Expedite and standardize the 'bubble test' for colorectal anastomoses
Black for OPEN surgery

inflates to ~30 cmH2O
Catalog No. ALT-30

White for LAPAROSCOPIC and ROBOTIC surgery
inflates to ~50 cmH2O
50 cmH2O pressure within the bowel is 30 cmH2O above intraperitoneal pressure
when the abdomen is insufflated to 15 mmHg (20 cmH2O)

Catalog No. ALT-50

  • Simplify rectal inflation
  • Completely occlude the anus
  • Signal at targeted pressure3
  • Prevent overdistention
  • Compensate for haptic loss in laparoscopic and robotic surgery
  • Standardize and document testing pressure
  • Sterile, compact and disposable
  • Rectal tube supplied for bowel deflation
  • Supplied sterile

    10 units per box

    U.S. Patent Nos. 8,216,159 and 10,123,712

  1. Gilbert JM, Trapnell JE. Intraoperative testing of the integrity of left-sided colorectal anastomoses: a technique of value to the surgeon in training. Ann R Coll Surg Engl 1988;70(3)158-160
  2. Beard JD, Nicholson ML, Sayers RD, Lloyd D, Everson NW. Intraoperative air testing of colorectal anastomoses: a prospective, randomized trial. Br J Surg 1990;77(10):1095-7
  3. Wheeler JMD, Gilbert JM. Controlled intraoperative water testing of left-sided colorectal anastomoses: are ileostomies avoidable? Ann R Coll Surg Engl 1999;81:105-8
  4. Schwab R, Wessendorf S, Gutcke A, Becker HP. Early bursting strength of human colon anastomoses – an in vitro study comparing current anastomotic techniques. Langenbecks Arch Surg 2002;386:507-11
  5. Schmidt O, Merkel S, Hohenberger W. Anastomotic leakage after low rectal stapler anastomosis: significance of intraoperative anastomotic testing. EJSO 2003;29:239-243
  6. Ricciardi R, Roberts PL, Marcello PW, Hall JF, Read TE, Schoetz DJ. Anastomotic leak testing after colorectal resection: what are the data? Arch Surg 2009;144(5):407-411
  7. Aslam R, Leiboff A, Gilbert J. Use of novel colorectal anastomosis leak testers to assess the integrity of left-sided colorectal anastomoses. ASGBI abstracts 2010. Poster presentations. Simulation and Technology in Surgery 0629. Br J Surg 2010;97(S2):163-164
  8. Kwon S, Morris A, Billingham R, Frankhouse J, Horvath K, Johnson M, NcNevin S, Simons A, Symons R, Steele S, Thirlby R, Whiteford M, Flum DR. Routine leak testing in colorectal surgery in the Surgical Care and Outcomes Assessment Program. Arch Surg 2012;147(4):345-351


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