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PREMIUM SURGICAL TOOLS DESIGNED BY GYNECOLOGISTS

The Singh Active Colpotomizer System (SACS) was designed with the input of leading gynecologic surgeons. The unique funnel shape, combined with the active rotation movement of the colpotomizer cup, makes performing TLH safer and easier as the vaginal vault is elevated and elongated for a more hemostatic transection while the ureters are displaced laterally as the funnel is rotated.

Dr. Jiwan Steven Singh, Consultant Gynecologist, Perth, Australia, developed the SACS in 2002. Since then, gynecologists around the world have performed more than 5,000 TLH's with the help of the SACS. Dr. Singh continues to develop innovative instruments to simplify the performance of advanced gynecological procedures.

Introducing new SINGH MultiGuide ARM

 Active Rotating Colpotomizer
with new Active Rotating Margin

The SINGH MultiGuide  ARM is the first colpotomizer to feature an additional 20mm visual margin distal to the leading edge of the colpotomizer. 

Just how far away is 20mm? Until now there was no precise way to measure dissection progress or identify adequate resection margins. The MultiGuide ARM provides an instant 20mm visual landmark that tells you where you are and how far you still need to dissect. Rotate the ARC back and forth for instant visual location feedback during robotic assisted and conventional laparoscopic procedures.
MultiGuide  ARM

SINGH MultiGuide Colpotomizers

MultiGuide colpotomizers are more than just colpotomy cutting guides. Use them transvaginally to remove adnexal pathology; for oncological applications, place a 12mm endobag through the MultiGuide to minimize the potential of inadvertent cellular spillage and tumor seeding; use them to pass curved needles and sutures into the abdomen; or place them into the vagina, in conjunction with the PneumoBloc, to maintain pneumoperitoneum for easier vaginal vault closure. 

Each end of the bar-bell shaped, dual-ended, funnel can be used to accommodate different sized vaginas. Use the smaller end for women who have not had vaginal deliveries and insert the larger end for women who have had vaginal deliveries. Unlike other uterine manipulation systems, the SINGH MultiGuide Colpotomizer relies on cervical fixation to anchor the manipulator in place. Consequently the cervix does not fit completely inside the MultiGuide, so you don't need additional instruments to measure the cervix or multiple sizes to accommodate cervical circumference variations.  The elongated lip is designed to elevate the vaginal fornices and it is perfectly positioned and aligned in the fornices when the manipulator is secured into the cervix. The elevated lip also helps with the dissection of the uterovesical fold as it helps to delineate the borders of the bladder.

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SINGH MultiGuide ARC
MultiGuides can also be used stand alone without the manipulator, functioning exactly like similar vaginal delineator "tube" colpotomizers such as the LiNA McCartney Tube™ & CooperSurgical Colpo-Probe™. Each MultiGuide accommodates two different vaginal sizes, making them twice as versatile. 
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SINGH MultiGuides with Pneumoblock can be used without the SINGH Uterine Manipulator

 The Active Rotation Wave

Active Rotation Wave

A rotation wave is visualized by rotating the lip of the colpotomizer around the fixed cervical axis provided by the SACS. The rotation wave provides enhanced visualization and provides additional landmarks to help guide proper uterovesical dissection and colpotomy incisions. 

Rotate the Active Colpotomizer
  • Incise the vaginal vault inside of the raised lip
  • Tissue planes are displaced laterally away from the lip.
  • Rotating the lip laterally presents the uterine vessels for easy sealing and ligation inside the lip to minimize lateral thermal damage

AAGL Corporate Partner 2013

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Advancing
Minimally
Invasive
Gynecology
Worldwide




Thank you for visiting us at the 41st AAGL Global Clinical Congress on Minimally Invasive Gynecology. We are looking forward to seeing you at the 42nd Clinical Congress in National Harbor, Maryland in 2013.

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TLH Training Courses

 Intensive Hands On TLH training courses are held in Perth, Australia. These 3 day courses feature hands on practical experience in the operating room as well as animate lab experience.  These courses will be limited to 4-6 participants per course to insure maximum instructor interaction and practical OR experience. Customized training courses may also be arranged.

DISTRIBUTION OPPORTUNITIES

If you are a medical distribution organization interested in marketing Surgitools products, please click here to contact us.  
Distribution Opportunities

The Surgitools product family

Latest News & Upcoming Events

UPCOMING TRADE SHOWS

  • OGSM Malaysian International Congress of Obstetrics & Gynaecology, Shangri-La Hotel, Kuala Lumpur, May 31-June 2. Please visit us in the Sabah Ante-Room.
  • OGSS Singapore International Congress of Obstetrics & Gynaecology, Raffles City Convention Centre, Singapore, August 22-24.

Coming Soon --- Laparoscopic Hysterectomy Cookbook

The first interactive i-Book on Laparoscopic Hysterectomy. Look for it in the iBookstore in and i-Tunes near you. Featuring an exciting new learning format with some additional features not previously offered in a surgical textbook.

SurgiTools instruments are now CE approved and available in the EU

The Singh Active Colpotomizer is now CE Marked for use by gynecologists in the European Union.

Now Available in iTunes

Introduction to the Singh Colpotomizer is now available for the iPad®, featuring photos, videos and step-by-step instructions. Click on the photo below to download from iTunes.
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Announcing KFDA Approval

South Korean gynecologists now have access to both the Singh Colpotomizer and Singh Uterine Positioner.  Surgitools received KFDA approval in May, 2012.

Singh Colpotomizer is Featured in MedGadget

The Singh Colpotomizer was featured in MedGadget the online blog about new medical device technologies. Click on the MedGadget link to view the article.
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 The Singh Uterine Positioning system 

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The Singh Uterine Positioning System (SUP) allows the surgeon to position and hold the SACS precisely and exactly where they want it. The surgeon simply grabs the positioning handle and moves uterus exactly to where he/she wants it to be, and the SUP holds it in position.  The SUP is not motorized and instead relies on friction.  It does not require any electricity, gas supply or hydraulics; nor does it require any foot switches or buttons to be operated.  It is especially helpful during robotic assisted procedures where the surgeon is removed to the operating console and access to the vagina can be limited.  The SUP can also simultaneously hold two probes (vaginal dilator & rectal probe) for pelvic floor reconstructive procedures. 

Using the SACS Enhances Ureteric Safety

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Traditional uterine manipulators use fixation systems that are only designed to secure the manipulator inside the uterus so that it does not slip out during the procedure.  They are not designed to specifically fix the position of the colpotomizer relative to the position of the cervix. This range of movement makes ureteric displacement variable.  By fixing the position of the colpotomizer relative to the position of cervix, the SACS colpotomizer displaces the ureters laterally in a reproducible and predictable fashion. 

In the X-ray study above, you can see the colpotomizer lip displaces the ureter well lateral of the colpotomizer lip (identified by the marker wire). Studies showed 10 mm to 15 mm distances from the colpotomizer lip to the ureters.

Using the SINGH MultiGuide


Total Laparoscopic Hysterectomy in 5 easy steps

View a complete TLH procedure in the video above and see how the SINGH MultiGuide Rotating Colpotomizer System simplifies the performance of the procedure. Also get a sneak peak of some of the new EndoSidekicks instruments in use.  Note that the colpotomy incision is initiated laterally and then proceeds posterior laterally; this helps to facilitate completion of the colpotomy by minimizing the loss of pneumoperitoneum. Typically when the anterior colopotomy is initiated first, the uterine corpus is released and falls backwards under its own weight.  This tends to complicate completion of the posterior colpotomy as the uterus now has to be elevated higher to complete the posterior coloptomy.
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