Highlights in Laparoscopic Surgery

Laparoscopy in Surgery, Gynecology, and Urology

Fluorescence Imaging

IMAGE1 S™ Rubina® – The new 4K-NIR/ICG platform

IMAGE1 S™ Rubina® combines 4K imaging technology with fluorescence imaging in the near infrared range for the display of indocyanine green (ICG) as well as autofluorescence. The technology features very good image quality as well as new NIR/ICG fluorescence modes. The new modes, e.g. the superimposed NIR/ICG signal in the white light image, provide the user with valuable information. In addition, IMAGE1 S™ Rubina® offers an intensity map of the NIR/ICG signal as well as a pure near infrared mode in monochromatic display for the clear delineation of structures.

Special features:

  • Native 4K image resolution with excellent image brightness as well as rich color and detail
  • OPAL1® NIR/ICG technology with new functionalities
  • S-Technologies in white light and the Overlay and Intensity Map overlay modes
  • Enhanced* NIR/ICG telescopes and new models in 45°, 5 mm and 10 mm diameter
  • Laser-free LED light source for white light and NIR/ICG excitation

*in comparison with previous models

Further information on fluorescence imaging is available here.

Source: Prof. Go Wakabayashi, Ageo Central General Hospital, Japan
Source: Prof. Go Wakabayashi, Ageo Central General Hospital, Japan

The selective administration of ICG assists the identification of various liver segments during partial liver resection in both laparoscopic and open surgical procedures. Partial liver resection requires a sound knowledge of the existing course of the vessel and the boundaries of the individual segments while taking the diverse anatomical features of the blood vessels into consideration:

  • The tumor is localized pre- or intraoperatively aided by CT, MRI and ultrasound techniques
  • ICG is injected into the supply vessel of the segment
  • Fluorescence allows easy differentiation of the affected segment from the adjacent non-fluorescing segments

ICG fluorescence can also help to detect bile leakage following liver segmentectomy or liver transplantation procedures.

The New HOPKINS® Rubina® NIR/ICG Telescopes

The new Rubina® NIR/ICG telescopes with HOPKINS® rod lens system feature excellent image quality. The telescopes’ strengths lie in optimizing focus on the tissue of interest and illuminating the surgical field. Optical system specially designed for use in combination with the IMAGE1 S™ 4U Rubina® and the POWER LED Rubina® light source.

  • Optimized illumination of the surgical field
  • No refocusing required when switching between white light and NIR modes
  • Selection of different angles of view, e.g. 0°, 30°, and 45°
  • Available in diameters 5 mm and 10 mm

CLICKline® Laparoscopic Instruments

Rotatable, disassemblable, laparoscopic instruments

The CLICKline® series continues the development of instruments which have proven their value for years. When the rear handle is positioned horizontally, the handle can be separated from the outer sheath and the working insert at the press of a button. The HF connection is mounted at a 45°angle on the upper side of the handle, thereby guiding the high frequency cable away from the field of operation.

CLICKline® Instruments

  • Precision craftsmanship
  • Design your own instruments from thousands of possible combinations
  • Modular components
  • Manufacturer’s warranty

Available in size 2 to 10 mm, CLICKline® instruments can be completely disassembled into separate components:

  • Handle
  • Outer sheath/outer sheath with working insert
  • Working insert

CLICKline Single-use Scissors

Simply sharp!

The new single-use scissor inserts can be combined with all reusable handles in the KARL STORZ CLICKLINE series, providing a practical solution for regular use or as a backup system.

Special Features:

  • Inserts packaged sterile in individual blister packs and delivered in packages of 10 in a dispenser box
  • Proven scissor blade designs
  • Cost-effective solution: "single-use meets re-usable"
  • Color coding allows clear identification of the single-use components



Rotating Bipolar Grasping Forceps and Scissors in sizes 3.5 mm and 5 mm

The new generation of ROBI® instruments allows precise work on tissue. The enhanced instrument design and the materials used ensure the highest mechanical stability.

Special Features:

  • Available in sizes 3.5 and 5 mm
  • Ideal in combination with the high-end AUTOCON® III 400 HF unit
  • Large selection of grasping forceps and scissors
  • Can be disassembled into individual components

Retractors for Laparoscopic Colorectal Procedures

Advanced laparoscopic surgery and particularly laparoscopic rectal surgery are extremely technically challenging.

One of the key requirements for successfully performing these procedures while respecting oncological principles is optimal exposure and, consequently, good visualization of the surgical site.

Special features:

  • Helps to display the various structures in difficult anatomical situations (particularly in obese male patients)
  • Various retractor shapes for different anatomies
  • Robust design
  • Easy to use thanks to angle adjustment dial


Needle Holder with Righting Function

KARL STORZ has expanded its portfolio to include a new needle holder with a needle righting function. The needle, which is clamped flat in the needle holder, can be raised in the site by means of the rotary wheel.

Special features:

  • Righting function for the clamped needle via the rotary wheel
  • Axial handle
  • The precisely settable ratchet facilitates secure positioning of the needle

ENDOBAG Extraction Bags

Special features:

  • Each extraction bag pre-packaged in an insertion aid for insertion through a 10 mm trocar
  • Once the insertion aid is removed, the trocar is free to use with other instruments
  • Memory wire for opening and closing the extraction bag
  • Smaller-diameter container section of the bag for straightforward ENDOBAG retrieval through the incision
  • Transparent material
  • Available in 2 sizes:
    • Work volume 260 ml, filling volume 62 ml
    • Work volume 200 ml, filling volume 53 ml

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S-PORT® is a single-port platform that is suitable for performing hybrid procedures (LAP / Single Port) where the single-port entry can also be used as an extraction site.

Special Features:

  • Modular system
  • Freedom of movement thanks to four working portals
  • Platform for precise control of telescopes and instruments
  • Possibility to extract resected tissue
  • Cost-effective and reusable, except for the wound protector
  • Can be combined with ROTATIP® instruments featuring jaw and sheath rotation