Mooreville Needle Introducer

Mooreville Needle Introducer

The first new needle introducer in 40 years. The Furlow Needle Introducer was made available 40 years ago. Recently, it was noted that the Furlow design, which is a closed system, can harbor proteinaceous material in its interior and thus bacteria, which can be a source of contamination at the time of the prosthesis introduction (https://doi.org/10.1038/s41443-020-0256-2). This dooms the implant and can be disastrous to the patient. The Mooreville Needle Introducer has an open design made from two halves which come apart for easy cleaning and sterilization.

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Key Benefits

Smooth surface. No indents to collect bacteria. Comes apart for internal cleaning.

Features Overview

High Quality Material

Top grade surgical steel

Can be resterilized

Easy to Clean

Two mirror halves, which can come apart, allowing for easy cleaning

Two halves

Each piece forms a central channel, when together, through which the pusher travels

Length

18 cm

Width

9 mm

Pricing

$1099 per item

SKU # 9909

Patent Pending

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Prosthesis Component Introducer (PCI)

Prosthesis Component Introducer (PCI)

The prosthesis component introducer was improved by increasing the length of the beaks to accommodate all body habitus. They come in 3 beak lengths: 5, 7.5 and 12 cm.

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Key Benefits

Makes introduction of prosthesis components easier with the increased beak length. It works well from both the supra-pubic approach as well as from the penoscrotal one.

Features Overview

High Quality

Made from surgical steel

Three Sizes

5, 7.5, and 12 cm beaks

pci1-header-or-featured

Pricing

$299 for one

$489 for two (different sizes)

$749 for three (different sizes)

SKU # 9904

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The New Ectopic Wilson Reservoir Clamp (NEWRC)

The New Ectopic Wilson Reservoir Clamp (NEWRC)

The NEWRC is longer than the current ectopic clamp. It is designed to create an ectopic location for the prosthetic reservoir in the lower abdomen.
The NEWRC was conceived and is recommended by Dr. Steve Wilson.

Steven K. Wilson, MD, FACS, FRCS

Editor-In-Chief ISSM Video Journal of Prosthetic Urology

2007 Wilson Chair of Prosthetic Urology, U of AR

2010 St. Paul’s Medal: British Association Urologic Surgeons

2013 F Brantley Scott Award of Excellence

2017 Living Legend Award: Society Urologic Prosthetic Surgeons

Former Professor Urology: University of AR for Medical Sciences

The NEWRC was conceived and is recommended by Dr. Steve Wilson.

Steven K. Wilson, MD, FACS, FRCS

Editor-In-Chief ISSM Video Journal of Prosthetic Urology

2007 Wilson Chair of Prosthetic Urology, U of AR

2010 St. Paul’s Medal: British Association Urologic Surgeons

2013 F Brantley Scott Award of Excellence

2017 Living Legend Award: Society Urologic Prosthetic Surgeons

Former Professor Urology: University of AR for Medical Sciences

Our Customers Said

I have used the (New Wilson Ectopic Reservoir) Clamp with great success. Very nice design.
J. Francois Eid, MD
Clinical Associate Professor of Urology Weill-Cornell Medical College Director, Advanced Urological Care, PC

Key Benefits

It allows placement of a prosthesis reservoir in an ectopic location with less likely bladder side effects and no visibility. The Clamp has atraumatic grasping.

The Clamp
Anatomy of a wall
Finger placement of ectopic reservoir
Reservoir in groin after finger placed ectopic reservoir
The Wilson Clamp allows the creation of a pouch in a non-visibnle position
Previous
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In Practice
Clamp showing how high the ectopic reservoir will be placed.
Atraumatic tip does not injure reservoir. Deaver in inguinal ring allows passage of reservoir in high abdominal wall location.
Reservoir location through a penoscrotal incision is above umbilicus.
Previous
Next
In Practice
Clamp showing how high the ectopic reservoir will be placed.
Atraumatic tip does not injure reservoir. Deaver in inguinal ring allows passage of reservoir in high abdominal wall location.
Reservoir location through a penoscrotal incision is above umbilicus.
Previous
Next

Features Overview

High Quality Material

Top grade surgical steel

Length

14 in

Pricing

$695 for one

SKU # 9903

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Urethrotome

The Mooreville Urethrotome

The Otis Urethrotome simplified

The new urethrotome allows for easy and safe non-visual internal urethrotomy by passage over a guidewire, no moving parts and cutting of only fibrous scar. The flat blade protects normal urethra, which is pushed gently away during passage.

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Key Benefits

Easy to use in multiple settings. Improved reimbursement.

Play Video

Method of Use

Initially, after the instillation of an urethral anesthetic lubricant, a guide wire is passed into the urethra and through the stricture to the bladder. The urethrotome is loaded over the guidewire and slid gently to the stricture, which will be noted by increased resistance to the passage over the guide wire through the tactile feedback characteristic of the stem. Normal tissue is gently pushed out of the way. Markings on the stem will help localize the depth of the stricture from the meatus.

Advancing the urethrotome through the stricture will gently stretch fibrous bands, which will then be exposed to the sharp square edges of the urethrotome and divided as the urethrotome is advanced through the stricture. The 8-12 F and 10-20 F urethrotomes are enough for most strictures. They can also be used for bladder neck stenosis status post radical prostatectomy.

The urethrotome can also be used to enlarge a suprapubic tract over a guide wire as well as a nephrostomy tract. References below.

Method of Use

Initially, after the instillation of an urethral anesthetic lubricant, a guide wire is passed into the urethra and through the stricture to the bladder. The urethrotome is loaded over the guidewire and slid gently to the stricture, which will be noted by increased resistance to the passage over the guide wire through the tactile feedback characteristic of the stem. Normal tissue is gently pushed out of the way. Markings on the stem will help localize the depth of the stricture from the meatus.

Advancing the urethrotome through the stricture will gently stretch fibrous bands, which will then be exposed to the sharp square edges of the urethrotome and divided as the urethrotome is advanced through the stricture. The 8-12 F and 10-20 F urethrotomes are enough for most strictures. They can also be used for bladder neck stenosis status post radical prostatectomy.

The urethrotome can also be used to enlarge a suprapubic tract over a guide wire as well as a nephrostomy tract. References below.
Play Video

Features Overview

High Quality Material

Top grade surgical steel, does not need resharpening

Both the instrument and the handle are autoclavable

The main Set

2 different sizes, 8 – 14 F and 10 – 20 F

graded in centimeters

“CM” markings on the stem of the instrument to help assess the depth of the stricture. “Double” markings at 5, 10 and 15 cm

More Control

Flexible stem with tactile feedback characteristics.

Conical head

Central hole for passage over a guidewire

Blade Height

Height of blade does not exceed circumference of the cone

Pricing

$1,599 for full set (2)

Shipping: $50

SKU # 4401

Patent # 10,500,379

Uramix does not endorse any particular code for billing purposes. These codes are only provided for information purposes.

1,2,3 cms.gov

references

Suprapubic tract dilation using the Otis urethrotome. Thrasher JB, Kreder KJ. Urology. 1993 Mar; 41(3):247-8.
https://www.ncbi.nlm.nih.gov/pubmed/8442308

Percutaneous nephrostomy tract incision using a modified Otis urethrotome. Ireton RC. Urology Clinics of North Am. 1990 Feb; 17(1):195-8
https://www.ncbi.nlm.nih.gov/pubmed/2305529

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Wilson Backward Cutting Scissor Set

Wilson Backward Cutting Scissors Set

The Wilson Supercut Backward Cutting Scissor Set contains 2 scissors, a 7 and 8″ scissors for prosthetics implants in fibrotic corpora. The larger scissor is designed for the proximal corpora and the smaller one for distal work.”

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Key Benefits

Helps in corporeal dissection in fibrotic corpora prior to the placement of penile prosthesis.

Method of Use

Once access to the corpora is obtained advance the scissor in a closed position and pull back with the arms spread.

Method of Use

Once access to the corpora is obtained advance the scissor in a closed position and pull back with the arms spread.

Features Overview

Length

7” and 8" Wilson Backward Cutting Scissors

The Wilson Backward Cutting Scissors Set and the Mooreville Double Bladed Advanced Cavernotomes in the traveling instrument tray.

Pricing

$699 per set

SKU # 6601

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Wilson-Mooreville Backward Cutting Scissors

Wilson-Mooreville Backward Cutting Scissors

The Wilson-Mooreville scissors were designed to improve the creation of space in deeply scarred corpora by the addition of lateral serrations. The scissors come in two different widths and two different tip lengths to accommodate most situations.

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Key Benefits

Lateral serrations, which are hidden when the scissor is closed and exposed when open, cutting on the way out of the corpora.

Features Overview

Length

21 cm (8") long

Two Widths

7 mm (distal corpora) and 10 mm (proximal corpora) width

Two Scissor Front Lengths

4.5 cm and 8.2 cm

Wilson-Mooreville-Scissors2

Pricing

$745 per set

SKU # 6611

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Corpus Ruler

Corpus Ruler

“This new measuring rod is indispensable for obtaining an accurate length of malleable penile implants when placed through the subcoronal incision. Its completely smooth surface is an improvement over the previous model whose indentations prevented a smooth passage to the ischial tuberosity and may have harbored bacteria.”

 

Steven K. Wilson, MD, FACS, FRCS
Former Professor Urology: University of AR for Medical Sciences (UAMS)

2007 Wilson Chair of Prosthetic Urology, UAMS
2010 St. Paul’s Medal: British Association Urologic Surgeons
2013 F Brantley Scott Award of Excellence
2017 Living Legend Award: Society Urologic Prosthetic Surgeons
760 342 6657
79440 Corporate Center Dr. Suite 102
La Quinta, CA 92253

HAVE QUESTIONS?

Dr. Mooreville is available to answer by email or a telephone conversation can be scheduled.

REACH OUT TODAY

uramix@comcast.net
+1 610.394.9850

Key Benefits

Smooth surface. No indents to collect bacteria.

Features Overview

High Quality Material

Surgical Stainless Steel

Sterilizable, reusable

Corpus Ruler Features

27 cm long by 11 mm diameter

Pricing

$579 for one

$899 for two

SKU # 9902

Patent Pending

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Mooreville-Wilson Preparation Tool

Mooreville-Wilson Preparation Tool

Serial dilation with Hegar or Brooks dilators has been largely abandoned by today’s prosthetic urologists…introducing the first innovation in corpora preparation in 35 years. The two preparation tools for setting up the corpora to receive a penile prosthesis have sizes: 9-11 mm and 10-12 mm. They do the work of 4 Brooks Dilators plus a measuring tool.

HAVE QUESTIONS?

Dr. Mooreville is available to answer by email or a telephone conversation can be scheduled.

REACH OUT TODAY

uramix@comcast.net
+1 610.394.9850

Key Benefits

Smooth surface. No indents to collect bacteria.

Using the Mooreville-Wilson Prep Tool
Prepping the corpora to receive the prosthesis.
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Method of Use

Combine dilating and measurement in one easy step.

Method of Use

Combine dilating and measurement in one easy step.

Using the Mooreville-Wilson Prep Tool
Prepping the corpora to receive the prosthesis.
Previous
Next

Features Overview

Made from surgical steel. Can be sterilized

Length

27 cm long

Available in

9-11 and 10-12 mm diameters

Pricing

$549 for one

$899 for two

SKU # 9906

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The Mooreville II

DBACNewHandle-(1)-2

The Mooreville II

Double-Bladed Advanced Cavernotome

The Double-Bladed Cavernotome is an advancement on the original cavernotome for more challenging cases of severely scarred corpora. The cavernotome gets two cutting blades, which are sharper and rise from a beveled surface within the circumference of the dilator and the blades do not exceed this perimeter, for a precise and controlled cut or shaving action. Now available with fixed posts.
HAVE QUESTIONS?

Dr. Mooreville is available to answer by email or a telephone conversation can be scheduled.

REACH OUT TODAY

uramix@comcast.net
+1 610.394.9850

Key Benefits

Easier and faster creation of an intracorporeal space in scarred genitalia from previous surgery or disease (i.e. – Peyronie’s, Sickle Cell). The cavernotome is great at removing bacterial film from previously infected corpora.

Play Video

Method of Use

A new double-bladed cavernotome with improved coring ability and ease of use.

  • Entry to fibrotic corpora needs to be accessed by scalpel & extended both proximally & distally to allow entry to dilator
  • Working element should initially be directed laterally
  • Cutting of fibrotic tissue can be obtained longitudinally & also in a rotating shaving action
  • Dilators are used in succession to the desired size
  • Dilators can be used in nonfibrotic corpora for speedier dilation

Method of Use

A new double-bladed cavernotome with improved coring ability and ease of use.

  • Entry to fibrotic corpora needs to be accessed by scalpel & extended both proximally & distally to allow entry to dilator
  • Working element should initially be directed laterally
  • Cutting of fibrotic tissue can be obtained longitudinally & also in a rotating shaving action
  • Dilators are used in succession to the desired size
  • Dilators can be used in nonfibrotic corpora for speedier dilation
Play Video

Features Overview

High Quality Material

Top grade surgical steel, does not need resharpening

Long-lasting

Both the instrument and the handle are autoclavable

The main Set

6 cavernotomes with diameters between 6, 7, 9, 10, and 11 mm

The X-Large Set

3 cavernotomes with diameters between 12, 13, and 14mm

graded in centimeters

Cavernotomes can also be used as a measuring tool

Working element

2 parallel blades of 5 cm

Length

23.5 cm

More Control

Additional handle for increased torque in difficult dilations, flat surface on the same plane as the blade for ease of orientation

The Handle

Easily mountable and removable for use and cleaning

Tapered head

Rounded protective tip

Blade Height

Height of blade does not exceed circumference of the dilator

Blade Details

Two blades advanced to within 0.5 cm of the tip

Includes

EVA cases, combining the protection of a hard case with the versatility and portability of a soft case

Pricing

$2,899 for full set (6)

$2,699 for any five

$2,399 for any four

$1,999 for any three

$1,999 for X-Large set (3),

$4,299 for the full set (6) and X-tra large set (3)

SKU # 9907

Case study

The cavernotomes were used in nineteen patients with corporeal fibrosis. The etiology of the fibrosis was removal of previously infected prosthesis (15), extensive fibrosis from recurrent priapism secondary to sickle cell disease (2), pharmacologic injection program and subsequent Winter shunts (2). One of the patients whose prosthesis was removed for infection also had a tip erosion on the contralateral side necessitating the creation of a subcapsular space for the insertion of a new cylinder.

Surgical Technique

After a small corporotomy is created, the cavernotomes are introduced and moved in an oscillating motion resulting in forward advancement. If more resection is needed, rotation of the cavernotomes will create a “shaving” action which removes 1 mm strips of fibrotic tissue.

  • Cutting can be done both in a longitudinal, up and down, movement, or in a “drilling” rotational movement.
  • The largest size (13 mm) corresponds to standard cylinder diameter. Dilation to 10 mm is necessary for insertion of the Furlow tool or the Mentor NB cylinder base. Dilation to 11 mm is necessary for the insertion of the AMS CXM base.
  • Internal cutting of the fibrosis obviates extensive corporotomies and results in quicker procedures.
  • The cavernotome’s design and oscillating advancement promote safe dilation without perforation.

Cavernotome being used to dilate fibrotic corpora

All uses of the cavernotomes resulted in successful implantation of inflatable cylinders or semimalleable rods without urethral injury or corporal perforation.

  • Fifteen of the patients received downsized prosthesis (13 Alpha NB, 2 AMS 700 CXM).
  • Of the remaining four patients, three patients were implanted with Mentor Alpha 1 standard size cylinders, and 1 patient was implanted with an AMS semimalleable prosthesis.
  • Graft material was not required and only two patients required additional distal penile incisions for optimum cylinder tip placement.
  • Average operative time was 51 minutes (39-86 minutes range).

As seen in Wilson’s Perils and Pitfalls of Penile Prosthesis Surgery, Tobias S. Kohler, MD, Nikhil Gupta, MD, Steven K. Wilson, MD, 2nd edition, January 2018

references

Bruce B. Garber, Caitlin Lim.  “Inflatable Penile Prosthesis Insertion in Men with Severe Intracorporal Fibrosis.” Current Urology  (2017)  10:92–96.

Michael Mooreville, Sorin Adrian, John R. Delk, and Steven K. Wilson.  “Implantation of Inflatable Penile Prosthesis in Patients with Severe Corporeal Fibrosis: Introduction of a New Penile Cavernotome.”  The Journal of Urology 162 (1999).

Steve K. Wilson. “Reimplantation of inflatable penile prosthesis into scarred corporeal bodies”. International Journal of Impotence Research (2003) 15, Suppl 5, S125-S128.

Cylinder insertion into scarred corporal bodies: prosthetic urology’s most difficult challenge: some suggestions for making the surgery easier

Instrument Cleaning

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The Mooreville Dilator

The Mooreville Dilator

Single-Bladed Cavernotome

The cavernotome has a simple, yet ingenious design, which helps the surgeon control the cutting and shaving action of the dilator within the confines of the corpora. The cavernotome incorporates a 1 mm cutting blade, which rises from a beveled surface within the circumference of the dilator and does not exceed this perimeter, for a precise and controlled cut or shaving action.

HAVE QUESTIONS?

Dr. Mooreville is available to answer by email or a telephone conversation can be scheduled.

REACH OUT TODAY

uramix@comcast.net
+1 610.394.9850

Key Benefits

Cuts and Shaves Fibrotic Tissue
Peronie’s disease, sickle cell, priapism, prolonged intracavernosal therapy, redos, subcapsular space creation in eroded prosthesis

Improves and Shortens the Dilation Process
Avoids multiple corporatomies
Avoids false passages

Controls the Depth of the Internal Cut by its Design
Represents a significant improvement over existing instruments

Play Video

Method of Use

The Mooreville Dilators were designed for use in both moderately fibrotic corporas as well as virgin implants.

  • Entry to the fibrotic corpora needs to be accessed by scalpel and extended both proximally and distally to allow entry to the cavernotome
  • The working element should be directed laterally initially
  • If tissue does not respond to the cutting process the cavernotome can be rotated or moved in an oscillating fashion to create a shaving action that removes fibrotic tissue and at the same time propels the cavernotome forward
  • The cavernotomes are used in succession until the desired size is attained
  • Can be used in normal corpora for a speedier dilation
  • Can be used as a measuring tool

Method of Use

The Mooreville Dilators were designed for use in both moderately fibrotic corporas as well as virgin implants.

  • Entry to the fibrotic corpora needs to be accessed by scalpel and extended both proximally and distally to allow entry to the cavernotome
  • The working element should be directed laterally initially
  • If tissue does not respond to the cutting process the cavernotome can be rotated or moved in an oscillating fashion to create a shaving action that removes fibrotic tissue and at the same time propels the cavernotome forward
  • The cavernotomes are used in succession until the desired size is attained
  • Can be used in normal corpora for a speedier dilation
  • Can be used as a measuring tool
Play Video

Features Overview

High Quality Material

Top grade surgical steel

Long-lasting

Can be resterilized

The Set

5 cavernotomes with diameters between 6, 7, 9, 11, and 13 mm

graded in centimeters

Cavernotomes can also be used as a measuring tool

Working element

6 cm long, and starts 1 cm from the tip

Length

23 cm

Easy to Discern Blade Orientation

A 4 cm flat beveled surface is placed about 7 cm from the cutting element on the same plane as the beveled surface of the blade to let the operator know how the cavernotome is oriented, if the blade is buried and not visible

Tapered head

1 cm long, protects ends of the corpora

Blade Height

1 mm and does not exceed the circumference of the cavernotome to avoid cutting beyond this perimeter

Includes

EVA cases, combining the protection of a hard case with the versatility and portability of a soft case

Pricing

$2,499 for all five (6mm, 7mm, 9mm, 11mm, 13mm)

$2,859 for Dilator Set + 14mm dilator

$435 for 14mm dilator

SKU # 9901

Patent # 5,968,067

Case study

The cavernotomes were used in nineteen patients with corporeal fibrosis. The etiology of the fibrosis was removal of previously infected prosthesis (15), extensive fibrosis from recurrent priapism secondary to sickle cell disease (2), pharmacologic injection program and subsequent Winter shunts (2). One of the patients whose prosthesis was removed for infection also had a tip erosion on the contralateral side necessitating the creation of a subcapsular space for the insertion of a new cylinder.

Surgical Technique

After a small corporotomy is created, the cavernotomes are introduced and moved in an oscillating motion resulting in forward advancement. If more resection is needed, rotation of the cavernotomes will create a “shaving” action which removes 1 mm strips of fibrotic tissue.

  • Cutting can be done both in a longitudinal, up and down, movement, or in a “drilling” rotational movement.
  • The largest size (13 mm) corresponds to standard cylinder diameter. Dilation to 10 mm is necessary for insertion of the Furlow tool or the Mentor NB cylinder base. Dilation to 11 mm is necessary for the insertion of the AMS CXM base.
  • Internal cutting of the fibrosis obviates extensive corporotomies and results in quicker procedures.
  • The cavernotome’s design and oscillating advancement promote safe dilation without perforation.

Cavernotome being used to dilate fibrotic corpora

All uses of the cavernotomes resulted in successful implantation of inflatable cylinders or semimalleable rods without urethral injury or corporal perforation.

  • Fifteen of the patients received downsized prosthesis (13 Alpha NB, 2 AMS 700 CXM).
  • Of the remaining four patients, three patients were implanted with Mentor Alpha 1 standard size cylinders, and 1 patient was implanted with an AMS semimalleable prosthesis.
  • Graft material was not required and only two patients required additional distal penile incisions for optimum cylinder tip placement.
  • Average operative time was 51 minutes (39-86 minutes range).

As seen in Wilson’s Perils and Pitfalls of Penile Prosthesis Surgery, Tobias S. Kohler, MD, Nikhil Gupta, MD, Steven K. Wilson, MD, 2nd edition, January 2018

references

Bruce B. Garber, Caitlin Lim.  “Inflatable Penile Prosthesis Insertion in Men with Severe Intracorporal Fibrosis.” Current Urology  (2017)  10:92–96.

Michael Mooreville, Sorin Adrian, John R. Delk, and Steven K. Wilson.  “Implantation of Inflatable Penile Prosthesis in Patients with Severe Corporeal Fibrosis: Introduction of a New Penile Cavernotome.”  The Journal of Urology 162 (1999).

Steve K. Wilson. “Reimplantation of inflatable penile prosthesis into scarred corporeal bodies”. International Journal of Impotence Research (2003) 15, Suppl 5, S125-S128.

Instrument Cleaning

place an order

Fill out the information required and we will be in touch to continue the order process.