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    • Peters Surgical, a pioneer in surgical equipment manufacturing, offers cutting-edge solutions for coronary bypass procedures with their Titanium Hemostatic Clips: SLS-CLIP VITALITEC® and CLIP 9 VITALITEC®. These clips, along with the versatile VITALITEC® appliers, ensure precise and reliable hemostasis, crucial for successful surgical outcomes. This article provides an in-depth look at the features of these products and their application in coronary bypass procedures, specifically focusing on the mammary artery and saphenous vein.

     

    I.  Titanium Hemostatic Clips: SLS-CLIP VITALITEC® & CLIP 9 VITALITEC®

    Peters Surgical’s titanium hemostatic clips are designed to provide performance in cardiovascular surgeries. Key features include:

    • No shape memory: Ensures stable hemostatic sealing.
    • Chevron shape: Coupled with crossed striation on the clip-to-tissue contact surface for stability.
    • Diamond shape internal striation of the clips: ensuring multidirectional grip of vessels and tissues
    • Triangular shape of the clip: to fit the grooves of the appliers, allowing accurate positioning in jaws of the appliers
    • Six Sizes: Including one exclusive size to meet diverse surgical needs.

    II. Vitalitec® Appliers for Open and Laparoscopic Surgeries

    Peters Surgical also provides a range of Vitalitec® appliers, tailored for both open and laparoscopic procedures:

    • Open Surgery Range: Available in lengths of 15cm, 20cm, and 28cm, including 28cm angled models for different surgical scenarios.
    • Laparoscopic Range: Available in diameters of 5mm, 10mm, and 12mm, suitable for minimally invasive surgeries.

    Features and Benefits

    • Versatile Clip Delivery: Ergonomic design ensures precise handling and application of clips.
    • Specific Inner Surface Treatment: Improves grip and control during surgery.
    • Maximum Opening for Cleaning: Facilitates thorough cleaning to maintain hygiene and functionality.
    • Easy Loading and Soft Clip Loading: Thanks to the specific design of the cartridge, clips can be loaded easily and securely.

     

    III. Application in Coronary Bypass Procedures

    1. Mammary Artery (LITA)

    For coronary bypass procedures involving the mammary artery:

    • Clip Size: 4.7mm small-medium, lilac (height clip closed).
    • Skeletonized LITA Harvest: Ensuring hemostasis of collateral branches using titanium clips.
    • Distal Separation: Achieved by applying titanium clips on division branches.
    • Mobilization of Upper LITA: To gain extra graft length, ensuring adequate blood flow.
    • Hemostasis: Can be obtained by applying a single titanium clip, based on the surgeon’s technique and anatomical considerations.

    2. Saphenous Vein

    For procedures involving the saphenous vein:

    • Clip Size: 5.6mm medium, blue (height clip closed).
    • Skeletonization: Of the greater saphenous vein, with clip ligation of collateral branches.
    • Flow Testing: Ensuring graft patency by testing flow inside the graft.
    • Securing the Graft: Through additional clips on side branches to achieve complete hemostasis.

    Additionally, Surgical Spring Clip NOVACLIP® can be used to test the seal of collateral branches and secure the graft, available in various forces and types within the Peters Surgical spring clip range.

     

    CONCLUSION
    Peters Surgical’s SLS-CLIP VITALITEC® and CLIP 9 VITALITEC® titanium hemostatic clips, combined with the versatile Vitalitec® appliers, provide unparalleled precision and reliability in coronary bypass procedures. These tools ensure effective hemostasis and facilitate successful surgical outcomes, reinforcing Peters Surgical’s commitment to advancing cardiovascular surgery.

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    Legal mentions

    Titanium Hemostatic Clips SLS-CLIP VITALITEC®
    Titanium Hemostatic Clips are indicated as a ligation system for hemostasis and fluid leaks (lymph and bile) in:
    – Head and neck surgery (thyroid surgery, tonsillectomy)
    – Thoracic and cardiac surgery (Norwood procedure, coronary bypass, mitral valve surgery, lobectomy, patent ductus arteriosus surgery)
    – Vascular and lymph surgery (longitudinal slit arteriotomy, lymphocele)
    – Urological surgery (nephrectomy)
    – Digestive surgery (appendectomy, cholecystectomy, hepatic surgery, colon surgery, hemorrhoidectomy)
    Medical Device Class III – CE 0459 – Manufacturer: Peters Surgical. Carefully read the instructions for use of the medical device before use.

     

    Titanium Hemostatic CLIP 9 VITALITEC®

    Titanium Hemostatic – Clips are indicated as a ligation system for hemostasis and fluid leaks (lymph and bile) in:
    – Head and neck surgery (thyroid surgery, tonsillectomy)
    – Thoracic and cardiac surgery (Norwood procedure, coronary bypass, mitral valve surgery, lobectomy, patent ductus arteriosus surgery)
    – Vascular and lymph surgery (longitudinal slit arteriotomy, lymphocele)
    – Urological surgery (nephrectomy)
    – Digestive surgery (appendectomy, cholecystectomy, hepatic surgery, colon surgery, hemorrhoidectomy)
    Medical Device Class III – CE 0459 – Manufacturer: Peters Surgical. Carefully read the instructions for use of the medical device before use.

    VITALITEC® Hemostatic Clip appliers
    VITALITEC® Hemostatic Clip appliers are intended for the loading, holding and optimal closure of VITALITEC® Titanium Hemostatic clips. Medical Device Class I – Manufacturer: Peters Surgical. Carefully read the instructions for use of the medical device before use.


    VITALITEC® Endoscopic Clip appliers
    VITALITEC® Endoscopic Clip appliers are intended for the loading, holding and optimal closure of VITALITEC® Titanium Hemostatic clips. Medical device, class I. Manufacturer: Vitalitec International Medizintechnik GmbH distributed by PETERS SURGICAL. Carefully read the instructions for use of the medical device before use.


    Surgical Spring clip Novaclip®
    Novaclip® surgical Spring Clips are indicated for use in peripheral vascular, cardiovascular and general surgery. They are used for temporary occlusion of blood vessels and may be used for anchoring suture. They are suitable for veins and arteries and provide occlusion of atherosclerotic vessels or normal vessels. They may be used for temporary occlusion of the autogenous saphenous vein or internal mammary artery during coronary bypass surgery. Medical device, class IIa. CE 2797. Manufacturer: Vitalitec International Inc. distributed by PETERS SURGICAL. Carefully read the instructions for use of the medical device before use.