MiniLap Percutaneous System with MiniGrip handle
In the MIGS, SILS, LESS, NOTES race to the smallest and fewest, I am not sure what counts. A 5-mm trocar definitely counts as a port. A 20-G (0.9081 mm) spinal needle definitely does not count as a port. What about 2.4 mm? We’ll need to decide because Teleflex’s MiniLap Percutaneous System is ready to grab some attention.
With an outer diameter of 2.4 mm, the MiniLap instruments with the MiniGrip are amazingly thin but surprisingly strong and versatile. All the instruments in the line are sterile, single-use, and come with an integrated, retractable needle tip that allows for direct percutaneous insertion of the device without a trocar. The line comes with 2 handle styles—MiniGrip pistol style or standard 3-finger grip. There are also 4 jaw options, each with a wingspan of 12.5 mm that is more than adequate to grasp most tissues.
In the OR, the MiniLap generally performed better than I expected (which is rare). The shaft was much more durable than I anticipated and the grip on the tissues was superb. I liked the rotatable functionality and I thought the pistol-grip was ergonomically comfortable. And the incision —forget about it (because I almost did it was so unnoticeable)!
The only thing I did not like was the mechanism to retract the grasper and arm the needle for percutaneous insertion. I thought it was sticky, somewhat persnickety, and in general felt a little fragile. Because I suspect this will be easily remedied in future iterations, I am not too concerned.
DESIGN/FUNCTIONALITY SCORE: *****
MiniLap is a game-changer in disposable laparoscopic instruments. Its incredible strength-to-shaft ratio makes it very useful as a surgical tool and its 2.4 mm-ness is amazing. The device looks and feels so similar to other devices that it is difficult to give it that fifth star but that should not diminish the accomplishment of getting all that punch into such a small package.
INNOVATION SCORE: ****
The MiniLap Percutaneous System is a real winner. For surgeons looking to do more with less this is a must. Want better triangular for “single-port” procedures? Use this. Struggling and need another hand to move tissues out of the way? This is your answer. Does 2.4 mm count as a port? I say no. Should your hospital be stocking this device? I say yes.
OVERALL SCORE: *****