Full-thickness Trocar Wound Closure with the
Carter-Thomason CloseSure System XL™

Designed especially for obese and bariatric patients

The Carter-Thomason CloseSure System XL features the Carter-Thomason^® suture passer and 10/12 mm and 15 mm Pilot^® guides.

Use the 10/12 mm Pilot guide to perform full-thickness trocar wound closure in the following manner:

Step 1


• Insert the Pilot guide with the holes aligned cephalad to caudad.
  
  
• Use the Carter-Thomason suture passer to push suture material through the Pilot guide, fascia, muscle, and peritoneum into the abdomen.
  
  



• Drop the suture, and remove the suture passer.
  
  
  
  
  
  
  
  
Step 2


• Push the suture passer through the opposite side of the Pilot guide, and pick up the suture.
  
  
  
  
  
  
  
  
Step 3


• Pull the suture up through the peritoneum, muscle, fascia, and guide.
  
  
  
  
  
  
  
  
Step 4


• Remove the Pilot guide and tie.

Use the 15 mm Pilot guide to perform full-thickness trocar wound closure in the following manner:

Step 1


• Insert the Pilot guide and position it with the "Head" label oriented towards the patient's head.
  
  
• Starting with the hole labeled 1, use the Carter-Thomason suture passer to push suture material through the Pilot guide, fascia, muscle, and peritoneum into the abdomen.
  
  
• Drop the suture, and remove the suture passer.














Step 2


• Push the suture passer through the hole labeled 2, and pick up the suture.










Step 3


• Pull the suture up through the peritoneum, muscle, fascia, and guide.










Step 4


• Complete a second pass by repeating steps 1-3 using another piece of suture and the holes labeled 3 and 4.










Step 5


• Remove the Pilot guide and tie both sutures to complete the closure.