Insufflator

Insufflator is one of the most important machines in robotic and laparoscopic operating room. In addition to the traditional Standard Insufflation Mode, more advanced modes with more functions have been included in newer machines.

AirSeal Insufflation System

The AirSeal® System, manufactured by SurgiQuest (ConMed), is a an Insufflation, Filtration, and Recirculation system that contains 3 components: an Intelligent Flow System (iFS, Insufflator) Unit, AirSeal Access Ports, and Filtered Tubing Sets. There are 3 different Tubing Sets for each of its 3 Modes. It also has a Single Lumen Adaptor. AirSeal System Modes include : AirSeal Mode, Smoke Evacuation Mode, and Standard Insufflation Mode.

AirSeal Mode needs an AirSeal Access Port, a Tri-Lumen Tubing Set, and a Single Lumen Adaptor. Smoke Evacuation Mode requires a bifurcated Dual Lumen Smoke Evacuation Tubing Set, and Conventional Trocars. Connect the Clear Tube first for Insufflation. Connect the second Blue Tube next when prompted by the machine. A Single Lumen Tube is used with Standard Insufflation Mode.

There are 2 types of AirSeal Access Ports: Non-Bladed Optical Tip Ports, and Blunt Tip Ports. AirSeal Access Port consist of a Cannula, an Obturator, and a Sound Cap. AirSeal Access Port is Valve-Free.

Default Flow and Pressure values are 5 l/min and 15 mmHg respectively. However, initial insufflation of the abdomen should be started at a slow rate (1-2 L/min). You can choose between Low and High Smoke Evacuation Level where Low is 3 l/min and High is 8 l/min. There is a "No Gas Alarm" and you can turn on an Audible Occlusion Signal. Change the Gas Tank after the Second Low Gas Warning. You have 100 seconds to change the Gas Tank.

Make sure the distal tip of the AirSeal Cannula is not immerse in the blood or fluid to avoid any clogging of the system. If it happens, the system will inform you fluid has been detected in the system. In this situation, you need to pull the cannula back and change the filtered tubing set.