(New Wave Endo - M-Close Kit for Precision Nerve Blocks in Abdominal Surgery
The M-Close Kit from New Wave Endo provides a significant advancement in the precision of abdominal wall nerve blocks, a critical component for successful post-operative pain management. Traditional methods, such as ultrasound guidance, have limitations due to the requirement for additional equipment, potential surgery delays, and cost issues. Additionally, blind techniques often result in suboptimal needle placement. M-Close addresses these concerns with its patented reference plane system, positioning the Nerve Block Needle relative to the peritoneum. This approach improves accuracy by counteracting the variable abdominal wall thickness while aiming for consistent nerve targeting. Designed with obese patients in mind, M-Close employs fascia as a reference to ensure uniform suture loop sizes regardless of abdominal wall depth. This results in reduced pain and enhanced port site closure, as the device ensures symmetrical suture placements with its dual needle deployment, minimizing tissue dimpling or asymmetry.
Over 127 peer reviewed studies show significant benefits from abdominal wall blocks.
- 67% reduction in post-op opiate use vs local infiltration
- Over 70% of patients report being pain free at 1 hour after laparoscopic surgery
- Abdominal blocks tripled the time to first rescue analgesia
- Patients were discharged significantly earlier
- Rectus Sheath Blocks can provide sufficient pain control without the need for any other post-op analgesia
Why isn’t every surgeon doing an abdominal wall nerve block?
- Ultrasound guidance is impractical It requires extra equipment, adds extra costs and can delay surgery by over 18 minutes.
- Blind Loss of Resistance techniques such as the “Pop-Pop” are inaccurate and dangerous.
- Local anesthesia is delivered to the correct plane only 14-24% of the time, and 18% of injections believed to be in the correct plane were actually intraperitoneal.
- M-CLOSE KIT combines targeted anesthesia delivery with the most advanced port closure device
M-CLOSE PROVIDES A GOLD STANDARD CLOSURE
- Adheres to the Jonsson-Israelsson rules of fascial closure
- Suture bites are symmetrical and 1cm from each side of the defect
- Knot is above the fascial plane
M-CLOSE IS SAFE
- No exposed needles help prevent sharps injuries
- Shielded needles can help prevent injury to intra-abdominal organs, even without pneumoperitoneum, or direct visualization 13
M-CLOSE IS EASY
- Deploys two needles at once
- Can place multiple sutures for large defects
M-CLOSE KIT SAVES MONEY
- Costs less than most port closure devices
- Reduce costs related to post-op port site complications
- Save O.R. time by closing ports faster and avoiding unnecessary scope exchanges
- Deliver targeted anesthesia at no extra cost
M-CLOSE KIT is designed for OBESE PATIENTS
Current devices use the skin as a reference, resulting in large suture bites as the abdominal wall gets thicker. These large suture bits increase pain and can loosen over time.
M-Close uses the fascia as a reference to produce suture loops that are always the SAME SIZE, regardless of abdominal wall thickness.
Natural movement, angled views, and the inevitable fascial tenting make symmetry difficult with individual needle punctures. M-Close is the ONLY device that simultaneously deploys two opposing needles, ensuring proper 180 degree placement every time.
Individual Needles can cause dimpling since the needles often enter the side of the defect at different heights.
- When the suture is tied the knot forces one side to be pulled toward the other creating asymmetrical tissue folds.
- M-Close Kit simultaneous symmetrical needles always enter at the same height to reduce or eliminate dimpling.