UNICIRC Surgical Assist Circumcision Instrument

The Product


unicirc thumbClick to enlarge


The recently developed UNICIRC is a disposable and non-reusable male circumcision instrument that has been designed for safe and effective circumcision. It is a Surgical Assist Instrument (not In-Situ), which is developed in accordance with the WHO Framework of Evaluation of Male Circumcision Devices. The UNICIRC instrument is used with tissue adhesive as a technique of circumcision instead of using sutures.

The UNICIRC has been designed and developed in South Africa and presents a radically new approach to minimally invasive circumcision.

It presents a modern circumcision technique which is superior to the surgical method and the other currently available Circumcision Clamps and Rings. It can be used for children and adults.

The UNICIRC disposable Circumcision Instrument is most cost effective and comes closest to WHO Requirements for up-scaling VMMC to reach targets and impact the HIV Hyper Epidemic in Sub-Saharan Africa. It can easily be used by health professionals with limited skills in resource-limited settings (RLS).

It is safe, bloodless, sutureless, is performed with anaesthesia, does not require a scheduled return visit to the clinic or doctor for removal of the Instrument. It heals rapidly through Primary Intention with excellent cosmetic results.

The UNICIRC is developed in accordance with the WHO Framework of Evaluation of Male Circumcision Devices for an ideal Circumcision Technique.

New surgical circumcision method using:

  • UNICIRC Surgical Assist Instrument with tissue adhesive
  • Developed in accordance with WHO Framework of Male Circumcision Devices
  • No wearing of instrument
  • No requirement for scheduled return visit for removal
  • No pain during procedure
  • Minimal post-operative pain
  • Rapid healing within 4 weeks, no necrotising tissue left, hence no odor

The Method of Circumcision Procedure with the UNICIRC

  • Safe, bloodless and sutureless
  • Quick to perform, teach and learn procedure
  • Glans and shaft of penis protected at all times
  • Non-necrotising
  • Procedure time: 5 minutes (excl. anaesthesia & crushing)
  • No requirement for post-operative visits
  • Suited for adults, children, patients with Phimosis and Short Frenulum
  • Promotes rapid healing within 4 weeks by Primary Intention
  • No requirement for scheduled return visit for removal
  • No cross-infection: single use instrument, re-use prevented
  • Most cost effective for up-scaling VMMC
  • Ideally suited for recruiting for VMMC
  • Single provider procedure
  • Circumcision complete at time of procedure
  • All-in-one kit: least amount of consumables
  • Ideally suited for recruiting patients and up-scaling VMMC in Resource Limited Settings
  • Safety and effectiveness supported by Clinical Trials from Country of Intended Use
  • Accredited Training Program, Instruction Manuals and videos available
  • Cost effective for Public Health Good
  • Circumcision with the UNICIRC circumcision method can be applied using a Fast Track Model to up-scale VMMC

 

2 Step Application and Removal of UNICIRC instrument at same visit

Circumcision complete at time of procedure

Procedure with Unicirc Instrument and Tissue Adhesive

Procedure time

Time taken applying instrument and adjusting amount of mucosa and skin to be removed, after administering local anaesthesia:
2.5 minutes

Time to remove excess foreskin, applying tissue adhesive and adhesive dressing:
2.5 minutes

Minutes waiting time for circumferential crushing pressure to fuse skin to mucosa and provide Haemostasis:
5.0 minutes

 

CONSUMABLES and INSTRUMENTS required for Circumcision Method with UNICIRC Instrument and Tissue Adhesive

package contents

 

UNICIRC Procedure Video

Watch UNICIRC Procedure Video here (highly explicit content, login required).

TWO STEP PROCEDURE

Find a description of the UNICIRC Two Step Procedere here (highly explicit content, login required).

Why UNICIRC is superior to all other Circumcision Devices and Methods

The removal of the foreskin with the UNICIRC Instrument and sealing of the wound with tissue adhesive has several advantages over traditional open surgical circumcision and over plastic Rings and Clamps.

Circumcision with UNICIRC Surgical Assist Instrument

  • is safer,
  • heals by primary intention,
  • is easier to perform, teach and learn,
  • needs much less operative time,
  • provides much better cosmetic results,
  • is non necrotising,
  • does not require scheduled return visit for removal of instrument,
  • is most cost-effective, and
  • is best suited for recruiting and up-scaling of VMMC in RLS
  • 2 step Application and Removal of UNICIRC Instrument at same visit
  • Circumcision complete at time of procedure
  • allows circumciser to remove most of the inner foreskin (mucosa). This fact is important for the prevention of HIV.

See WORLD HEALTH ORGANISATION FRAMEWORK (September 2012) for EVALUATION OF CIRCUMCISION DEVICES

 

UNICIRC Instrument developed in accordance with the WHO Framework of Evaluation of Male Circumcision Devices

See UNICIRC Instrument compared to Circumcision Devices (login required).

 

Benefits for Patients for Circumcision with UNICIRC Instrument and Method

  • No wearing of instrument
  • No need for post-operative return vist
  • No pain during procedure
  • Minimal post-operative pain
  • Rapid Healing within 4 weeks, no necrotising tissue left, hence no odor
  • Safe, needle-less, bloodless & sutureless and Excellent Cosmetic Results


An oral analgesic medication is often prescribed for pain relief after the anaesthetic wears off, but many men find it unnecessary. Often there is very little post–operative discomfort and normal activities can be resumed after 24 hours.

Benefits for Patients and Health Professionals for Circumcision with UNICIRC Instrument and Method

  • Safe for both surgeons and patients
  • Disposable
  • Needle-less, bloodless and sutureless
  • Wound heals by primary intention and provides excellent cosmetic results
  • Can be used in patients with Phimosis and Short Frenulum
  • No wearing of instrument
  • Safer than open surgical circumcision procedure
  • No scheduled return visit needed for removal of device
  • Fast to perform, easy to teach and learn

Benefits for Decision Makers for Circumcision with UNICIRC Instrument and Method

  • The circumcision instrument comes in a pre-assembled disposable surgical kit
  • Minimal medical instruments required for procedure: scalpel, curved forceps
  • Most cost effective in comparison to any other currently available technique
  • Facilitates most cost effective solution to MMC scale-up in high volume/demand settings
  • Ideally suited to fast track circumcisions for reaching targets
  • Task shifting: Training/Certification of entire circumcision procedure to lower cadre health professionals, e.g. Clinical Officers, Nurses. Procedure can be performed safely by healthcare providers with minimal level of training
  • Suited to train Traditional Circumcisers and meeting cultural needs.

 

Other Circumcision techniques, using Surgical Assist Instrument and In-situ Clamp and Ring Devices

existing-devices

Currently, there are many different circumcision techniques, ranging from the surgical or forceps guided method to using plastic Rings and Clamps which all share certain characteristics.

Surgical circumcision has several disadvantages for scaling up and reaching WHO targets 80% coverage of 15 to 49 year old males in 14 Priority countries in Sub-Saharan Africa by 2016.

Circumcision Clamps and Rings

From the 1930's, modern prototypes such as the Gomco Clamp began to be used and are used until today.

New VMMC modalities like plastic Circumcision Clamps and Rings have lately received a great deal of publicity. They are attractive because they require less skill to place and are more rapid than open surgery, but have a number of serious drawbacks. These Clamp and Ring devices are left in situ for 5 to 7 days, after which patients have to return for removal of the device.

Plastic Rings and Clamps remain in place for one week, during which time the men have to tolerate the discomfort of having to wear the device and the smell of the necrotic tissue. Removal is unpleasant and takes sometimes more time than placement .

Healing is by secondary intention, so there is a potential to transmit infections during the prolonged healing process.

The delayed healing with Rings and Clamps may facilitate new infections, especially if sexual activity is not delayed for up to 6 weeks after the operation.

Some Rings cannot be used for patients with a tight/short Frenulum or Phimosis.