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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 hemostatic process during graft placement. This article provides an overview of the Enclose® II device, its composition, and its step-by-step application in coronary bypass surgery.

 

I. Enclose® II Proximal Anastomosis Assist Device

 

1. Composition and 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.

 

2. Application 

 

Enclose® II device is used to streamline the process of proximal anastomosis, ensuring a precise and hemostatic seal. Here is a step-by-step guide to its application:

  1. Measurements for Graft Placement: Accurate measurements are taken to determine the optimal site for graft placement.
  2. Insertion of Needle: The needle is carefully inserted.
  3. Insertion of Enclose® II Device: The Enclose® II device is then inserted into the surgical site.
  4. Creation of Hemostatic Seal: The device is used to create a hemostatic seal, preventing blood leakage.
  5. Testing the Seal: The seal is tested to ensure complete hemostasis before proceeding.
  6. Incision for Graft (Aortotomy): An incision is made to create the aortotomy for graft insertion.
  7. Initial Anastomosis: The initial anastomosis is completed, often using a half-curve needle to avoid puncturing the membrane.
  8. Positioning for Second Anastomosis: The device is repositioned as needed for subsequent anastomoses.

 

II. Benefits of Enclose® II

 

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.

 

Conclusion

 

Enclose® II proximal anastomosis assist device highlight Peters Surgical’s commitment provide high quality medical device for patient care. Its precision, reliability, and ease of use make it an essential device for coronary bypass surgery, ensuring optimal outcomes and improved patient care.

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Legal mentions

Enclose® II Anastomosis Assist Device

INDICATIONS:

The Enclose® II device is intended for use by cardiac surgeons during on-pump or off-pump coronary artery bypass grafting (CABG) procedures in place of partial occlusion clamps in ascending aortas free of atheromatous disease. Medical Device Class IIa – CE 2797 – Manufacturer: Vitalitec International Inc. Carefully read the instructions for use of the medical device before use.