve 3 VS101012 12mm Cannula & Dilator with Radially Expandable Sleeve 3 VS111011 11mm Cannula & Dilator 3 VS111012 12mm Cannula & Dilator 3 VersaStep* Short (70mm working length) S110000 Short Insufflation/Access Needle, 14 Gauge 10 (Compatible with Step* and VersaStep* Access Systems) VS070000 Short Insufflation/Access Needle, 14 Gauge 12 (Compatible with VersaStep* Access System) VS100700 Short Radially Expandable Sleeve 6 VS100705 Short 5mm Cannula & Dilator with Radially Expandable Sleeve 3 VS100711 Short 11mm Cannula & Dilator with Radially Expandable Sleeve 3 VS100712 Short 12mm Cannula & Dilator with Radially Expandable Sleeve 3 VS110711 Short 11mm Cannula & Dilator 3 VS110712 Short 12mm Cannula & Dilator 3 Short Mini Step (70mm working length) MS100703 Short 2/3mm Cannula and Dilator with Radially Expandable Sleeve 10 VersaStep* Long (150mm working length) VS150000 Long Insufflation/Access Needle, 14 Gauge 12 VS101500 Long Radially Expandable Sleeve 6 VS101505 Long 5mm Cannula & Dilator with Radially Expandable Sleeve 3 VS101512 Long 12mm Cannula & Dilator with Radially Expandable Sleeve 3 VS111512 Long 12mm Cannula & Dilator 3 *Trademark of Auto Suture, a division of Tyco Healthcare Group LP. 2002 Tyco Healthcare. All rights reserved. S-VersaStep/GB Tyco Healthcare UK Limited 154 Fareham Road GOSPORT Hampshire PO13 0AS UK Tel: +44 (0) 1329 224114 Fax: +44 (0) 1329 224390 Tyco Healthcare Regional Export 154 Fareham Road GOSPORT Hampshire PO13 0AS UK Tel: +44 (0) 1329 224258 Fax: +44 (0) 1329 224086 Tyco Healthcare Nederland BV Hogeweg 105 5301 LL ZALTBOMMEL The NETHERLANDS Tel: +31 418 57 66 00 Fax: +31 418 57 67 93 TycoHealthNed@TycoHealth.com www.tycohealthcare.nl Tyco Healthcare (Israel) Ltd. 5, Shacham Street Cesarea North Industrial Park PO Box 3069 CESAREA 38900 ISRAEL Tel: +972 6 6277388 Fax: +972 6 6277688 Tyco Healthcare Birchwood Court Montrose Road P.O. Box 8108 Halfway House 1685 MIDRAND SOUTH AFRICA Tel: +27 (0) 11 265 2000 Fax: +27 (0) 11 265 2050 Tyco Healthcare Norden AB Gårdsvãgen 18 SE-169 67 SOLNA SWEDEN Tel: +46 (0) 8 585 605 05 Fax: +46 (0) 8 585 605 06 www.tycohealthcare.com Tyco Healthcare Belgium N.V.-S.A. Generaal de Wittelaan 9/5 B-2800 MECHELEN BELGIUM Auto Suture Surgical instruments Lusinovkay str., 36 115093 MOSCOW Tel: +32 (0) 15 29 44 50 RUSSIA Fax: +32 (0) 15 29 44 55 tycohealthcare.belgium@tycohealth.com 10/2002
VersaStep* System The Next Generation for Surgical Access Pioneers in Surgical Innovation...
2.1mm VersaStep* Needle/Sleeve 9.3mm Dilating Tip Trocar 12mm 11.4mm VersaStep* has reduced significant complications that can occur in laparoscopic surgery Multiple studies have substantiated that the following improved outcomes have been obtained using the VersaStep* System when compared to conventional cutting trocars: Decreased incidence of major vascular injury 1 Decreased incidence of bowel/bladder injury 2 Decreased incidence of abdominal wall bleeding 3 Decreased incidence of post operative incisional hernia 4 In addition: A substantial number of patients report less pain when VersaStep* entry ports are used 5 VersaStep* is self-anchoring and may reduce the need for fascial closure 6 The use of VersaStep* may reduce procedure time 7 VersaStep* needle/sleeve insertion reduces entry profile Optical Trocar 12mm 12.2mm VersaStep* uses a proprietary radially expanding sleeve with needle to initiate the port entry. Conventional trocars, on the other hand, rely upon a metal or plastic cutting tip to penetrate the abdominal wall. The cutting profile of a conventional trocar can be as large as 12.2mm depending on the size of the port required. With VersaStep*, regardless of the port size, entry is accomplished by dilating a tract established by a needle/sleeve assembly with a cross sectional profile of 2.1mm. Conventional Trocar 1 Rothenburg, Decou, Downey, Lelli, Raschbaum; IPEG Meeting, 1999. 2 & 3 Galen, Jacobsen, Weckstein, Kaplan, DeNevi; JAAGL (6) 1: 79-84, 1999. 4 & 6 Bhoyrul, Mori, Way; Surg Endosc 10:795-798, 1996. 5 Yen, Yim; JAAGL (5) 3, 559, 1998. 7 Turner; ESGE Meeting, 1999.
VersaSeal* Universal Seal minimizes the potential of tears and leakage The VersaSeal* universal seal provides hands-free exchange of instruments ranging from 4.5mm to 12mm without external converters. The blue seal is extremely durable minimising the potential of tears or leakage during instrument insertion or manipulation.
VersaStep* gridiron incisions leave smaller residual defects Radial dilation separates and stretches the tissue and muscle layers along natural anatomic planes making smaller, slit-like wounds. When the VersaStep* cannula is removed, the defects in each layer contract leaving a series of non-overlapping slits that resemble a gridiron incision. The width of the residual VersaStep* defect is approximately one half the size of the stellate wound left behind by conventional trocars. Based on their own clinical experience, surgeons have chosen not to routinely close fascial wounds from 10mm and 12mm VersaStep* port sites. A 4.7mm slit-like defect is left after removing a 10mm VersaStep* device. A 10mm stellate wound is left after removing a conventional trocar.