Airseal

4 Sroussi, J, Rigouzzo A, Elies A, et al. (full reference below).

First of its kind

The AirSeal® System is the world’s only intelligent and integrated access system for laparoscopic and robotic surgery

The AirSeal® System represents a transformation of conventional insufflation, trocar, and filtered tubing systems used for the last 25 years.

By providing stable pneumoperitoneum, constant smoke evacuation*, and valve-free access to the abdominal cavity, the AirSeal® System reduces procedural time, costs, and hassles in ways that conventional insufflators, trocars, and filtered tubing systems simply cannot do.

The AirSeal® System enables surgeons to operate with stable pneumoperitoneum in even the most challenging situations.** These include incisions for specimen removal, excessive trocar valve leakage, conventional trocar dislodgement, and colpotomy during laparoscopic or robotic hysterectomies.

Benefits

The AirSeal® System enables surgeons to operate in a clearer field as the automatic smoke evacuation function constantly evacuates*, filters, and recirculates gas back to the AirSeal® Access Port.**

Due to its valve-free design, AirSeal® Access Ports enable surgeons to operate without the hassles of laparoscope smudging during insertion.

The valve-free design also prevents seal tearing during instrument insertion and withdrawal, trocar dislodgement due to seal friction, and reduces the possibility of important specimen loss or fragmentation during removal.

 

Airseal iFS

How it works

The AirSeal® System combines the design and function of its 3 proprietary components to create an exceptionally stable working environment and remarkably clear operating field in laparoscopic / and robotic procedures.

The combination of stable pneumoperitoneum, constant smoke evacuation*, and valve-free access to the abdominal cavity are made possible by the high flow, unique pressure sensing capabilities of the AirSeal® iFS, the Tri-Lumen Filtered Tube Set, and the Access Port, which is the focal point of the system.

Inside the cannula housing of the AirSeal® Access Port, a series of high pressure nozzles direct recirculated CO2 gas downward into the cannula to ensure the set intra-abdominal pressure.

 

At this point, an equilibrium is reached, creating a horizontal gas barrier inside the cannula housing. A constant flow circuit is also activated, simultaneously evacuating intra-abdominal gas (now containing CO2 & smoke), filtering it, and recirculating it through the system’s proprietary design.

Unlike conventional insufflators that feature uni– directional flow and cyclical inflation which momentarily stops for pressure sensing function, the AirSeal® iFS features a filtered circulatory flow design which not only enables simultaneous insufflation and pressure sensing but also provides constant smoke evacuation*. The result is an exceptionally stable and remarkably clear laparoscopic and robotic surgery working environment.

 

AIRSEAL® iFS

AirSeal Component

AirSeal® iFS

The AirSeal® iFS features a large touchscreen display that enables the OR team to monitor key readouts including flow rate, intra-abdominal pressure, and gas supply level.

The iFS unit also provides visual and audible alerts to communicate important messages to the OR team during surgery, including low gas level warnings or excessive flow alerts which may indicate an open stopcock, a dislodged trocar, or other significant leak.

AirSeal® Access Ports

Unlike conventional trocars that provide constricted flow, single-channel stopcocks, AirSeal® Access Ports feature a proprietary “bullseye" manifold that is designed to maximize inflow, evacuate smoke, and enable real time pressure sensing.

AirSeal® Access Ports also feature a unique means of creating a "seal" by using a series of high pressure nozzles within the cannula housing that directs a downward pressure (in CO2 gas form) that is equal in force to the intra-abdominal pressure chosen by the surgeon using a touchscreen display on the AirSeal® iFS Unit.

The result is an invisible, horizontal barrier that instantaneously responds to changes in intra– abdominal pressure, either by allowing more CO2 inflow with pressure drops or by serving as a pressure relief valve during pressure spikes.

The valve-free design of AirSeal® Access Ports also enables smudge-free scope insertion (when used as the scope port), intact specimen removal and unimpeded introduction of sutures, needles, clips and mesh biologic materials.

AirSeal® Tri-Lumen Filtered Tube Set

The AirSeal® Tri-Lumen Filtered Tube Set (FTS) connects the iFS to the AirSeal® Access Port, enabling the creation of the gas barrier in the cannula, CO2 insufflation, smoke evacuation, and constant pressure sensing.

The Tri-Lumen FTS also features a 0.01 micron filter, well beyond ULPA filtration and the guidelines established by the Association of Perioperative Registered Nurses (AORN)1.

AIRSEAL® FILTERED TUBE SETS

Airseal Filtered Tube Sets

Financial Benefits

Reducing costs and increasing revenues are two ways to improve a hospital’s bottom line. Using The AirSeal® System enables a hospital to do both.

Reducing Cost

The use of AirSeal® Technology has been shown to reduce operative times by up to 15% when compared to conventional insufflation and trocar systems2.

This can result in significant savings, especially when considering the cost of OR time, which a recently published study from the Department of Urology at Northwestern University identified as approximately $75 per minute3.

In addition to reducing procedure time, using the AirSeal® System enables a hospital to reduce its reliance on ancillary devices, such as smoke evacuation systems and specialized devices to prevent loss of pneumoperitoneum such as colpo-pneumo occluders.

 

In addition, the need for secondary insufflators and insufflation tubing sets is eliminated due to the unmatched flow capabilities of the AirSeal® System.

Increasing Revenue

The time savings provided by the AirSeal® System has the potential to enable the completion of additional procedures, increasing procedural revenues and profits beyond conventional insufflation and trocar systems.

 

The use of AirSeal® Technology has been shown to reduce operative times by up to 15% when compared to conventional insufflation and trocar systems2.

SURGICAL TECHNIQUE VIDEOS

1 Spruce, Lisa, and Melanie L. Braswell. Implementing AORN Recommended Practices for Electrosurgery. AORN Journal. AORN, Inc., 2012. Web. 27 Oct. 2016. 2 Herati, A. S., Andonian, S., Rais-Bahrami, S., Atalla, M. A., Srinivasan, A. K., Richstone, L., & Kavoussi, L. R. (2011). Use of the Valveless Trocar System Reduces Carbon Dioxide Absorption During Laparoscopy When Compared With Standard Trocars. Urology, 77(5), 1126-1132. doi:10.1016/j.urology.2010.06.052. 3 Rebuck, David A., Lee C. Zhao, Brian T. Helfand, Jessica T. Casey, Neema Navai, Kent T. Perry, and Robert B. Nadler. Simple Modifications in Operating Room Processes to Reduce the Times and Costs Associated with Robot-Assisted Laparoscopic Radical Prostatectomy. Journal of Endourology 25.6 (2011): 955-60. Web.Sroussi, J, Rigouzzo A, Elies A, et al. Laparoscopic Surgery at low (7mm) pressure with AirSeal® System. Presented at 2013 AAGL Meeting. Publication Pending.

*Constant smoke evacuation is only available in AirSeal and Smoke Evacuation modes. ** When in AirSeal Mode.