abdominal walls are thinner and more flexible,
making it easier to use smaller instruments. But
really it comes down to whether you expect a
given procedure to be generally straightfor-
ward. If so, there's usually room to add another
level of complexity and still have it end up
being very reasonable. Hence, if you start with
a micro approach but then decide to convert to
a standard lap, you can add standard-size tro-
cars without having a major impact on the case.
Conversely, micro-laps may not be the best
choice if you know or suspect from the outset
that you're going to be looking at a difficult sur-
gery, because it does introduce an additional
level of complexity.
Small but mighty
The instruments are of course smaller and
more delicate, and one of the ongoing chal-
lenges for manufacturers is infusing those
extremely thin instruments with adequate
strength. It's tough, because the tools range in
thickness (depending on the manufacturer)
from about 2.7 mm to about 3.5 mm (or rough-
ly one-ninth of an inch). But manufacturers
seem to be embracing the challenge and figur-
ing it out, innovating with newer materials and
different configurations to try to overcome the
strength issue.
Still, an inherent limitation is that the
1 1 9
S E P T E M B E R 2 0 1 5 | O U T P A T I E N T S U R G E R Y . N E T
2.7mm Ratcheting Grasper/Retractor
for Percutaneous Access
Patent Pending
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s One-handed operation
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s Unique Ratchet Handle
design is easy to use.
s Guaranteed for 90 days
under normal useage.
s Helps to reduce the
number of ports.
Introducing MicroGrip
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The distinctive 2.7mm size
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and long wear during
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Multiple Jaw Configurations
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Alligator Jaws
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PARE Surgical, Inc.
www.paresurgical.com
303-689-0187
´
PARE Surgical, Inc.
www.paresurgical.com
303-689-0187
´
