This is not a primer of surgical techniques.
Please do read the detailed Instructions For Use prior to using this device
Proper fixation of Prosthetic Mesh is critical in repair of all Hernias. The ideal method for Fixation of the Mesh in Laparoscopic Repair of Abdominal Wall Hernia is a combination of tacking and Trans-fascial Sutures. Recurrence of Hernia is significantly lower if a combination of tacking and Trans-fascial Sutures is used for Mesh Fixation.
Previous Laparoscopic methods for placement of Transfascial Sutures use one of the Suture Passer devices. Grasping and feeding of sutures into the Suture Passer is technically difficult because of the lack of depth perception and lack of three dimensional (3D) visual feedback in laparoscopy. Pre-placement of sutures on the periphery of the Mesh results in a confusing bird’s nest like appearance when the Mesh is introduced into the abdomen and unrolled.
The Kumar T-ANCHORS®* provide an easy method for Trans-fascial Suture Fixation of Prosthetic Mesh without the need for grasping and feeding of sutures into a Suture Passer. The Kumar T-ANCHORS®* are to be used in addition to tacking
Mesh Fixation Made Easy
No Need to Grasp & Feed Sutures into suture passer
Provides trans-facial suture fixation of mesh to supplement the stapling and tacking devices.
See Descriptive Posters Below for Open and Laparoscopic Use
*Patents & ®Trademark
Is it necessary to tack the Mesh if the Kumar T-ANCHORS*® are used?
Yes. The Kumar T-ANCHORS*® provide Trans-fascial Suture Fixation of the Mesh in addition to staplers / tackers.
Do the Kumar T-ANCHORS*® increase post-operative pain?
It appears that the Kumar T-ANCHORS*® cause less post-operative pain than conventional sutures because these do not form a complete circle around the tissues.
Can the Kumar T-ANCHORS*® cause Nerve Entrapment?
This is avoided by placement of each pair of T-ANCHORS* parallel to the expected course of the nerves. Also, as described above, complete nerve entrapment is avoided because T-ANCHORS* do not form a complete circle.
What if a T-ANCHOR* breaks?
Caution: The hemostatic tag to hold the T-ANCHOR* nylon suture should be applied at the suture end only. If the suture is grasped in the middle, crush injury may lead to breakage of the suture. Need for removal of broken T-ANCHORS* during surgery is determined by the surgeon. The material is bio-compatible.
Can the metal bars of the Kumar T-ANCHORS*® cause adhesions?
The exposed surface area of the T-ANCHOR* metal bar is only 1 mm sq. It lies buried in the Mesh. However, exposure of the T-ANCHOR* metal bar to the peritoneal cavity can also be avoided by placement of the T-ANCHOR* between the Mesh and the abdominal wall (See Diagram on front page).
How strong are the Kumar T-ANCHORS*®?
The Kumar T-ANCHORS*® comprise an MRI compatible metal bar attached to a 0 Nylon Suture. In laboratory bench testing, mean tensile strength of the T-ANCHORS* was 4.76 lbs.
Please Read the Detailed Instructions For Use prior to using this device.
Nashville Surgical Instruments
We Make Two Things Easier
Surgical Innovation, Vol 12, No 2 (June), 2005: pp xx–xx T1. Kumar, SS: Mesh Fixation in Laparoscopic Repair of Ventral Hernia: A New Method.
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Phone: 615-382-4996 Fax: 615-382-4199
The Kumar T-ANCHORS® Hernia Set* is supplied sterile and for SINGLE procedure use only. Each unit contains 8 (eight) T-ANCHORS* along with an Introducer Needle (16 ga.) and pusher stylet. The 8 T-ANCHORS* allow for the placement of 4 fixation sutures.
Caution: Federal (USA) law restricts the use of this device by or on the order of a physician.
*US Patent 6,996,916 and ®Registered Trademark
The Kumar T-ANCHORS® Hernia Set* is supplied sterile and for SINGLE procedure use only. Sterility is guaranteed unless package is opened or damaged. DO NOT RESTERILIZE. If a package is opened and not used, discard properly.
*Patent and ®Registered Trademark
NASHVILLE SURGICAL INSTRUMENTS
2005 Kumar Lane, Springfield TN 37172