Atraumatic Circumcision Device AccuCirc Overview

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Atraumatic Circumcision Device (AccuCirc)
Overview
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Atraumatic Circumcision Device Kit

• Betadyne prep
• Circumcision drape
• Surgical marking pen
• 2 curved hemostats
• AccuCirc device
• Gauze wipe
• Xeroform dressing

Entirely disposable kit with everything required
to perform newborn circumcision (anesthesia and
sterile gloves not included).
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Atraumatic Circumcision Device
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Atraumatic Circumcision Device Method of Use
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Create surgical pen mark
The included surgical pen is used to mark where
the incision will be made, helping to ensure the
desired amount of foreskin will be removed.
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Grasp foreskin
The foreskin is gently pinched (pushing the glans
down and out of the way) and grasped at the 300
and 900 position.
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Remove adhesions
The flexible probe of the shielding ring is used
to remove any adhesions that exist between the
foreskin and the glans.
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Insert shielding ring
The shielding ring is inserted into the foreskin
without making a dorsal slit. If necessary, the
foreskin can be gently stretched to help
accommodate the shield.
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Align foreskin
The foreskin holder is activated and the foreskin
is precisely positioned on the shielding ring.
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Apply clamping and cutting device
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Activate lever arm until it locks,then release.
With a single actuation the device crushes and
cuts the foreskin.
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Atraumatic Circumcision Device outcome at 2 weeks
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Atraumatic Circumcision DeviceOverview of
Benefits
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Surgical Pen
A surgical pen is included in each kit. The pen
mark helps ensure the correct amount of skin is
removed improving the accuracy of the procedure. 1
1. Kaplan GW. Complications of circumcision.
Urol Clin North Am 1983 10543-549
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Shield to protect penis
Some devices do not use a shield to protect the
penis during the clamping and cutting action.
This can result in injury to the penis regardless
of the level of experience of the user.2 The
Atraumatic Circumcision Device uses a shield that
protects the penis during the procedure.
2. Strimling BS Partial amputation of glans
penis during circumcision. Pediatrics 97
134-136, 1995.
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No Dorsal Slit
Some devices require a dorsal slit. This step
can result in injury to the urethra.3 The
Atraumatic Circumcision Device is designed to be
used without making a dorsal slit while still
using a shield that protects the penis. The need
for scissors and the dorsal slit is eliminated.
3. FDA MedWatch Reports, January 2000, "Potential
for Injury from Circumcision Clamps"
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Foreskin Holder
Some devices require the use of a safety pin to
help position the foreskin. The Atraumatic
Circumcision Device uses a foreskin holder that
allows the provider to accurately position the
foreskin prior to the application of the clamping
and cutting device, ensuring a precise amount of
skin is removed.
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Unique Diameters act as a key to ensure shield
matches clamp
No mismatching parts
Mismatching device parts can lead to penile
laceration.3 The Atraumatic Circumcision Device
has built in safety features that protect against
mismatching device parts. The device will only
work when the correctly sized shielding ring is
locked in place, ensuring the penis is protected
during the procedure.
3. FDA MedWatch Reports, January 2000, "Potential
for Injury from Circumcision Clamps"
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Circular, Protected Blade
The Atraumatic Circumcision Device eliminates the
scalpel and instead uses a circular self
contained blade that is precisely controlled by
the device itself. By controlling the circular
blade, the device protects against injuring the
penis.
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No Retained Parts
The Atraumatic Circumcision Device delivers a
hemostatic crushing force (to control the
bleeding). Following the procedure, no string or
bell is retained. This protects against urinary
obstruction and other complications related to
retained parts.4,5
4. Mihssin N. Retention of urine an unusual
complication of the Plastibell device. BJU
International. 1999 84, 745. 5. Jee LD.
Ruptured bladder following circumcision using the
Plastibell device. Br J Urol 199065216-7
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Contaminated Instruments
Of particular importance in resource limited
areas, the Atraumatic Circumcision Device
protects the contaminated parts (blade and
shield) and prevents their reuse.
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Entirely Disposable
The Atraumatic Circumcision Device kit is
entirely disposable. No part requires
reprocessing or re-sterilization. This helps
prevent injuries that can occur from worn or
mismatched clamps and, in resource limited areas,
contaminated instruments.
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Minimal Waste
With any crushing and cutting device, the cutting
surface will have to be discarded. The
Atraumatic Circumcision Device protects the
cutting surface and also functions as a
disposable clamping device with minimal waste.
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Self Contained Kit, Simplified Inventory
A single kit contains everything needed to
perform newborn male circumcision simplifying
inventory and decreasing the likelihood of a
provider performing the procedure without having
the adequate supplies.
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Minimal Cost
Because the entire kit is disposable and requires
no reprocessing, no infrastructure is required to
use this device. The device is made out of
inexpensive injected molded plastic parts that
can be manufactured in large volumes at a low
cost.
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Summary
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Summary

• Our goal has been to design and engineer a device
  that can help protect patients from accidental
  injury during circumcision, particularly in
  resource limited areas and for the purpose of HIV
  prevention.