Reposable Laparoscopic Graspers

Reposable Laparoscopic Graspers

Reposable laparoscopic graspers are surgical instruments designed for grasping, holding, and manipulating tissues during minimally invasive procedures. They feature reusable handles combined with disposable tips or jaws, providing a cost-effective, environmentally friendly, and highly efficient solution for laparoscopic surgeries.

Handle Options

Reusable handle (1st image)
Reusable Ratchet handle (2nd image)

Available as
Cinch grasper 3mm, 330mm
Cinch grasper 3mm, 220mm
Cinch grasper 5mm, 330mm
Cinch grasper 5mm, 430mm

17mm fenestrated grasper 5mm, 330mm
17mm fenestrated grasper 5mm, 430mm
22mm fenestrated grasper 5mm, 330mm
22mm fenestrated grasper 5mm, 430mm
35mm fenestrated grasper 5mm, 330mm
35mm fenestrated grasper 5mm, 430mm

Allis grasper 5mm, 330mm
Allis grasper 5mm, 430mm

Blunt jaw grasper 5mm, 330mm
Blunt jaw grasper 5mm, 430mm

Rat teeth grasper 5mm, 330mm
Rat teeth grasper 5mm, 430mm

Babcock grasper 5mm, 330mm
Babcock grasper 5mm, 430mm

Salpinx grasper 5mm, 330mm
Salpinx grasper 5mm, 430mm

Groce Olmi grasper 5mm, 330mm
Groce Olmi grasper 5mm, 430mm

Components and Design

  1. Grasper Tips: Made from high-quality surgical-grade materials, these tips are designed for precise and secure grasping of tissues. They are disposable and can vary in design (e.g., fenestrated, toothed, smooth).
  2. Shaft: A long, insulated shaft that allows the surgeon to reach and manipulate tissues through small incisions.
  3. Handle: Reusable, ergonomically designed handles that provide a comfortable grip and precise control, often with a locking mechanism to hold tissues securely.
  4. Connection Mechanism: A secure system that allows for easy attachment and detachment of the disposable tips to the reusable handles.

Uses

  • Tissue Manipulation: Grasping, holding, and manipulating tissues during laparoscopic procedures.
  • Retraction: Retracting tissues to provide better visibility and access to the surgical site.
  • Specimen Retrieval: Grasping and removing tissue samples or small specimens.
  • Foreign Body Removal: Extracting foreign bodies from the body cavity.

Advantages

  1. Cost-Effectiveness: Reduces overall costs compared to fully disposable instruments, as only the tips need to be replaced.
  2. Environmental Impact: Decreases medical waste by reusing handles and replacing only the tips.
  3. Sterility: Each disposable tip is sterile-packed, reducing the risk of infection and cross-contamination.
  4. Precision: Ensures consistent performance with each use, providing reliable grasping and manipulation of tissues.
  5. Convenience: Combines the convenience of disposable tips with the durability of reusable handles.

Procedure

  1. Preparation: The surgical area is prepared, and the patient is positioned and anesthetized as required.
  2. Assembly: The disposable grasper tip is securely attached to the reusable handle.
  3. Insertion: The assembled grasper is introduced into the body cavity through a trocar or laparoscopic port.
  4. Operation: The surgeon uses the grasper to hold, manipulate, and retract tissues as necessary.
  5. Completion: After use, the grasper is removed from the body cavity.
  6. Disposal and Cleaning: The disposable tip is removed and discarded, while the handle is cleaned and sterilized for future use.

Types and Variations

  1. Tip Designs:
    • Fenestrated: Tips with openings that provide a secure grip on tissues while allowing for visibility.
    • Toothed: Tips with teeth for a stronger grip on tougher tissues.
    • Smooth: Tips without teeth for handling delicate tissues without causing damage.
    • Atraumatic: Tips designed to minimize tissue trauma during manipulation.
  2. Handle Designs:
    • Standard Handle: Traditional handles with finger loops for control.
    • Ergonomic Handle: Designed for improved comfort and control, often with additional features for ease of use.
  3. Articulating Graspers: Allow flexible movement and better access to challenging areas within the body.

Examples of Procedures Using Reposable Laparoscopic Graspers

  • Laparoscopic Cholecystectomy: Removal of the gallbladder, requiring manipulation and retraction of the gallbladder and surrounding tissues.
  • Laparoscopic Appendectomy: Removal of the appendix, involving manipulation and retraction of the appendix and surrounding tissues.
  • Laparoscopic Hysterectomy: Removal of the uterus, necessitating manipulation and retraction of uterine tissues.
  • Laparoscopic Colectomy: Removal of a portion of the colon, requiring manipulation and retraction of the bowel and surrounding tissues.
  • Laparoscopic Myomectomy: Removal of fibroids from the uterus, involving precise manipulation and retraction of fibroid tissue.

Clinical Considerations

  1. Size and Length: Selecting the appropriate size and length of the grasper based on the specific procedure and the surgical site.
  2. Tip Type: Choosing the right tip design (fenestrated, toothed, smooth, atraumatic) depending on the tissue type and surgical task.
  3. Sterility and Disposal: Ensuring proper handling to maintain sterility before use and following appropriate disposal protocols after use.
  4. Technique: Employing the correct surgical techniques to optimize the use of the grasper and achieve the best outcomes.

Maintenance and Care

  1. Cleaning: After each use, the reusable handles should be thoroughly cleaned according to manufacturer guidelines.
  2. Sterilization: Proper sterilization procedures should be followed to ensure the handles are ready for future use.
  3. Inspection: Regular inspection of the handles for wear and damage to ensure they remain in good working condition.

Reposable laparoscopic graspers provide a balanced solution for modern surgical needs, combining the benefits of disposable and reusable instruments. They enhance surgical efficiency, reduce costs, and minimize environmental impact while maintaining high standards of precision and safety in laparoscopic procedures.