AirSeal iFS
Intelligent Flow System
AirSealは臨床データに裏付けられた唯一の注入器です。
五つの専門分野にわたる35の査読済み研究は、AirSealが以下であることを示しました：
圧力精度
AirSealを使用することで、作業スペースを確保しながら安心して低圧で手術を行うことができます。従来の高流量気腹とは異なり、AirSealは大量のリークや強い吸引があっても安定した気腹を維持します。1,2
中断のない視界
AirSealは、安定した気腹と一定の排煙により、中断のない視界とクリアな手術野を提供し、低圧で効率的な手術を可能にします。1,2
独自設計
特許取得済みのカニューラ設計は、応答性の高いエアバリアを形成し、CO2の流れと圧力の一貫性を確保します。これは外科的露出を損なうことなく低圧アプローチを可能にします。
患者に有益な低圧
発表されたデータはまた、低圧でのAirSealを用いた腹腔鏡手術が、標準的な気腹と比較して、術後疼痛スコアを改善したことを示しています。5-12
「数百件の症例と大量のデータを研究で収集した結果、AirSealシステムが新しい標準治療になると確信しました。それなしでは手術しません」
Jaime Landman, MD
カリフォルニア大学泌尿器科長泌尿器科・放射線科教授
AirSeal独自のカニューラ設計は、安定した気腹を維持する応答性の高い空気バリアを作成するために、中断されないCO2の流れと同時に煙を排出することを保証します。これは、同じ管腔を通して複数の機能を提供しようとする装置とは異なります。
- 複数の長さとサイズ
- ブレードレス光学および鈍端チップ構成
- 手順ごとにひとつだけ必要
CONMEDとIntuitive Surgicalのコラボレーションにより、AirSeal ロボティック・ソリューションが提供されます。これにより、アシストポートがなくてもda Vinci XおよびXIシステム*とシームレスに統合できます。
すべてのORに対応する3-in-1ソリューション
「AirSealが私自身と私の患者の両方にどれだけ役立ったかをいくら強調しても足りないくらいです。私がAirSealを信頼しているのは、それが私の患者の転帰を改善し、私の手術への露出を維持するからです...煙の多い症例やBMIの高い患者の場合でもです。」
Eben Strobos, MD, FACS, FASCRS
Video Gallery
AirSeal® System - Product Video
Dr. D'Hondt - Why I Use The AirSeal® System
Dr. de Lacy - Why I Use The AirSeal® System
Dr. Ponce - Why I Use The AirSeal® System
Dr. Riachi Testimonial - Why I Use the AirSeal® System
Dr. Jensen Testimonial - Why I Use AirSeal® and the AirSeal® Robotic Solution
Dr. Stone - Laparoscopic Cholecystectomy Using the AirSeal® System
Dr. Mahan - eTEP Hernia Repair Using AirSeal® Robotic Solution
Dr. Moawad - Two-Port Laparoscopic Hysterectomy Using the AirSeal® System
Dr. DiCicco - Robotic Sleeve Gastrectomy Using the AirSeal® Robotic Solution
Dr. Pullatt - Single Anastomosis Duodenal Switch (SADI) Technique Using AirSeal®
Dr. Abaza - Robotic Prostatectomy and Lymphadenectomy with Ultra-low Pneumoperitoneum Using AirSeal®
Dr. Advincula - Robot-Assisted Laparoscopic Myomectomy Using the AirSeal® System
Dr. Voloyiannis - Takedown of Colovesical Fistula of the Sigmoid Colon Secondary to Diverticulitis Using AirSeal®
Dr. Voloyiannis - Takedown of Splenic Flexure Using AirSeal®
Dr. Pullatt Presentation (2024) - The Value of Low Pressure in Complex Reoperative Surgery and Surgery on High BMI Patients
Dr. Mottrie Presentation (2023) - What Are the Clinical Benefits of Using Low Stable Pressure?
Dr. De Landsheere Presentation (2020) - AirSeal® in Gynecological Laparoscopy
Dr. Decaestecker Presentation (2020) - AirSeal® in Low Impact Robotic Cystectomy
Dr. Wolthuis Presentation (2020) - How AirSeal® Supports Low Impact Colorectal Surgery
Dr. Dandrifosse Presentation (2020) - AirSeal® in Bariatric Surgery
Dr. Rothenberg Presentation (2020) - Potential Benefits of AirSeal® in Pediatric Thoracoscopic Surgery
AirSeal® System - In-Service - Part 1: System Overview
AirSeal® System - In-Service - Part 2: iFS On-Screen Tutorials
AirSeal® System - In-Service - Part 3: iFS User Menus
AirSeal® System - In-Service - Part 4: AirSeal® Mode Disposables Needed
AirSeal® System - In-Service - Part 5: AirSeal® Mode: Steps for Use in Non-Primary Insufflation
AirSeal® System - In-Service - Part 6: AirSeal® Mode Steps for Use in AirSeal® Primary Insufflation
AirSeal® System - In-Service - Part 7: Smoke Evacuation Mode Disposables Needed, Steps for Use
AirSeal® System - In-Service - Part 8: Standard Insufflation Mode Disposables Needed, Steps for Use
AirSeal® System - In-Service - Part 9: AirSeal® Information Library / Tips and Tricks
関連資料および製品仕様
Capital Unit
AirSeal iFS1 120V
| CAT # | AS-IFS1 |
| Voltage | 120V |
Accessories
iFS Connector for House (Central) Gas, Must be installed on the iFS DISS Fitting
| CAT # | IFS-WC1 |
| Note | USA/Domestic Use Only |
iFS Connector for House (Central) Gas, Must be installed on the iFS NIST Fitting
| CAT # | IFS-WC2 |
| Note | International Use Only |
iFS Connector for Bottle Gas, Must be installed on the iFS (37° flare fitting)
| CAT # | IFS-BC1 |
| Note | Required Connector for Bottled Gas Use |
| Note | USA and International Use |
AirSeal Cart for iFS, USA/Domestic Use
| AS-ICART | AS-ICART |
| Note | Cart with Bottle Rack, Holds Two “E” Size C02 Tanks |
AirSeal® Cart for iFS with Switching Valve, USA/Domestic Use
| CAT # | AS-ICART-V |
| Note | Holds Two Two “E” Size C02 Tanks, and Switching Valve |
Access Ports
5mm Access Port and Low Profile Obturator with Bladeless Optical Tip
| CAT # | IAS5-100LP |
| Length | 100mm |
| Qty | 6/Box |
5mm Access Port and Low Profile Obturator with Bladeless Optical Tip
| CAT # | IAS5-120LP |
| Length | 120mm |
| Qty | 6/Box |
5mm Smooth Access Port and Obturator with Blunt Tip
| CAT # | IASB5-150 |
| Length | 150mm |
| Note | (for use with single site surgical platforms) |
| Qty | 6/Box |
8mm Access Port and Low Profile Obturator with Bladeless Optical Tip
| CAT # | IAS8-100LP |
| Length | 100mm |
| Qty | 6/Box |
8mm Access Port and Low Profile Obturator with Bladeless Optical Tip
| CAT # | IAS8-120LP |
| Length | 120mm |
| Qty | 6/Box |
12mm Access Port and Obturator with Blunt Tip
| CAT # | IASB12-100 |
| Length | 100mm |
| Qty | 6/Box |
12mm Access Port and Obturator with Blunt Tip
| CAT # | IASB12-120 |
| Length | 120mm |
| Qty | 6/Box |
12mm Access Port and Obturator (Bladeless Optical Tip, 150mm Length)
| CAT# | IAS12-150 |
| Length | 150mm |
| Qty | 6/Box |
12mm Access Port and Palm Grip Obturator with Bladeless Optical Tip
| CAT # | IAS12-100LPI |
| Length | 100mm |
| Qty | 6/Box |
12mm Access Port and Palm Grip Obturator with Bladeless Optical Tip
| CAT # | IAS12-120LPI |
| Length | 120mm |
| Qty | 6/Box |
Filtered Tubing Sets
Tri-Lumen Filtered Tube Set for use with AirSeal® iFS
| CAT # | ASM-EVAC1 |
| Qty | 6/box |
AirSeal® Bifurcated Filtered Tube Set with Activated Charcoal Filter
| CAT # | ASM-EVAC1-BI |
| Purchasing Unit of Measure | 6/Box |
Related Products
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;94:274280. 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. SurgEndosc. 2013 Jan;27(1):333-8. doi: 10.1007/s00464-012-2434-x. Epub 2012 Jul 26 PMID: 22833262
3 Sroussi J, Elies A, Rigouzzo A, et al. Low pressure gynecological laparoscopy (7mmHg) with AirSeal System versus a standard insufflation (15mmHg): A pilot study in 60 patients. J Gynecol Obstet Hum Reprod. 2017;46(2):155-158. doi:10.1016/j.jogoh.2016.09.003
4 Covotta M、Claroni C、Torregiani G、et al. A Prospective、Randomized、Clinical Trial on the Effects of a Valveless Trocar on Respiratory Mechanics During Robotic Radical Cystectomy: A Pilot Study. Anesth Analg. 2017;124(6):1794-1801. doi:10.1213/ANE.0000000000002027
5 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
6 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
7 Ferroni MC、Abaza R. Feasibility of robot-assisted prostatectomy performed at ultra-low pneumoperitoneum pressure of 6mmHg and comparison of clinical outcomes vs standard pressure of 15mmHg. BJU Int. 2019 Aug;124(2):308-313. doi: 10.1111/bju.14682. Epub 2019 Feb 7. PMID: 30653808
8 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
9 Ramshaw B, Vetrano V, Jagadish M, Forman B, Heidel 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
10 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
11 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
12 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
13 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
14 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
15 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
16 Desroches B、Porter J、Bhayani S、Figenshau R、Liu PY、Stifelman M. Comparison of the Safety and Efficacy of Valveless and Standard Insufflation During Robotic Partial Nephrectomy: A Prospective、Randomized、Multi-institutional Trial. Urology. 2021 Jul;153:185-191. doi: 10.1016/j.urology.2021.01.047. Epub 2021 Feb 10 PMID: 33577899.