• Skip to main content
  • Skip to header right navigation
  • Skip to site footer

Log in
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
www.sages.org

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Awards
    • Who Is SAGES?
    • Leadership
    • Our Mission
    • Advocacy
    • Committees
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Committee Rosters
      • SAGES Past Presidents
  • Meetings
    • SAGES NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2026 Scientific Session Call for Abstracts
      • 2026 Emerging Technology Call for Abstracts
    • CME Claim Form
    • SAGES Past, Present, Future, and Related Meeting Information
    • SAGES Related Meetings & Events Calendar
  • Join SAGES!
    • Membership Application
    • Membership Benefits
    • Membership Types
      • Requirements and Applications for Active Membership in SAGES
      • Requirements and Applications for Affiliate Membership in SAGES
      • Requirements and Applications for Associate Active Membership in SAGES
      • Requirements and Applications for Candidate Membership in SAGES
      • Requirements and Applications for International Membership in SAGES
      • Requirements for Medical Student Membership
    • Member Spotlight
    • Give the Gift of SAGES Membership
  • Patients
    • Join the SAGES Patient Partner Network (PPN)
    • Patient Information Brochures
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find A SAGES Surgeon
  • Publications
    • Sustainability in Surgical Practice
    • SAGES Stories Podcast
    • Patient Information Brochures
    • Patient Information From SAGES
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • MesSAGES – The SAGES Newsletter
    • COVID-19 Archive
    • Troubleshooting Guides
  • Education
    • Wellness Resources – You Are Not Alone
    • Avoid Opiates After Surgery
    • SAGES Subscription Catalog
    • SAGES TV: Home of SAGES Surgical Videos
    • The SAGES Safe Cholecystectomy Program
    • Masters Program
    • Resident and Fellow Opportunities
      • MIS Fellows Course
      • SAGES Robotics Residents and Fellows Courses
      • SAGES Free Resident Webinar Series
      • Fluorescence-Guided Surgery Course for Fellows
      • Fellows’ Career Development Course
    • SAGES S.M.A.R.T. Enhanced Recovery Program
    • SAGES @ Cine-Med Products
      • SAGES Top 21 Minimally Invasive Procedures Every Practicing Surgeon Should Know
      • SAGES Pearls Step-by-Step
      • SAGES Flexible Endoscopy 101
    • SAGES OR SAFETY Video Activity
  • Opportunities
    • Fellowship Recognition Opportunities
    • SAGES Advanced Flexible Endoscopy Area of Concentrated Training (ACT) SEAL
    • Multi-Society Foregut Fellowship Certification
    • Research Opportunities
    • FLS
    • FES
    • FUSE
    • Jobs Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • OWLS/FLS
You are here: Home / Abstracts / ADJUSTABLE PRESSURE LAPAROSCOPIC SURGICAL CLAMP WITH RELEASABLE REMOTE MANIPULATOR [KARR’T CLAMP]

ADJUSTABLE PRESSURE LAPAROSCOPIC SURGICAL CLAMP WITH RELEASABLE REMOTE MANIPULATOR [KARR’T CLAMP]

Javier Carrillo Silva, MD, Roberto Tapia Espriu, Eng. General Hospital “Dr. Miguel Silva”

1.   Objective of the technology or device

In laparoscopy or robotic surgeries, it is required to pull different organs with clamps introduced by multiple wounds, each could complicate with infection or greater post-surgical pain. An adjustable pressure surgical clamp with releasable remote manipulator was designed to hold the organ and pull it by different means, like sutures or external magnets to avoid making more incisions.

2.   Description of the technology and method of its use or application

This surgical clamp provides autonomous adjustable pressure and placement with a releasable remote manipulator. Two jaws move simultaneously with respect to the main body of the clamp to open and close to secure or release tissue and/or organs. The instrument is made up of two separable components; a remote manipulator component, and a releasable adjustable pressure clamp component. The United States patent application was published on December 20, 2018 (US 2018/0360458 A1). There are several distal ends of the clamp, such as the Babcock type for traction of viscera such as the appendix or stomach, grasper for the gallbladder, Satinsky for vessels or common bile duct. In laparoscopic appendicectomy we use this clamp to hold and pull it with an external magnet, thereby using only two trocars, a 10mm as a working port and 5 mm as a vision port.

3.   Preliminary results

Our first preliminary study is based on a cohort of 20 patients selected in a non-randomized manner with a surgical indication for laparoscopic appendectomy. The groups did not differ for age, gender, operative time, bleeding, phase of appendicitis, postoperative pain (VAS) or the probability of seroma. There was a tendency for the BMI of the group with 2 trocars to be greater than that of 3 trocars (24.8 ± 2.8 vs 22.1 ± 2.3 kg / m2 respectively, p = 0.075 U of Mann-Whitney). Similarly, the group with 2 trocars had a significantly shorter in-hospital stay than in which 3 trocars were used (22.9 ± 10.6 vs. 48 ± 25.9 hours respectively, p = 0.017 U of Mann Whitney). The use of two trocars is feasible and it did not add major risk to the procedure. More studies in different surgical procedures are yet to come.

4.   Conclusions / future directions

The use of this clamp is not only feasible but safe according to the descriptively demonstrated in this cohort. This clamp has similar traction as traditional clamps since its distal end can be changed. The distal end may be manipulated by external magnets or sutures. It is possible to reduce the number of incisions, better esthetic results and fewer complications such as less pain, surgical infections risk, ileus, and shorter in-hospital stay. We demonstrated that laparoscopic appendicectomy can be done with two trocars using our clamp. This clamp can be introduced in several laparoscopic procedures including robotic surgery. Studies with a larger number of patients and in different procedures are required to evaluate the final impact.


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 98748

Program Number: ETP774

Presentation Session: Emerging Technology Poster Session (Non CME)

Presentation Type: Poster

View this Poster

177

Share this:

  • Click to share on X (Opens in new window) X
  • Click to share on Facebook (Opens in new window) Facebook
  • Click to share on LinkedIn (Opens in new window) LinkedIn
  • Click to share on Pinterest (Opens in new window) Pinterest
  • Click to share on WhatsApp (Opens in new window) WhatsApp
  • Click to share on Reddit (Opens in new window) Reddit
  • Click to share on Pocket (Opens in new window) Pocket
  • Click to share on Mastodon (Opens in new window) Mastodon
  • Click to share on Threads (Opens in new window) Threads
  • Click to share on Bluesky (Opens in new window) Bluesky

Related


sages_adbutler_leaderboard

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064

1-310-437-0544

[email protected]

Monday – Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Bluesky
  • X
  • Instagram
  • Facebook
  • YouTube

Copyright © 2025 · SAGES · All Rights Reserved

Important Links

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals