Synovis MCA

Since 2015 Severn Healthcare has been the UK supplier of the GEM brand of products, dedicated to the field of Microsurgery. Severn works alongside our partner Synovis MCA who are manufacturers of one of the most significant technological advancements in recent years for venous anastomosis called the, GEM Coupler.

MicroSuture 

MICROSUTURE is a nylon monofilament nonabsorbable, sterile surgical suture that is indicated for use in general soft tissue approximation and/or ligation, including use in microsurgical, cardiovascular, ophthalmic, and neurological procedures.

 Features and benefits:

• 8-0 to 11-0 / 13 size variations
• Taper/Tapersharp needle
• Unique Black needle for anti-glare in 4 size variations
• Excellent and consistent Knot security
• Minimal memory but maximum flexibility of the strand
• Soft handling
• Strong tensile strength and flexible
• Silicone-coated strand, for smooth passage through tissue
• Biologically inert, chemically non-reactive
• Uniform diameter of the suture
• High grade, ultra-sharp stainless-steel needle to promote atraumatic tissue penetration

 MicroSuture Resources:

• MICROSUTURE_Brochure

Coupler

GEM Coupler enables microsurgeons to perform a mechanical anastomosis with no need for sutures. It offers significant improvements in flap ischemia times, stents the vessel, is fantastic at accommodating vessel discrepancy and provides a perfect intima to intima contact, offering a non-impeded lumen to improve vessel patency.

Severn also provides the GEM Flow Coupler. GEM Flow Coupler enables a microsurgeon to accurately monitor the venous flow exactly at the point of anastomosis, where normal visible monitoring techniques aren’t possible. This gives the surgical team peace of mind that good flap perfusion is taking place. In some instances, the use of GEM Flow Coupler can also save a secondary theatre procedure to remove any monitoring skin paddle e.g. during NSM (nipple sparing mastectomy) procedures.

 Audio Clip of Venus Coupler

 Coupler and Flow Coupler Resources:

• Synovis Coupler usage Quotes
• SEVERN Flow Coupler - MaxFax Detail Aid
• Synovis Coupler Detail Aid
• Synovis Coupler Quick Guide
• 2016 - O'Connor et al - Microvascular Anastomotic Coupler
• 2003 - Sullivan - Mgt of Significant Discrepancy
• 2010 - Jandali - 1000 Consecutive Anastomoses Using the COUPLER
• 2012 - Grewal - Utility of COUPLER in Free Flaps
• Sterilisation Instructions GEM Microvascular Anastomotic Coupler Device and System

Clips

Other products to assist in free flap surgery are the GEM Micro and GEM Superfine titanium clips. With a unique chevron diamond bevelled edge, the GEM range of clips offers surgeons a perfect atraumatic vessel closure product, limiting multidirectional slippage. In particular the GEM Superfine Microclips are the smallest clips available and perfect for side branch vessels; many surgeons referring to them as ‘just the right size’!

Dermaclose

Dermaclose offers surgeons the ability to perform a delayed closure of a wound without any need for a split or full thickness skin graft. The unique technology pulls together previous wound closure concepts, however provides a fully automated solution that doesn’t require any ward based re-adjustment. The product simply applies a continuous pressure force across the wound which is possible through the unique internal clutch system. Once closure is achieved the device is removed and the wound is stitched together. Perfect indications for Dermaclose are below.

• Fasciotomies                               
• Traumatic injuries
• Scar revision
• Dehisced wounds
• High tension closures
• Excisional wounds
• Large skin deficits
• Acute surgical wounds
• Delayed primary closures
• Skin cancer removal
• Congenital nevus
• Large lacerations
• Chronic wounds
• Diabetic ulcers
• Hard-to-heal wounds
• Plus many more…

Dermaclose Resources:

• McKay_Paper_2020
• Use_of_Continuous_External_Tissue_Expander
• Amputation_Reconstructive_Ladder
• Utilization_of_a_Continuous_External_Tissue_Expansion_for_ALT_Closure

For any further information relating to any of the Severn Microsurgery products please don’t hesitate to contact your nearest area manager.