The Standard for Tissue Orientation
CorrectClips provide secure orientation of excised tissue on the image. CorrectClips allow a complete view of tissue so that lesions are quickly located. The surgeon applies the sterile clips while in the OR. The clips are translucent on the image; only the letters indicating orientation show brightly. This is superior to metal tags, which block the view of tissue behind the tag, and which cast a shadow that also occludes visibility.
Intraoperative specimen radiographs are recommended by the American Society of Breast Surgeons Consensus Conference 2015.1
The Vector Surgical Tissue Orientation System is comprised of CorrectClips for the intraoperative radiograph and MarginMarker sterile inks for pathology analysis. When CorrectClips are used with MarginMarker, the surgeon clips them onto the specimen after the MarginMarker inks are applied. Paired with the MarginMarker sterile ink kit, CorrectClips can result in improved patient outcomes and greater efficiency. Use of the Vector Surgical System can result in more accurate re-excisions,2,3 fewer unnecessary re-excisions,1,2,4 lower cancer recurrence5,6 and improved cosmesis.1,3
Hi Hong, MD
Department of Pathology
Wisconsin Rapids, Wisconsin USA
“Correct orientation of the biopsy is critical to evaluation of margins and clearance of cancer.”
Danny Robinette, MD
Surgery Center of Fairbanks
Fairbanks, Alaska USA
Better Patient Outcomes
- Fewer unnecessary re-excisions 1, 2
- More accurate re-excisions 1, 2, 3
- Potentially lower cancer recurrence when complete resection is accomplished 4, 5, 6
- Less time lost to re-imaging due to an obstructed view of the lesion or ambiguous orientation
- More efficient radiologist-surgeon communication
- Eliminates risk of needle stick in the OR
- Sterile, single-use set of six clips
- Translucent on X-ray image
- Letter tags representing tissue margins are visible on X-ray
Performance of CorrectClips
- Allow an unobstructed view of the specimen
- Attach securely to both dense and fatty tissue
- Maintain orientation of specimen in the recommended two orthogonal views 7, 8, 9
- Are compatible with compression of the tissue
- Release mechanism allows removal with minimal damage to the tissue
- Breast tissue masses, such as excisional biopsies with X-ray localization
- Landercasper, J., Attai, D., Atisha, D., Beitsch, P., Bosserman, L., Boughey, J., Carter, J., Edge, S., Feldman, S., Froman, J. and Greenberg, C. “Toolbox to reduce lumpectomy reoperations and improve cosmetic outcome in breast cancer patients: The American Society of Breast Surgeons Consensus Conference.” Annals of Surgical Oncology 22.10 (2015): 3174-3183.
- Singh, M.; Singh, G.; Hogan, K.T.; Atkins, K.A.; and Schroen, A.T.“The Effect of Intraoperative Specimen Inking on Lumpectomy Re-excision Rates.” World Journal of Surgical Oncology 8.4 (2010).
- Gibson, G.R.; Lesnikoski, B.A.; Yoo, J.; Mott, L.A.; Cady, B.; and Barth, R.J. Jr. “A Comparison of Ink-Directed and Traditional Whole-Cavity Re-Excision for Breast Lumpectomy Specimens with Positive Margins.” Annals of Surgical Oncology8.9 (2001): 693-704.
- Dooley, W.C. and Parker, J. “Understanding the Mechanisms Creating False Positive Lumpectomy Margins.” American Journal of Surgery190 (2005): 606-608.
- Gage, I.; Schnitt, S.J.; Nixon, A.J.; Silver, B.; Recht, A.; Troyan, S.L.; Eberlein, T.; Love, S.M.; Gelman, R.; Harris, J.R.; and Connolly, J.L. “Pathologic Margin Involvement and the Risk of Recurrence in Patients Treated with Breast-Conserving Therapy.” Cancer78.9 (1996): 1921-1928.
- Menes, T.S.; Tartter, P.I.; Bleiweiss, I.; Godbold, J.H.; Estabrook, A.; and Smith, S.R. “The Consequence of Multiple Re-excisions to Obtain Clear Lumpectomy Margins in Breast Cancer Patients.” Annals of Surgical Oncology12.11 (2005): 881-885.
- Rebner, M; Pennes, D.R.; Baker, D.E.; Adler, D.D.; and Boyd, P.“Two-View Specimen Radiography in Surgical Biopsy of Nonpalpable Breast Masses.” American Journal of Roentgenology149 (1987): 283-285.
- “Practice Guideline for Breast Conservation Therapy in the Management of Invasive Breast Carcinoma.” American College of Radiology. Jan. 1, 2002.
- McCormick, J.T.; Keleher, A.J.; Tikhomirov, V.B.; Budway, R.J.; and Caushaj, P.F.“Analysis of the Use of Specimen Mammography in Breast Conservation Therapy.” American Journal of Surgery 188.4 (2004): 433-436.
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