Diagram of Large-Incision Fascial Closure. The curved shield attaches to Bonnie Forceps, held in the left hand, to retract the skin and subcutaneous layer, exposing the fascia. The suture needle is then driven through the fascia with a needle driver in the right hand, to be picked up by the forceps. The process can be repeated on the patient's left side by inverting the forceps.
Non-Assisted Fascial Closure and Deep Tissue Retraction
"Could save 3-5 Minutes in large-incision fascial closure."
- James N., Resident, Loma Linda University Medical Center
The Tisshield™ acts as an extra "hand" and performs many related functions to enhance forceps. While attached, the Tisshield serves as a transparent retractor and retainer that can optimize site exposure, allowing the surgeon to easily perform multiple functions in one hand. This versatility allows for improved methods of suturing and handling tissue, as illustrated below. Another good example of the device performing many of its functions can be seen in the video, "Avoiding Injuries with Tisshield,", or our gastrojejunostomy case snapshot.
Shown inserting the curved shield into the apex of the incision to retract.
Closeup of curved shield attached to Bonnie Forceps during retraction.
Easy and Intuitive for All to Use
Tisshield™ works seamlessly with existing forceps to add multifunctionality without compromising their normal use. In fact, the device is so intuitive that scrub nurses and technicians can use them effortlessly. In the photograph on the left, this technician can be seen assisting the surgeon during fascia closure. Instead of using fingers to retract skin, the curved shield can be used to gently expose surgical sites, both on the inside and outside. Some examples of useful positions for exposing fascia can be seen in the video, "From Exposure to Closure," or in our discussion of preventing injuries.
Easy to Install and Remove
Tisshield™ works seamlessly with many existing tissue and debakey forceps to promote surgical efficiency. At roughly 4.5 grams, the weight of the device is virtually undetectable by the user. In just seconds, the device can be installed effortlessly with a simple "snap" directly onto the jaws of forceps.
The attachment clips can be pressed down with the thumb for quick detachment as needed.
Tisshield™ works seamlessly with many existing tissue and debakey forceps to promote surgical efficiency. At roughly 4.5 grams, the weight of the device is virtually undetectable by the user. In just seconds, the device can be installed effortlessly with a simple "snap" directly onto the jaws of forceps. 
The attachment clips can be pressed down with the thumb for quick detachment as needed.