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Atraumatic Circumcision Device(AccuCirc) Overview
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Entirely disposable kit with everything required to
perform newborn circumcision (anesthesia and sterile
gloves not included).
Atraumatic Circumcision Device Kit
Betadyne prep Circumcision drape
Surgical marking pen
2 curved hemostats
AccuCirc device
Gauze & wipe
Xeroform dressing
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Atraumatic Circumcision Device
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Atraumatic Circumcision Device Method of Use
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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.
Create surgical pen mark
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The foreskin is gently pinched (pushing the glans
down and out of the way) and grasped at the 3:00 and
9:00 position.
Grasp foreskin
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The flexible probe of the shielding ring is used to
remove any adhesions that exist between the foreskin
and the glans.
Remove adhesions
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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.
Insert shielding ring
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The foreskin holder is activated and the foreskin is
precisely positioned on the shielding ring.
Align foreskin
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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 Device
Overview of Benefits
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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
Surgical Pen
1. Kaplan GW. Complications of circumcision. Urol Clin North Am 1983; 10543-549
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Some devices do not use a shield to protect the penis during
the clamping and cutting action. This can result in injury tothe 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.
Shield to protect penis
2. Strimling BS: Partial amputation of glans penis during circumcision. Pediatrics 97: 134-136, 1995.
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Some devices require a dorsal slit. This step can result in
injury to the urethra.3
The Atraumatic Circumcision Device isdesigned 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.
No Dorsal Slit
3. FDA MedWatch Reports, January 2000, "Potential for Injury from Circumcision Clamps"
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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.
Foreskin Holder
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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.
No mismatching parts
Unique Diametersact as a key to
ensure shield
matches clamp
3. FDA MedWatch Reports, January 2000, "Potential for Injury from Circumcision Clamps"
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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.
Circular, Protected Blade
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The Atraumatic Circumcision Device delivers a hemostatic
crushing force (to control the bleeding). Following the
procedure, no string or bell is retained. This protects againsturinary obstruction and other complications related to retained
parts.4,5
No Retained Parts
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 1990;65:216-7
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Of particular importance in resource limited areas, the
Atraumatic Circumcision Device protects the contaminated
parts (blade and shield) and prevents their reuse.
Contaminated Instruments
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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.
Entirely Disposable
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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.
Minimal Waste
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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.
Self Contained Kit, Simplified Inventory
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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.
Minimal Cost
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SummaryComplication AccuCirc Gomco Mogen Plastibell
Removal of excessive or
an insufficient amount
of foreskin.
Reduced risk
(prevented by using
a surgical marking
pen and foreskin
holder)
Increased risk
(difficult to gauge
amount of tissue
to remove)
Increased risk
(difficult to gauge
amount of tissue
to remove)
Increased risk
(difficult to gauge
amount of tissue to
remove)
Urethral Injury No risk(dorsal slit is
never made)
Increased risk
(dorsal slit
routinely required)
Reduced risk
(not all providers
use a dorsal slit)
Increased risk
(dorsal slit
routinely required)
Penile Laceration/
AmputationNo risk
(device ensures
protection)
Increased risk
(related to mis-
matched parts)
Increased risk
(glans is not
shielded)
No risk
Urinary retention,
bladder rupture, injury
from retained parts
No risk
(no retained parts)No risk
(no retained parts)No risk
(no retained parts)Increased risk
(bell stays in
place on infant)
Resource Limited Areas
Transmission of
Infection through
contaminated parts
Reduced risk
(Disposable,
contaminated parts
protected)
Increased risk
(Parts needs to be
processed and
sterilized)
Increased risk
(Parts need to be
processed and
sterilized)
Increased risk
(Scissors need to be
processed and
sterilized)
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Our goal has been to design and
engineer a device that can help protect
patients from accidental injury duringcircumcision, particularly in resource
limited areas and for the purpose of
HIV prevention.
Summary