Robotic intraoperative surgeon controlled suction system

In this session, Prof. Simone Crivellaro introduces the Remotely Operated Suction Irrigation System (ROSI), a significant advancement in suction and irrigation technology for robot-assisted surgeries. ROSI enables the console surgeon to directly control both suction and irrigation, enhancing autonomy and procedural efficiency.

The ROSI system consists of a slim, flexible probe that can be inserted through standard 5mm ports, including both multiport and single-port robotic platforms. Its design allows it to remain in the surgical field and be manipulated using robotic instruments. Suction and irrigation functions are remotely controlled by a footswitch at the console, reducing the need for constant bedside assistance and improving response time during surgery.

An important enhancement to the system is ROSI with Exchangeable Tips (ROSI xT). This version enables seamless transfer of suction/irrigation control between the robotic surgeon and the bedside assistant. When more traditional rigid suction is needed, the assistant can take over, providing greater flexibility in complex cases.

Key features and benefits include:

• Improved Surgeon Autonomy: Direct console control enhances precision and independence.
• Dual Operation Mode: Can be controlled by either the surgeon or assistant.
• Wide Compatibility: Passes through most 5mm ports and single-port platforms like GelPoint.
• Enhanced Access: Long, flexible probe offers better reach and maneuverability.
• Eco-friendly Design: No powered or battery components, potentially reducing OR waste.
• Cost Efficiency: May reduce overall operating room costs.
• Adaptable Irrigation: Compatible with hospital compressed nitrogen or manual infusor cuffs for pressurized irrigation.

Prof. Crivellaro shares his extensive hands-on experience with ROSI in various robotic procedures, offering practical tips for integration and use. His insights highlight ROSI’s role in enhancing surgical efficiency, adaptability, and sustainability.

This talk provides a comprehensive overview of how ROSI can be successfully implemented in robotic surgery to improve workflow, reduce dependence on bedside staff, and enhance overall surgical outcomes.