LAGIS Robotic Surgery Accessories
Specialized Access & Instrumentation for Robotic-Assisted Procedures
Efficient robotic-assisted procedures depend not only on the robotic platform itself, but also on the seamless integration of surgical access, visualization, fluid management, tissue manipulation, and specimen retrieval solutions. LAGIS provides a comprehensive portfolio of accessory instruments and surgical access solutions designed to complement robotic platforms and address essential procedural needs, including:
From single-port access, fluid management to specimen retrieval, LAGIS provides complementary solutions designed to support the robotic-assisted surgical workflow.
LAGIS Robotic Surgery Portfolio
LAGIS Path™ — Single-Port Access Platform
A multi-channel surgical access platform designed for minimally invasive and robotic-assisted procedures. The platform enables multiple instruments to access the surgical site through a limited incision while supporting the maintenance of pneumoperitoneum throughout the procedure.
LAGIS Flow™ — Suction & Irrigation System
A dedicated suction and irrigation solution for intraoperative fluid management. The system supports the removal of blood, tissue debris, and irrigation fluids while helping surgical teams maintain a clear operative field during laparoscopic and robotic-assisted procedures.
LAGIS Endo™ — Extended-Length Laparoscopic Instruments
A 45 cm extended-length laparoscopic instrument portfolio developed specifically for assistant surgeons working alongside robotic surgical platforms. The portfolio supports tissue grasping, retraction, exposure, manipulation, dissection, and other essential assistant functions during robotic-assisted procedures.
LAGIS Retrieval™ — Specimen Retrieval Systems
Specimen retrieval solutions designed to support the controlled collection and removal of tissue specimens during minimally invasive procedures. The system provides surgical teams with an appropriate solution for specimen handling through limited surgical access.
LAGIS Path™ Single-Port Access Platform
TRL Series | Designed for Single-Port Robotic Surgery
Single-Port Robotic Surgery and Single-Incision Laparoscopic Surgery (SILS) require surgical access systems capable of accommodating multiple instruments within a limited incision. The access platform must provide sufficient working channels for multiple instruments while supporting a stable pneumoperitoneum throughout the procedure.
LAGIS TRL80-040R-N is designed to address these requirements with a compact, multi-channel surgical access platform that supports both robotic and assistant instruments through a single incision.
Key Design Features for Robotic Surgery
- 01 | Four Flexible 5–12 mm Instrument Channels: Four flexible channels accommodate surgical instruments ranging from 5 mm to 12 mm, supporting access for both robotic instruments and assistant instruments. The multi-channel configuration provides flexible instrument placement within a limited incision and supports the requirements of single-port robotic and minimally invasive procedures.
- 02 | Ringless, Low-Profile Design: The TRL80-040R-N Ringless Design features a low-profile external configuration. By reducing the external profile around the incision, the design provides additional working space around the robotic arms and may help minimize potential interference between the access platform and robotic instruments.
- 03 | Multi-Instrument Access Through a Limited Incision: Depending on the surgical approach and procedural requirements, the system can provide multi-channel instrument access through an approximately 3–6 cm incision. This configuration is intended for minimally invasive procedures requiring limited incision access and multiple instrument channels.
Wound Retractor & Cap for Robotic-Assisted Surgery
A Wound Retractor provides incision protection and tissue retraction during minimally invasive procedures. When combined with a compatible Cap, it can create a sealed surgical access platform for laparoscopic and robotic-assisted procedures. The LAGIS Cap Series is designed for use with compatible LAGIS Wound Retractors and can be configured according to different incision sizes, surgical procedures, and specimen requirements.
Recommended Configurations for Robotic Surgery
| Access Cap | Compatible Retractor | Suggested Incision Range | Representative Surgical Applications |
|---|---|---|---|
| CP-60ES | WR-60ES | 20–40 mm | Cholecystectomy, limited-incision procedures |
| CP-80S | WR-80S | 30–60 mm | Myomectomy, TLH, partial hepatectomy |
| CP-110M | WR-110M-A | 50–90 mm | Whipple procedure, distal pancreatectomy, bariatric surgery |
Surgical Applications
LAGIS Access Cap and Wound Retractor systems can be configured according to surgical specialty, incision size, specimen requirements, and procedural workflow.
| Specialty | Surgical Procedures & Recommended Configurations |
|---|---|
| General Surgery | * Robotic cholecystectomy — CP-60ES / CP-80S * Spleen-preserving distal pancreatectomy — CP-80S * Whipple procedure — CP-110M * Distal pancreatectomy — CP-110M |
| Gynecology | * Robotic myomectomy — CP-80S * Total laparoscopic hysterectomy (TLH) — CP-80S * Ovarian cystectomy — CP-110M |
| Urology | * Robotic radical nephrectomy — CP-80S / CP-110M |
| Bariatric & Colorectal | * Sleeve gastrectomy — CP-110M * Right hemicolectomy — CP-80S |
By organizing product configurations around specific surgical applications, surgical teams can select an appropriate access combination based on incision size, surgical specialty, specimen size, and procedural workflow.
LAGIS Flow™ Suction & Irrigation System
Supporting a Clear and Stable Operative Field
In laparoscopic and robotic-assisted surgery, clear visualization is fundamental to effective surgical manipulation. Blood, tissue debris, surgical smoke, and irrigation fluids may affect the operative field and endoscopic visualization. Effective suction and irrigation therefore play an important role in intraoperative fluid management.
The LAGIS SA Series Suction & Irrigation System is designed for the fluid management requirements of assistant surgeons during robotic-assisted procedures, providing suction and irrigation capabilities to support operative field management.
45 cm / 52 cm Extended-Length Options
In certain robotic surgical configurations, conventional-length laparoscopic suction instruments may provide limited working distance due to the positioning of robotic arms and the surgical access site.
The LAGIS SA Series is available in 45 cm and 52 cm extended-length configurations, providing additional working reach for assistant surgeons while allowing them to operate within the available robotic workspace.
LAGIS Endo™ Extended-Length Laparoscopic Instruments
Instruments Designed for Robotic Surgery Assistants
The LAGIS Endo™ 45 cm Extended-Length Laparoscopic Instrument Series is designed specifically around these assistant-surgeon requirements. With extended shaft lengths, rotational capability, and ergonomic handling, Endo™ instruments provide assistant surgeons with independent access to the operative field and support essential surgical tasks alongside robotic instruments.
Extended-Length Tissue Graspers
Key Specifications: 45 cm Shaft Length | 360° Rotation | On/Off Lock Ratchet
- Fenestrated Grasper: The fenestrated jaw design provides stable tissue grasping while distributing grasping forces across the tissue. Suitable for procedures requiring sustained tissue retraction, positioning, and operative field exposure.
- Atraumatic Flat Grasper: The flat jaw design provides controlled tissue grasping, retraction, and positioning for procedures requiring stable tissue manipulation.
- Endo-Clinch Grasper: Combining an atraumatic serrated jaw structure with a lateral opening design, the Endo-Clinch Grasper provides stable tissue grasping for larger or mobile tissues, including applications involving the gallbladder and ovary.
- Babcock Grasper: The broad, tissue-conforming jaw profile is designed for gentle handling of bowel segments, membranes, and soft tissue.
- CROCE-OLMI Grasper: A high-force, single-action jaw combined with a Ski-Tip configuration provides controlled grasping and retraction of larger tissue structures.
Potential applications include: Colorectal surgery, Hepatic surgery, Gastric surgery, Pancreatic surgery, Thoracic surgery, and Esophageal surgery.
Monopolar Dissector Series
Key Specifications: Extended-Length Monopolar Dissection Instruments | 45 cm Shaft Length | 360° Rotation | Non-Locking Ratchet
- Maryland Monopolar Dissector: The non-locking ratchet design provides continuous manual control and tactile feedback during instrument manipulation. The instrument is designed to serve as an assistant instrument during laparoscopic and robotic-assisted procedures, supporting tissue manipulation and dissection alongside robotic instruments.
Building on its expertise in laparoscopic instruments, surgical access systems, wound retractors, suction and irrigation systems, and minimally invasive surgical solutions, LAGIS extends beyond individual devices to support the broader robotic surgical workflow.