AirSeal®
Robotic Solution
Advanced Insufflation for Minimally Invasive Robotic Surgery
The AirSeal® Robotic Solution (ARS) is a clinically backed insufflation system that provides stable pneumoperitoneum and continuous smoke evacuation to support smoke evacuation to preserve the surgical working space within a robotic surgical environment. Designed to maintain consistency during leaks or suction, ARS enables robotic surgeons to operate confidently at low pressure by preserving visibility, reducing disruption, and supporting physiologic stability. ARS helps improve intraoperative performance, patient recovery, and overall efficiency in robotic procedures.1-23
The AirSeal® Robotic Solution is indicated for use with Intuitive Surgical’s da Vinci 8mm cannulas enabling seamless integration across the X, Xi, and dV5 platforms.
How does AirSeal® Robotic Solution Work?
3 Functions: 2 Cannulas
- Integrates AirSeal® technology into the AirSeal® Cannula Cap to allow surgeons to operate with benefits of AirSeal® without requiring the need for an accessory port.
- 1 lumen provides insufflation through standard robotic cannula and seal while the remaining 2 lumens provide smoke evacuation and gas barrier through AirSeal® Cannula Cap.
The AirSeal® Robotic Solution forms an air barrier by directing a precisely regulated, filtered inflow to meet the existing abdominal gas. Conventional insufflation systems replenish CO2 only after it escapes, creating brief periods of under or over pressurization.
Compatibility
CONMED’s AirSeal® Robotic Solution is indicated for use with Intuitive Surgical’s da Vinci® 8 mm round and 8 mm hex cannulas, enabling seamless integration across the X, Xi and dV5 platforms. A separate clear lumen delivers CO2 to the universal seal, ensuring continuous flow.
This design preserves stable cavity pressure and enables constant smoke evacuation. If pressure rises, AirSeal® vents instantly, and during a large leak or heavy suction, it briefly draws inflow before resealing within seconds.
| Robot | Intuitive Da Vinci® X | Intuitive Da Vinci® Xi | Intuitive Da Vinci® 5 |
|---|---|---|---|
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| Compatible † | Yes | Yes | Yes |
Documents and Specifications
AIRSEAL® BIFURCATED FILTERED TUBE SET WITH ACTIVATED CHARCOAL FILTER
AIRSEAL® 8MM CANNULA CAP AND OBTURATOR WITH BLADELESS OPTICAL TIP, STANDARD LENGTH
Experience the Difference
* da Vinci is a registered trademark of Intuitive Surgical, Inc.
† Data on file.
* Based on Current Market Data
1 Swaya JP, McCaul M, Mulzer MS, McMahon DP, Richards WO. Review of outcomes of Low Versus Standard Pressure Pneumoperitoneum in Laparoscopic Surgery. Am Surg. 2022;88(8):1832-1837. doi:10.1177/00031348221084956
2 Abaza R, Ferroni MC. Randomized Trial of Ultraflow vs Standard Pneumoperitoneum during Robotic Prostatectomy. J Urol. 2022;208(3):626-632. doi:10.1097/JU.0000000000002729
3 Covotta M, Claroni C, Torregiani G, et al. A prospective, randomized, controlled trial on the effects of a valveless trocar on respiratory mechanics during Robotic Radical Prostatectomy: A Pilot Study. Anesth Analg. 2017;124(6):1794-1801. doi:10.1213/ANE.0000000000002027
4 Desroches B, Porter J, Bhayani S, Figenshau R, Lippert M. Comparison of the safety and efficacy of valveless and standard insufflation during Robotic Partial Nephrectomy: A prospective, randomized, multi-institutional trial. Urol Oncol. 2021;39(3):185-191. doi:10.1016/j.urolonc.2020.11.027
5 Bucur V, Hoffmann M, Hendalj A, et al. Comparison of Pneumoperitoneum Stability Between Valveless Trocar System and Conventional Insufflation: A Prospective Randomized Trial. Urology. 2019;129:178-182. doi:10.1016/j.urology.2019.03.014
6 Bazdan S, Ucpinar B, Cehan K. The Role of AirSeal in Robotic Urologic Surgery: A Systematic Review. J Laparoendosc Adv Surg Tech A. 2023;33(1). doi:10.1089/lap.2022.0151
7 Wei M, Yang W, Zhou J, et al. Comparison of AirSeal versus conventional insufflation system for retroperitoneal robot-assisted laparoscopic partial nephrectomy: a randomized controlled trial. World J Urol. 2024;42(1):90.
8 Faizan M, Kabbas FS, Murtaza DA, Naveed A, Tarr HM, F Karim, Kumar S, Siddiqui SA. A comparison of CO₂-related complications in parallel use between the AirSeal system and conventional system: a systematic review and meta-analysis. J Robot Surg. 2025;19(1):61.
9 Strassi JL, Elies A, Rigouzzo A, et al. Low pressure gynecological laparoscopy (7mmHg) with AirSeal System versus standard insufflation (15mmHg): A pilot study in 60 patients. J Gynecol Obstet Hum Reprod. 2017;46(2):155-158.
10 Buda A, Di Martino G, Borghese M, et al. Low-Pressure Laparoscopy Using the AirSeal System versus Standard Insufflation in Early-Stage Endometrial Cancer: A Multicenter, Retrospective Study (ARIEL Study). Healthcare (Basel). 2022;10(3):531. Published 2022 Mar 14. doi:10.3390/healthcare10030531
11 Ferroni MC, Abaza R. Feasibility of robot-assisted prostatectomy performed at ultra-low pressure of 6 mm Hg: a contemporary series. World J Urol. 2019;37(2):309-313.
12 Kikhia M, Price K, Aliv Z, et al. Complications and unanticipated hospital stay using lower pressure pneumoperitoneum with AirSeal (randomized study).
13 Azuvi CH, Armegha EK, et al. Impact of AirSeal on complications and pain management during robotic-assisted radical prostatectomy: a single-tertiary center study. World J Urol. 2023.
14 Zhang W, Wang Y, Yang Z. Comparative assessment of safety and efficiency between AirSeal system and conventional insufflation system in robot-assisted laparoscopic radical prostatectomy: a systematic review and meta-analysis. J Robot Surg. 2024.
15 Bouaalaoui I, Bey E, De Villeneuve M. Medical-Economic Impact of the AirSeal Insufflator: Example of Laparoscopic Sacrocolpopexy. Clin Surg. 2021;6:3084.
16 de Angelis N, Abdalla S, Carra MC, et al. Low-impact laparoscopic cholecystectomy is associated with decreased postoperative morbidity. Surg Endosc.
17 Forte F, Tripodi D, Pironi D, et al. Safety, clinical outcomes, and cost comparison with AirSeal®. Surg Endosc.
18 Katoh H, Ikeda Y, Saito Y, et al. Usefulness of AirSeal Intelligent Flow System in Gas Insufflation During Head and Neck Endoscopy. Indian J Otolaryngol Head Neck Surg.
19 La Falce S, Novara G, Gandaglia G, et al. How AirSeal Improves Outcomes for Robot-Assisted Radical Prostatectomy (OLV Hospital Study). Clin Genitourin Cancer.
20 Lu Y, Zou Q, Jiang B, Li Q. Safety of valveless insufflation system in minimally invasive urological surgery: systematic review. Int J Med Sci.
21 Miyano G, Morita K, Kaneshiro M, et al. Pediatric experience with AirSeal Intelligent Flow System. Asian J Endosc Surg.
22 Pauli J, Pascandola S, et al. Impact of valveless trocar system on postoperative recovery. J Robot Surg.
23 38 Shahait M, Cockrell R, Yezdani M, et al. Improved Outcomes Utilizing a Valveless-Trocar System during Robotic-Assisted Radical Prostatectomy (RARP). JSLS.