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SHIFTING THE PARADIGM
IN HOW SURGEONS FINISH THEIR PROCEDURES

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Over 127 peer reviewed studies show significant benefits from abdominal wall blocks.

67% reduction in post-op opiate use vs local infiltration ⁵
Over 70% of patients report being pain free at 1 hour after laparoscopic surgery ⁶
Abdominal blocks tripled the time to first rescue analgesia ⁷
Patients were discharged significantly earlier ⁸
Rectus Sheath Blocks can provide sufficient pain control without the need for any other post-op analgesia ¹

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. ⁹

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. ¹⁰

Pain free laparoscopy is possible with targeted nerve blocks ¹⁵

LARGE VARIATION in the distance from skin to the pre-peritoneal nerve plane

The thickness of abdominal wall fat and muscle at the umbilicus varies by over 50mm. ⁴ Current methods for targeting the posterior rectus sheath are inefficient and dangerous, because they approach the nerves from the anterior wall. The wide variation in fat and muscle thickness make blind injections highly inaccurate.

LITTLE VARIATION in the distance from peritoneum to the pre-peritoneal nerve plane

The distance from the peritoneum to the deep nerve plane varies by only 4mm. ³ When measured from below, the extreme variation due to fat and muscle thickness is eliminated and the nerve plane can be consistently targeted.

M-CLOSE uses a patented reference plane system, which positions the Nerve Block Needle relative to the peritoneum, not the skin surface.

M-CLOSE KIT combines targeted anesthesia delivery with the most advanced port closure device ¹¹

M-CLOSE PROVIDES A GOLD STANDARD CLOSURE ¹¹

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

<30 seconds to place the suture
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.

MKT-0007 Rev 1

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To learn more, contact us at:

6601 Lyons Road, Suite D-8, Coconut Creek, FL 33073 T: (888)-700-8890 | F: (954)-944-2942 | info@NewWaveEndo.com

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Salinas, FV. Ultrasound-guided rectus sheath block: Clinical Anatomy. Philips tutorial. 2015
Based on internal report: Ultrasound Analysis of the Rectus Sheath in 93 subjects. Sept. 2018
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McDermott, G et al. Should we stop doing blind transversus abdominis plane blocks? Br J Anesthesia 2012: 108 (3): 499–502
As described in US Patent # 9,451,950 Β2
Working Port-Site Hernias: To Close or Not to Close? Does It Matter in the Obese? Bariatric Times June 7, 2011
Based on internal report: M-Close performance testing, July 2018
Owens, M. A systematic review of laparoscopic port site hernias in gastrointestinal surgery. Surgeon 2011 Aug; 9(4): 218-24.
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SHIFTING THE PARADIGM IN HOW SURGEONS FINISH THEIR PROCEDURES