r/scrubtech • u/BearGoose24 • 7d ago

Robotic GYN question

My doctor mentioned a uterine manipulator that can be controlled with the DaVinci Xi robot. She hasn't gotten back to me with the name of it. I did a quick search and I can't find anything that works with the robot. I found manipulators that attach to the bed.

Does anyone know what this manipulator is called?

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20

u/glitteryunicornmerm 7d ago

I’ve used one that is a “robotic attachment” but it’s not controlled by the robot. It’s the ALLY by cooper surgical and it attaches to the side of the bed and it’s controlled by the tech or PA with a hydraulic arm and attach a Rumi manipulator to it. It’s super expensive and really fragile.

3

u/SmilodonBravo 7d ago

If it’s the one I’m thinking of that works with the RUMI, it was kinda cool but the cost of the drapes was ridiculous.

3

u/glitteryunicornmerm 7d ago

It was cool but the cost of everything was insane. And if it’s not protected when stored it will break the tension cords inside on the arm

2

u/MadonnaTheWhore 7d ago

Came here to say this.

1

u/rolyat_hey 6d ago

Only one surgeon I work with uses it and loves it. The rest hate it!!!

14

u/nervousfungus 7d ago

At my hospital the poor med student sitting between the legs is the “robot arm” holding the manipulator.

4

u/kinnoth 7d ago

At my hospital it's me

10

u/Glizzabelle 7d ago

That kinda sounds like a contamination nightmare, but sounds cool in theory

3

u/Sad-Fruit-1490 7d ago

I haven’t heard of one, but was she talking about the gel port they can put in the vagina (and the da Vinci instruments in the gel port) to do a VNOTES hyst (Vaginal Natural Orifice transluminal endoscopic surgery)?

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u/GeoffSim 7d ago

I was just reading a preference card for a robot hysterectomy (which we've only just started doing regularly) and saw MANIPULATOR UTERINE ADVINCULA DELINEATOR which reminded me of your post, simply because it had "vinc" (da vinci) in the name! Probably not it, I'm guessing. ADV750-KE30 is the ref for a 3cm.

1

u/FrostyFeet82 Scrubulator 5d ago

Kronner side-kick?

Same logic as the Spider attachment for shoulder surgery. You step on the pedal, the gas hisses, and you can re-position.

You let go of the pedal, the attachment stays in place.

But robot can't control it though.

1

u/MusicianSquare 4d ago

My hospital does the most XI da Vinci robot cases in the state and specializes in GYN, I have never seen or heard of one being controlled with the actual robot