Article ; Online: Novel multifunctional robotically assisted bipolar instrument for simultaneous radiofrequency sealing and transection: preclinical and single-center experience.
2022 Volume 22, Issue 1, Page(s) 37
Abstract: Background: A novel robotic-assisted bipolar radiofrequency (RF) multifunctional vessel seal-and-transection instrument (SynchroSeal, Intuitive Surgical, Inc., Sunnyvale, CA) has been developed. The objective of the current paper is to describe the ... ...
Abstract | Background: A novel robotic-assisted bipolar radiofrequency (RF) multifunctional vessel seal-and-transection instrument (SynchroSeal, Intuitive Surgical, Inc., Sunnyvale, CA) has been developed. The objective of the current paper is to describe the design of SynchroSeal based on bench studies, assess the safety of SynchroSeal in ex vivo and in vivo porcine studies, and provide early clinical context. Methods: SynchroSeal grasping, energy activation time, and jaw temperature were evaluated with those of the Harmonic Ace+7. Data were analyzed with descriptive statistics, with Mann-Whitney for comparisons and statistical significance p < 0.05. Ex vivo and in vivo animal safety assessments of tissue after SynchroSeal use were evaluated for burst pressure, thermal spread, and acute sealing. Last, a single-center analysis of the technical metrics of SynchroSeal and Vessel Sealer Extend (robotically assisted seal-and-transection instrument) in bariatric cases is provided. Results: Bench studies of SynchroSeal and Harmonic Ace+7 evidenced SynchroSeal's greater slip resistance force (8.4 ± 1.0 vs. 3.1 ± 0.4 N; p = 0.0002), lower grip pressure (3.0 ± 0.2 vs. 4.2 ± 0.5 kg/cm Conclusions: SynchroSeal's multifunctional design provides enhanced sealing and transection capabilities with an acceptable safety profile. |
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MeSH term(s) | Animals ; Electrocoagulation ; Ligation ; Robotic Surgical Procedures ; Swine |
Language | English |
Publishing date | 2022-02-02 |
Publishing country | England |
Document type | Journal Article |
ZDB-ID | 2050442-1 |
ISSN | 1471-2482 ; 1471-2482 |
ISSN (online) | 1471-2482 |
ISSN | 1471-2482 |
DOI | 10.1186/s12893-022-01483-5 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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