Overview

The next generation in surgical access

Compared with conventional cutting trocars, the VersaStep™ Plus access system decreases the incidence of: 

  • Major vascular injury2 
  • Bowel/bladder injury2 
  • Abdominal wall bleeding2 
  • Post-operative incisional hernia4

In addition, the VersaStep™ Plus access system may reduce: 

  • Patient pain5 
  • The need for fascial closure, thanks to the selfanchoring system4 
  • Procedure time4

Features

Radially expanding access

The VersaStep™ bladeless trocar system includes a radially expandable sleeve for smaller post-operative fascial defects than with standard bladed trocars.3 Using VersaStep™ trocars reduces the need for fascial closure, as well as the potential for trocar-site hernias.4  

In a bariatric clinical trial, the radially expanding VersaStep™ trocars resulted in:4

  • A 0% hernia incidence rate 
  • Reduced operative time and expenses compared with bladed trocars, because a closure was not required after trocar removal 

Order Information

Order Information
Order Code Description Unit of Measure Quantity
VS101012P VersaStep™ Plus Standard 12 mm Cannula and Dilator with Radially Expandable Sleeve Box 3
VS100700 VersaStep™ Short Radially Expandable Sleeve Box 6
VS100705 VersaStep™ Short 5 mm Cannula and Dilator with Radially Expandable Sleeve Box 3
VS100711P VersaStep™ Plus Short 11 mm Cannula and Dilator with Radially Expandable Sleeve Box 3
VS100712P VersaStep™ Plus Short 12 mm Cannula and Dilator with Radially Expandable Sleeve Box 3
VS101000 VersaStep™ Radially Expandable Sleeve Box 6
VS101005  VersaStep™ Standard 5 mm Cannula and Dilator with Radially Expandable Sleeve  Box 3
VS101011P VersaStep™ Plus Standard 11 mm Cannula and Dilator with Radially Expandable Sleeve Box 3
VS101500 VersaStep™ Long Radially Expandable Sleeve Box 6
VS101505 VersaStep™ Long 5 mm Cannula and Dilator with Radially Expandable Sleeve Box 3
VS101512P VersaStep™ Plus Long 12 mm Cannula & Dilator with Radially Expandable Sleeve Box 3
VS101015P VersaStep™ Plus Standard 15 mm Cannula and Dilator with Radially Expandable Sleeve Box 3
VS100015 VersaStep™ Radial Expandable Sleeve 15 mm Box 6

Product Highlights

VersaStep™ bladeless trocar system is not a sharp cutting trocar

A conventional trocar: 

  • Can cut or tear tissue6 
  • Requires substantial force to penetrate the abdominal wall3, which can cause: 
    • Tenting of abdominal wall tissue6 
    • Severing of blood vessels6 
    • Displacement/disruption of the tissue and incisional tissue trauma6

With VersaStep™ bladeless trocar system, the initial needle tract is radially expanded so tissues are stretched, not cut. This leads to:  

  • Effective tamponade of blood vessels 
  • Reduced incisional bleeding2,3
  • Decreased incidence of bowel, bladder and major vascular injuries2  
  • Slit-like wounds that are approximately half the size of those created by comparably sized trocars3 
  • Reduced post-operative wound pain7 and incisional hernias4 
  • Reduced procedure time4,7

VersaStep™ bladeless trocar system is self-anchoring

Conventional trocars frequently become dislodged, resulting in: 

  • Pneumoperitoneum loss 
  • Repositioning – requiring re-entry of a sharp trocar and reinsufflation of the abdomen 
  • Increased procedural times 

With the VersaStep™ bladeless trocar system, radially expanding dilation stretches and compresses the tissue, fixing the cannula securely to the abdominal wall. This selfanchoring feature virtually eliminates the likelihood of port displacement and re-entry with another sharp device. Slippage rarely, if ever, occurs.  

In addition, the VersaStep™ Plus single-use seal minimises the likelihood of tears and leakages, and provides hands-free instrument exchange from 4.5 mm to 12 mm without external converters. 

VersaStep™ Plus instruments are available in: 

  • Diameters: 5 mm, 11 mm, 12 mm and 15 mm 
  • Cannula lengths: 70 mm, 100 mm and 150 mm 
  • 1. Rothenburg SS, DeCou JM, Downey EC et al. A clinical evaluation of the use of radially expandable laparoscopic access devices in the pediatric population. Presented at the International Pediatric Endoscopy Group (IPEG) Meeting, Berlin, Germany. April 1999.

  • 2. Galen DI, Jacobson A, Weckstein LN et al. Reduction of cannula-related laparoscopic complications using a radially expanding access device. J Am Assoc Gynecol Laparosc. 1999;1:79–84.

  • 3. Bhoyrul S, Mori T, Way LW. Radially expanding dilatation: A superior method of laparoscopic trocar access. Surg Endosc. 1996;10:795–798.

  • 4. Johnson WH, Fecher AM, McMahon RL et al. VersaStep trocar hernia rate in unclosed fascial defects in bariatric patients. Surg Endosc. 2006;20:1584–86.

  • 5. Yuen PM, Yim SF. Comparison of radially expanding cannulas with conventional tip cutting tip cannulas. J Am Assoc Gynec Laparosc. 1998;5(Suppl 1):S59–60.

  • 6. M Shafer, D & Khajanchee, Yashodhan & Wong, J & Swanstrom, Lee. (2006). Comparison of Five Different Abdominal Access Trocar Systems: Analysis of Insertion Force, Removal Force, and Defect Size. Surgical innovation. 13. 183-9. 10.1177/1553350606294247.

  • 7. Turner DJ. Presented at the 8th Congress of European Society for Clinical Outcomes Gynaecological Endoscopy, Stockholm, Sweden. Presentation #26. September 1999.

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