Slide One FAST Minimally invasive surgical treatment for haemorrhoids Document intended for Health Care Professionals only.

Why the Doppler? The THD® Doppler Method was born with the aim to enable accurate identification of the terminal branches of the superior rectal artery and ligate them. The THD® Doppler procedure offers reliable efficacy in achieving haemorrhoidal dearterialization, thanks to effective ligation of the arteries leading to successful reduction in arterial hyperflow.* * Haemorrhoidal haemodynamic changes in patients with haemorrhoids treated using Doppler-guided dearterialization - BJS Online - C. Ratto - 2021 This study has elucidated the haemodynamic effects of arterial ligation and justifies the...

Revolution All-in-one Doppler and LED light generator Doppler signal intensity display Very bright LED light Volume and brightness control Highly sensitive continuous wave Doppler Slide One FAST Customized surgical anoscope Doppler transducer slot Pivot for the control of the rotation and penetration of the needle (6mm) Sliding operative window Ergonomic handle also fitting the tip of the fiber optic cable for illumination

THD® DOPPLER METHOD Phase 1: Dearterialization 1.1 Dilation and full device insertion Highest Doppler signal and dearterialization-point finding Activate the doppler, dilate the anus avoiding pushing the prolapse back inside, introduce the proctoscope gently and continually until the handle is flush with the buttock. Once a Doppler sound is heard retract and move distally the device searching for the maximum Doppler signal, usually from 1 to 2 cm above the anorectal junction. This is the dearterialization point. Dearterialization by artery transfixion On the dearterialization point the artery is...

THD® DOPPLER METHOD Phase 2: Mucopexy 2.1 THD® Block suture: anchor point Running suture Upon completion of the dearterialization phase, the next step is to target the prolapsed tissue (an average of 3 sites). Using the THD® Block suture (1/2 circle, 30mm needle, barbed self locking suture) start from the most proximal point of the prolapse and transfix the mucosa using the ‘’button’’ as an anchoring point for the mucopexy. Pull back the sliding part of the proctoscope to perform a continuous suture (5 mm between each bite) reaching the anorectal junction. The higher the start and the lower the...

Block New generation of barbed suture with final lock system FEATURES New generation of barbed suture with self-locking system, absorbable, unidirectional with final lock system. Functional, fast and safe. It does not require knots, it guarantees a high tightness with a constant stress distribution along the section of approximation of tissues. COMPOSITION: PGCL (glicolide-co-ε-caprolattone). DESCRIPTION: Synthetic monofilament absorbable surgical suture, “barbed”, sterile. COLOUR: Violet. SIZES AND NEEDLE: 30 mm, EP 3, Taper 1/2 C. Stainless steel atraumatic. SUTURE LENGTH: 25 cm. TENSILE STRENGTH:...

THD® DOPPLER METHOD - CLINICAL STUDIES The one and only surgical method, besides haemorrhoidectomy and haemorrhoidopexy, which has been assigned a specific reimbursement code by AMA (American Medical Association) and NICE (National Institute for Health and Care Excellence). Transanal Haemorrhoidal Dearterialisation Anolift- prospective assessment of safety and efficacy – Giordano P., Schembari E. – 2021 A cohort study analysing outcomes following transanal haemorrhoidal dearterialisation (THD) – Patel R., Rehman A., Baig M. et al. – 2020 Consensus Statement of the Italian Society of Colorectal...

SPECIFICATIONS Revolution Part No. 800133 Includes • 1 Generator box • 1 Muting pedal • 1 Medical grade power cord • 2 Reusable fiber optic cords with curved tip • 1 Single use Doppler • 1 Reusable gold handled needle driver Slide One FAST Kit - Sterile Part No. 800280-10 Includes 800065-10 THD® Slide One: • 10 THD® Slide One anoscope (Sterile) • 10 Single use/disposable Doppler (Sterile) • 10 Disposable needle driver (Sterile) • 10 Box sutures (6 pieces, sterile) • 10 Knot pusher (Sterile) • 10 THD® Slide anoscope Sutures Spon (Sterile) 880059-10 THD® Block: • 10 THD® Block - Box Sutures (3...