Why Surgeons Are Switching to AirSeal®: A Smarter Way to Insufflate*

  • Published: 7/25/2025
  • 3 min

Ask any laparoscopic or robotic surgeon what decreases their efficiency mid-procedure, and you’ll likely hear the same things: poor visibility, fluctuating pressure, and smoke that clouds the field.1-2

What if one system could fix all of that?

Meet the AirSeal® Intelligent Flow System (IFS) – a clinical insufflation and smoke evacuation system designed to maintain a consistently clear, stable, and efficient surgical environment.1-2

What Makes AirSeal® Different?

Insufflation might seem like a background process in minimally invasive surgery – but in reality, it sets the stage for everything that follows. If the pneumoperitoneum isn’t stable, the rest of the case suffers. Visibility drops. Workflow stalls. Precision takes a hit.

AirSeal® was built to solve exactly that.

This advanced system delivers three essential functions simultaneously:

  • Maintains stable pneumoperitoneum, even during heavy suction or large leaks1-6
  • Continuously evacuates smoke, using 0.01-micron ULPA filters1-6
  • Provides stability that helps lower pressure, leading to patient benefits1-6

Together, these features don’t just improve what’s happening inside the surgical field, they improve the pace, rhythm, and precision of the entire procedure.1-6

The Science, Simplified

The brilliance of AirSeal® lies in the way it uses physics based fluid dynamics – specifically, Bernoulli’s principle – to maintain cavity stability.7

The outer walls of the trocar guide CO₂ flow, and changes in velocity create pressure differentials that ensure unimpeded, stable insufflation. These differences form a self-adjusting pressure barrier inside the trocar, maintaining space without mitigating dangerous over-pressure or drops seen in conventional systems.7

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Real Benefits, In Real Time

No need to swap devices between cases – just switch the mode.

For OR leaders and hospital administrators, AirSeal® offers more than just clinical advantages – it’s a system that helps streamline operations and enhance outcomes.

Choice Improves Compliance

Improved intraoperative efficiency supports higher throughput and more predictable scheduling.1,3-15

Improved patient outcomes

Clinical evidence suggests using AirSeal at low pressure in laparoscopic surgery can lead to a reduction in postoperative pain, shorter recovery times, and fewer readmissions.1,3-15

A competitive edge

Incorporating AirSeal® signals your commitment to innovation, precision, and patient-first care.1,3-15

A Simpler System. A Smarter Workflow.

If you’ve been working around the limitations of conventional insufflation – instability, pressure spikes, visual obstructions, or potential loss of pneumoperitoneum –

AirSeal® offers a smarter, more responsive alternative.1,2

By applying proven physics to real surgical challenges, it keeps your field clear, your pressure steady, and your procedure on track – every time.1,2

AirSealiFS Product with correct numbers display on the face

Ready to Rethink Your Surgical Workflow?

Explore how the AirSeal® System can elevate surgical precision, streamline your team’s workflow, and improve patient care.1,5,7-14 Let’s redefine what “standard” looks like in laparoscopic and robotic surgery. Request a demo or connect with a product specialist today.

* Based on Current Market Data
1 Bucur P, Hofmann M, Menhadji A, et al. Comparison of Pneumoperitoneum Stability Between a Valveless Trocar System and Conventional Insufflation: A Prospective Randomized Trial. Urology. 2016;94:274- 280. doi:10.1016/j.urology.2016.04.022
2 Nepple KG, Kallogjeri D, Bhayani SB. Benchtop evaluation of pressure barrier insufflator and standard insufflator systems. Surg Endosc. 2013;27(1):333-338. doi:10.1007/s00464-012-2434-x
3 Annino, F., Topazio, L., Autieri, D., Verdacchi, T., De Angelis, M., & Asimakopoulos, A. D. (2017). Robotic partial nephrectomy performed with Airseal versus a standard CO2 pressure pneumoperitoneum insufflator: a prospective comparative study. Surgical endoscopy, 31(4), 1583–1590. https://doi.org/10.1007/s00464-016-5144-y
4 Paull JO, Parsacandola SA, Graham A, Hota S, Pudalov N, Obias V. The impact of the AirSeal® valve-less trocar system in robotic colorectal surgery: a single-surgeon retrospective review. J Robot Surg. 2021;15(1):87-92. doi:10.1007/s11701-020-01071-w
5 Ramshaw B, Forman B, Heidel E, Dean J, Gamenthaler A, Fabian M. A Clinical Quality Improvement (CQI) Project to Improve Pain After Laparoscopic Ventral Hernia Repair. Surg Technol Int. 2016;29:125-130.
6 Shahait, M., Cockrell, R., Yezdani, M., Yu, S. J., Lee, A., McWilliams, K., & Lee, D. I. (2019). Improved Outcomes Utilizing a Valveless-Trocar System during Robot-assisted Radical Prostatectomy (RARP). JSLS:Journal of the Society of Laparoendoscopic Surgeons, 23(1), e2018.00085. https://doi.org/10.4293/JSLS.2018.00085
7 Buda A, Di Martino G, Borghese M, et al. Low-Pressure Laparoscopy Using the AirSeal System versus Standard Insufflation in Early-Stage Endometrial Cancer: A Multicenter, Retrospective Study (ARIEL Study). Healthcare (Basel). 2022;10(3):531. Published 2022 Mar 14. doi:10.3390/healthcare10030531
8 Abaza R, Martinez O, Ferroni MC, Bsatee A, Gerhard RS. Same Day Discharge after Robotic Radical Prostatectomy. J Urol. 2019;202(5):959-963. doi:10.1097/JU.0000000000000353
9 Celarier S, Monziols S, Célérier B, et al. Low-pressure versus standard pressure laparoscopic colorectal surgery (PAROS trial): a phase III randomized controlled trial. Br J Surg. 2021;108(8):998-1005. doi:10.1093/bjs/znab069
10 Feng TS, Heulitt G, Islam A, Porter JR. Comparison of valve-less and standard insufflation on pneumoperitoneum-related complications in robotic partial nephrectomy: a prospective randomized trial. J Robot Surg. 2021;15(3):381-388. doi:10.1007/s11701-020- 01117-z 2.
11 Ferroni MC, Abaza R. Feasibility of robot-assisted prostatectomy performed at ultra-low pneumoperitoneum pressure of 6 mmHg and comparison of clinical outcomes vs standard pressure of 15 mmHg. BJU Int. 2019 Aug;124(2):308-313. doi: 10.1111/ bju.14682. Epub 2019 Feb 7. PMID: 30653808
12 Foley CE, Ryan E, Huang JQ. Less is more: clinical impact of decreasing pneumoperitoneum pressures during robotic surgery. J Robot Surg. 2021;15(2):299-307. doi:10.1007/s11701-020-01104-4
13 Ramshaw B, Vetrano V, Jagadish M, Forman B, HeideACl E, Mancini M. Laparoscopic approach for the treatment of chronic groin pain after inguinal hernia repair : Laparoscopic approach for inguinodynia. Surg Endosc. 2017;31(12):5267-5274. doi:10.1007/ s00464-017-5600-3
14 Saway JP, McCaul M, Mulekar MS, McMahon DP, Richards WO. Review of Outcomes of Low Verses Standard Pressure Pneumoperitoneum in Laparoscopic Surgery. Am Surg. 2022;88(8):1832-1837. doi:10.1177/00031348221084956 5.
15 Ferroni MC, Abaza R. Feasibility of robot-assisted prostatectomy performed at ultra-low pneumoperitoneum pressure of 6 mmHg and comparison of clinical outcomes vs standard pressure of 15 mmHg. BJU Int. 2019;124(2):308-313. doi:10.1111/bju.14682
16 AirSeal® Access Port Bladeless Optical Tip, Low Profile Bladeless Optical Tip, Palm Grip Bladeless Optical Tip, and Blunt Tip Access Ports. (2025). https://eifu.conmed.com/eifu/pages/viewers/pdf?projectKey=622887f1082ca62dec6db9a1&itemKey=67e68fa5e61b2b7c6042fcb0
17 AirSeal® IFS Intelligent Flow System (2019). https://eifu.conmed.com/eifu/pages/viewers/pdf?projectKey=6215164662cfd45d64d20d32&itemKey=62273ee2a8dfcf5f929c9f36