CTCloseSure

Carter-Thomason CloseSure System®

Close port sites with confidence…

Achieve full-thickness closure of laparoscopic port sites fast! Carter-Thomason is the perfect solution for rapid and secure port site closure.

The patented two-piece system, suture passer and Pilot® Guide, is designed to insure the fascia, muscle and peritoneum are captured easily and accurately during closure. The benefit… secure closure and reproducible results. Available in two sizes to meet all of your patient needs. The original Carter-Thomason CloseSure System is perfect for average patients, while the Carter-Thomason CloseSure System XL® is designed with the obese and bariatric patient in mind. The extended length eases capture of the fascia in your larger patients for secure wound closure. The result… full thickness closure every time.

At the end of a long procedure is not the time to struggle. Use the Carter-Thomason CloseSure System to efficiently close your sites… with confidence.

Port Site Hernia Incidence and Cost Impact

Hernia Incidence ranges from 0.25% to 3.1%
Up to 18% occur despite fascial closure
14% occur in port sites less than 10 mm in diameter
Estimated hard costs of herniation $26k

Chura, Justin. Port site hernia case study and cost analysis.
CSI white paper #81362; 03/08

Product	Contents	Order Information
CT CloseSure System	CT CloseSure Suture Passer 5mm Pilot® Guide 10/12mm Pilot Guide	CTI-512N (5 systems per box)
CT CloseSure System XL	CT CloseSure Suture Passer XL 10/12mm XL Pilot Guide 15mm XL Pilot Guide	CTXL (3 systems per box)
CT CloseSure 15mm Pilot Guide	15mm Pilot Guide	PG-15S (5 guides per box)

Case Reports

Product Literature

Request a hard copy of this reference by placing the title of the document in the comments field of our ‘Request More Information’ form:

• Eid GM, Collins J. Application of a Trocar Wound Closure System Designed for Laparoscopic Procedures in Morbidly Obese Patients. Obesity Surgery 2005:15:871-873.

Comparison of Port Site Closure Techniques

Technique	Mean Time				Redone*		Bleeding*		Leakage*		Total Comp**
Technique	Total	Min	Range, min	SD	n	%	n	%	n	%	n	%
Standard Hand-suture repair	14	1.9	1.1 to 3	0.53	2	14	4	29	2	14	7	50
Carter-Thomason Needle-point Suture Passer (CTNSP)	11	2.5	0.6 to 5.1	1.34	0	0	0	0	0	0	0	0
Maciol suture needle (MSN) set	11	4.9	2.9 to 7.8	1.68	3	27	1	9	0	0	4	36
eXit disosable Puncture Closure (EDPC) device	10	3.0	2.5 to 3.6	0.52	6	60	0	0	1	10	8	80
Endoclose suture carrier	10	4.7	1.8 to 7.3	2.02	2	20	1	10	1	10	4	40
Tahoe Surgical Instruments Ligature (TSIL) device	12	2.8	1.8 to 4.6	0.91	2	17	0	0	3	25	5	42
Long 14-gauge angiocatheter with looped 0-polypropelene suture	14	4.0	1.6 to 12.1	2.53	1	7	1	7	0	0	1	7
Lowsley retractor with hand suture closure	13	3.6	2.5 to 6	1.40	4	30	4	34	2	15	9	69

Elashry OM, Nakada SY, Wolf JS Jr, Figenshau RS, McDougall EM, Clayman RV. Comparative clinical study of port-closure techniques following laparoscopic surgery.
J AM Coll Surg. 1996;183:335-344.