GynecologyOmniGuide's advanced energy gives you the confidence to operate near critical reproductive anatomy within a variety of gynecologic procedures such as endometriosis ablation & resection, myomectomy, ovarian cystectomy, adhesiolysis and lower genital tract procedures. CO2 Laser SolutionsFMX Ferromagnetic Solutions
CO2 Laser in Gynecologic Surgery
Despite advances in technology, current energy tools cause undesired collateral damage to healthy reproductive tissue and organs, leading to the potential for post-operative pain, prolonged patient recovery, and other complications.
OmniGuide Surgical’s CO2 laser technology delivers precision in complex gynecology procedures, while significantly limiting collateral thermal damage.
A study was performed to compare the gross and histologic effects of bipolar and monopolar cautery, ultrasonic scalpel, and CO2 laser on porcine ureter, bladder, and rectum. 12 separate incisions were made with each device. Gross measurements of injured tissue and histologic analysis of the depth of tissue injury were then performed under clinically relevant settings. The authors concluded that “The CO2 laser appears to cause the least deep-tissue injury.” Data is shown below.
Number of Urothelial/Epithelial Injuries Following Incision
|Surgical Site||Bipolar Cautery||Monopolar Cautery||Ultrasonic Scalpel||CO2 Laser|
The CO2 Laser caused no urothelial/epithelial injury to the Ureter, Bladder or Rectum versus upwards of 10, 9, 5 (out of 12) with Bipolar, Monopolar and Ultrasonic respectively.1
CO2 laser energy delivered via a flexible fiber system exhibits greater surgical precision than monopolar and electrocautery in both cutting and coagulation modes.2
Complete Disease Removal
Layer by layer removal leaves underlying normal healthy tissue undamaged4
CO2 laser energy provides greater dissection capabilities with minimal to no increase in thermal damage resulting in significantly less tissue damage2 and no adhesion formation, immediately and throughout the healing phase.3
Compared with monopolar, CO2 laser shows less variability from one use to the next resulting in superior, predictable and reliable outcomes2
CO2 Laser Clinical Applications
- Endometriosis Ablation & Excision
- Lysis of Adhesions
- Ovarian Cystectomy
- Vaginal & Vulvar Condyloma
- Benign & Malignant Tumors
- Gential & Anal Lesions
CO2 Laser Papers & Publications
Peer-Reviewed Clinical Papers
- Nimble laser devices for minimally invasive gynecologic surgery. Antonio R Gargiulo MD, Amelia P Bailey MD. Contemporary OB/GYN October 01, 2015. The goal of this review is to entice practitioners to reconsider the role of the laser in surgical gynecologic practice in view of the radical technical innovations that have changed the tool in recent years.
- Flexible Carbon Dioxide Laser Fiber Versus Ultrasonic Scalpel in Robot-Assisted Laparoscopic Myomectomy. Souzana Choussein, MD, Serene S. Srouji, MD, Leslie V. Farland, MSc, Antonio R. Gargiulo, MD. Journal of Minimally Invasive Gynecology , Volume 22 , Issue 7 , 1183 – 1190. To compare the effectiveness and safety of a flexible carbon dioxide (CO2) laser fiber to the ultrasonic scalpel when employed through a robotic surgical system.
- Robot-assisted laparoscopic myomectomy and adenomyomectomy with a flexible CO2 laser device. Barton SE, Gargiulo AR. J Robot Surg. 2013 Jun;7(2):157-62. doi: 10.1007/s11701-012-0360-5. Epub 2012 Jun 24. We describe a novel surgical technique combining the use of a robotic surgical platform with a flexible CO2 laser in gynecologic surgery at a university-hospital-based reproductive medicine practice.
- Tulikangas PK, Smith T, Falcone T, Boparai N, Walters MD. Gross and histologic characteristics of laparoscopic injuries with four different energy sources. Fertil Steril, 2001 Apr;75(4):806-10
- Bailey A, Lancerotto L, Gargiulo A. Greater Surgical Precision of a Flexible Carbon Dioxide Laser Fiber Compared to Monopolar Electrosurgery in Porcine Myometrium. AM J Obstet Gynecol. 2014; 21:1103-1109.
- Bellina JH, Hemmings R, Voros JI, Ross LF. Carbon Dioxide laser and electrosurgical wound study with an animal model: a comparison of tissue damage and healing patterns in peritoneal tissue. AM J Obstet Gynecol. 1984;148:327-334.
- Endometriosis Foundation of America www.endofound.org
VELOCITY High Performance Fiber
VELOCITY is OmniGuide Surgical's premier flexible fiber. VELOCITY offers the precision of CO2 laser with the cutting speed of monopolar electrosurgery. VELOCITY fibers incorporate 12 mirror layers, more than any other flexible fiber, resulting in a 50% output increase for greater speed and precision cutting than ever before. VELOCITY fibers are 200cm in length and deliver up to 30 Watts of energy.
BeamPath® Robotic Fiber
OmniGuide Surgical's BeamPath Robotic Fibers incorporate the same performance and safety features as our other proprietary fibers, but have been designed specifically for use in robotic surgery. The BeamPath Robotic Fiber is inserted into the flexible coil of the FlexGuide™ ULTRA, and works in tandem with a surgical robotic platform to delivery CO2 laser energy in a minimally invasive robotic approach.
Gynecologic laparoscopic handpieces are available in 33cm and 46cm working lengths. Instrumentation for use in open lower genital tract procedures range from 3.5cm to 13cm in working length. All gynecologic instrumentation is autoclave resterilizable for multiple uses.
FlexGuide ULTRA instrumentation brings the precision of CO2 energy to robotic surgery. FlexGuide ULTRA is compatible with 5mm and 8mm large needle drivers1 - no additional robotic arm or instrumentation is needed. Its coiled design provides flexibility to accommodate full robotic wristed articulation. A 4mm spatula tip enables efficient blunt dissection and convenient estimation of distance from target tissue.
LapFlex is the only articulating laparoscopic advanced energy instrument for ablation of endometriosis that enables surgeons to access hard-to-reach anatomical structures and anterior disease. The 60° of articulation allows for enhanced precision and control during cutting, ablation and blunt dissection aiding in more complete disease removal.
FMX Ferromagnetic Technology in Gynecologic Surgery
Domain Surgical’s FMX Ferromagnetic Surgical System uses ferromagnetic technology to precisely cut, coagulate, and seal tissue; with a fraction of tissue injury compared to other surgical technologies, and without passing electrical current through the patient. Because no electrical current passes through the patient, FMX surgical instruments can be used safely near nerves, vessels, and other delicate tissue structures.
Robust Vessel Sealing
- FMsealer delivers reliable vessel sealing performance and burst pressure measurements comparable to or better than industry-leading bipolar devices1,2
Minimized Thermal Injury
- FMsealer produces a pure thermal effect with less lateral thermal spread than competitive bipolar and ultrasonic devices1,2
Speed and Efficiency
- FMsealer delivers extremely fast and efficient sealing/dividing cycles through vascular tissue bundles, including in tough adhesions and scar tissue1,3
- No electrical current passes through tissue – no grounding pad is used, and no spark, arcing, or stray current, no stimulation of muscles or nerves
- Surgeons using FMX instruments report no interference with electrophysiological monitoring1
- Internal data on file
- Jenwood Chen, MD, Preston K. Manwaring, MSEE, PhD, Curtis Jensen, MS, Robert E. Glasgow, MD. Validation of a Laparoscopic Ferromagnetic Technology-based Vessel Sealing Device and Comparative Study to
Ultrasonic and Bipolar Laparoscopic Devices. Surgical Laparoscopy, Endoscopy & Percutaneous Techniques: April 2017 – Volume 27 – Issue 2 – p e12–e17
FMsealer Laparoscopic Shears
FMsealer Laparoscopic Shears are thermal vessel sealing instruments that use ferromagnetic technology to efficiently seal and divide tissue with minimal thermal injury to adjacent tissue. FMsealer Laparoscopic Shears are indicated for sealing vascular tissue bundles and vessels up to and including 7 mm in diameter, including lymphatics, in both laparoscopic and open procedures.
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Our customer service team is available to answer any questions that you may have, or to schedule an in-office demonstration of our advanced-energy surgical technologies.