What AirSeal is

AirSeal® is the world’s only intelligent and integrated access system for laparoscopic and robotic surgery, representing a revolutionary transformation of conventional insufflation, trocar, and filtered tubing systems used for the last 20 years.


By providing stable pneumoperitoneum, continuous smoke evacuation, and valve-free access to the abdominal cavity, the AirSeal® System reduces procedural time, costs, and hassles in ways that conventional insufflation, trocar, and filtered tubing systems simply cannot do.

Why Use AirSeal

AirSeal® enables you to operate without fear of losing pneumo in even the most challenging situations, including:

  • using aggressive suction
  • creating an open channel from the abdominal cavity to the patient’s exterior including incisions for specimen removal, large instrument insertion, and colpotomy during laparoscopic or robotic hysterectomy
  • conventional trocar dislodgement or excessive valve leakage due to tearing, aggressive manipulation, or insertion/withdrawal of instruments, prosthetics, and tissue.

AirSeal® enables you to operate in a clearer field without fear of venting surgical smoke and plume from the abdominal cavity into the OR suite, as the automatic smoke evacuation function continuously evacuates, filters, and recirculates CO2.

Due to its valve-free design, AirSeal® enables you to operate without fear of smudging the laparoscope during insertion, tearing a seal during instrument insertion/withdrawal, dislodging a trocar due to seal friction, or losing important tissue specimens (or fragments) during removal.

The benefits of using AirSeal® don’t end with what it enables you to do. AirSeal® has been shown to reduce both operative time and CO2 absorption by the patient1. Based on positive feedback from surgeons and anesthesiologists related to post-operative pain and patient stability under anesthesia, the company is pursuing several clinical studies to validate statistically the clinical relevance of surgeon and anesthesiologist observations.

AirSeal® is a rare technology that benefits surgeons, OR teams, hospitals and, most importantly, patients.

Once you try it, you may never want to operate without it again.

How AirSeal Works

AirSeal® combines the design and function of its 3 proprietary components to create a laparoscopic/robotic working environment that is exceptionally stable and remarkably clear.

The combination of stable pneumoperitoneum, continuous smoke evacuation, and valve-free access to the abdominal cavity are made possible by the high flow, pressure sensing capabilities of the AirSeal® iFS, the Tri-Lumen Filtered Tube Set, and the Access Port, which is the focal point of the system.

Inside the cannula housing of the AirSeal® Access Port, a series of high pressure nozzles direct CO2 gas downward into the cannula until the desired intra-abdominal pressure is achieved. At this point, an equilibrium is reached, creating a horizontal air barrier inside the cannula housing. A continuous flow circuit is also activated, simultaneously evacuating intra-abdominal gas (now containing CO2 & smoke), filtering it, and recirculating it through the high pressure nozzles. Slight changes in intra-abdominal pressure are detected by the real-time sensing capabilities of the iFS and flow adjustments are made instantaneously, either sending more gas into the cavity or allowing it to vent out of the Access Port.

The result is a stable pneumoperitoneum that is unlike anything conventional insufflation and trocar systems can provide.

AirSeal iFS

Three Systems in One

Unlike conventional insufflators that feature unidirectional flow and cyclical inflation and pressure sensing functions, the AirSeal® iFS features a filtered circulatory flow design which not only enables simultaneous insufflation and pressure sensing but provides continuous smoke evacuation as well. The result is a remarkably stable and exceptionally clear laparoscopic/robotic working environment.

The software driven AirSeal® iFS features a large touchscreen display that enables the OR team to monitor key readouts including flow rate, intraabdominal pressure, and gas supply level. The iFS also provides visual and audible alerts to communicate important messages to the OR team, including low gas level warnings or excessive flow alerts which may indicate an open stopcock, a dislodged trocar, or other significant leak.

The iFS is also capable of operating in 3 different modes, depending on the specific needs of the procedure. For maximum performance, AirSeal Mode is recommended as it provides high flow insufflation, stable pneumoperitoneum (even with aggressive suction) and continuous smoke evacuation throughout the procedure (AirSeal Mode operation requires the use of an AirSeal® Access Port and a Tri-Lumen Filtered Tube Set).

In Smoke Evacuation Mode, the AirSeal® iFS can be used with 2 conventional trocars (as long as they have stopcocks) to provide both high flow insufflation and continuous smoke evacuation (Smoke Evacuation Mode requires the use of a Bifurcated Smoke Evac Filtered Tube Set). In Standard Insufflation Mode, the iFS provides high flow insufflation to any conventional trocar (as long as it has a stopcock) and can be used with any standard insufflation tubing set.

AirSeal Access Port

Acces Port

Unlike conventional trocars that provide single-channel stopcocks, AirSeal® Access Ports feature a proprietary “ bullseye” manifold that is designed to maximize inflow, evacuate smoke, and enable continuous pressure sensing. AirSeal® Access Ports also feature a unique means of creating a “seal” by using a series of high pressure nozzles within the cannula housing that directs a downward pressure (in CO2 gas form) that is equal in force to the intraabdominal pressure chosen by the surgeon using a touchscreen display on the AirSeal® iFS (intelligent Flow System).

The result is an invisible, horizontal barrier that instantaneously responds to changes in intraabdominal pressure, either by allowing more CO2 inflow with pressure drops or by serving as a pressure relief valve during pressure spikes.

The revolutionary, valve-free design of AirSeal® Access Ports also enables:

  • smudge-free scope insertion (when used as the scope port)
  • intact specimen removal
  • effortless insertion/withdrawal of instruments, implants, & sutures
  • insertion of multiple, small diameter instruments
  • insertion of instruments without cylindrical geometry

AirSeal® Access Ports with bladeless optical tip enable a low-force, visualized entry with either a 5mm or 10mm laparoscope and features integrated ribs for enhanced abdominal wall stability.

AirSeal® Access Ports are currently available in 5mm, 8mm, and 12mm diameters with various lengths and tip configurations to address both surgeon preference and patient variety.

AirSeal Filtered Tube Set

It multitasks so you don’t have to…

The AirSeal® Tri-Lumen Filtered Tube Set (FTS) connects the iFS to the AirSeal® Access Port, enabling the creation of the air barrier in the cannula, CO2 insufflation, smoke evacuation, and constant pressure sensing. The Tri-Lumen FTS also features a 0.02 micron filter, well beyond ULPA filtration and the guidelines established by the Association of Perioperative Registered Nurses (AORN).

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