Clinical Studies Resources Features Overview

GelPOINT Advanced Access Platform

Cholecystectomy

Title:	Single-Incision Multiport Laparoendoscopic (SIMPLE) Cholecystectomy

Published:	April 2010 – Surgical Endoscopy

Authors:	Bruce M. Molinelli - Athanassios Petrotos

Excerpt:	"We have moved from a three-port trocar technique to a more stable and flexible port platform (Gelpoint; Applied Medical, Rancho Santa Margarita, CA, USA), which allows the insertion of multiple ports. We continue to use straight instruments preferentially, with occasional need for a right-angled instrument and even less need for articulating instruments... We have since found that the GelPoint system allows for much more freedom of movement through the same small skin incision."

Link:	Link to Article

Colectomy

Title:	Single-Incision Laparoscopic Colectomy: Outcomes of an Emerging Minimally Invasive Technique

Published:	March 2011 - International Journal of Colorectal Disease

Authors:	Diego I. Ramos-Valadez, Chirag B. Patel, Madhu Ragupathi, Malak B. Bokhari, T. Bartley Pickron, Eric M. Haas

Excerpt:	"We have since gained experience with the GelPOINT device and found it more advantageous for colorectal procedures. Its high outer profile allows use of four or even five trocars with varying degrees of separation to limit clashing and allowing for ample counter traction when needed. In addition, a built in wound protector not only prevents direct contact between the specimen and the abdominal wall, but also secures the port in patients with a high BMI or thick abdominal wall.”

Link:	Link to Article

Title:	Single Incision (“Scarless”) Laparoscopic Total Abdominal Colectomy with End Ileostomy for Ulcerative Colitis

Published:	February 2011 – Journal of Gastrointestinal Surgery

Authors:	Alessandro Fichera, Marco Zoccali, Roberto Gullo

Excerpt:	“In all cases, a GelPOINT® Advanced Access Platform (Applied Medical, Rancho Santa Margarita, CA) was employed as sole access to the abdominal cavity. Its GelSeal® cap provides additional outer working space and the ability to achieve tissue triangulation even with the standard laparoscopic instrumentation that we routinely use.”

Link:	Link to Article

Title:	Early Multi-institution Experience With Single-Incision Laparoscopic Colectomy

Published:	February 2011 - Diseases of the Colon & Rectum

Authors:	H.Ross, M.D.; S. Steele, M.D.; M. Whiteford, M.D.; S. Lee, M.D.; M. Albert, M.D.; M. Mutch,M.D.; D. Rivadeneira, M.D.; P. Marcello, M.D.

Excerpt:	"Conclusion: Preliminary data demonstrate that single incision laparoscopic colectomy can be performed safely in selected patients by experienced surgeons."

Link:	Link to Article

Title:	Single Incision Laparoscopic Total Abdominal Colectomy with Ileorectal Anastomosis for Synchronous Colon Cancer

Published:	May 2010 – Techniques in Coloproctology

Authors:	O. Bardakcioglu – S. Ahmed

Excerpt:	"All retraction could be adequately achieved using a single instrument through the GelPoint device and patient positioning. The advantage of the GelPoint device as compared to other single port access devices is that a variable incision size from 2-4 cm can be used depending on the size of the extracted colon."

Link:	Link to Article

Gynecology

Title:	Laparoendoscopic single-site surgery (LESS) in gynecology: a multi-institutional evaluation

Published:	November 2010 - American Journal of Obstetrics and Gynecology

Authors:	Amanda Nickles Fader MD; Luis Rojas-Espaillat, MD; Okechukwu Ibeanu, MD; Francis C. Grumbine, MD; Pedre F. Escobar, MD

Excerpt:	"Conclusion: LESS is feasible, safe, and reproducible in gynecology patients with benign and cancerous conditions. Operative times are reasonable and can be decreased with experience."

Link:	Link to Article

Nephrectomy

Title:	Is Right-Sided Laparoendoscopic Single-Site Donor Nephrectomy Feasible?

Published:	June 2011 - Journal of Urology

Authors:	Cheguevara Afaneh, Ranjith Ramasamy, David B. Leeser, Sandip Kapur, Joseph J. Del Pizzo

Excerpt:	“Although technically challenging, LESS-RDN in experienced hands can be performed safely and should be considered as an alternative if it is the preferred kidney for transplantation.” “The GelPOINT device with 3 trocars is inserted into the abdomen and pnuemoperitoneum is established.” “Standard nonarticulating laparoscopic instruments are used in most of the procedure.” “The LESS-RDN surgical technique essentially duplicates standard LDN.”

Link:	Link to Article

Title:	Laparoendoscopic Single Site Live Donor Nephrectomy: Initial Experience

Published:	November 2010 – Journal of Urology

Authors:	Gimenez E, Leeser DB, Wysock JS, Charlton M, Kapur S, Del Pizzo JJ.

Excerpt:	"The use of a specialized umbilical multichannel port may confer specific advantages to the surgeon. In this series the GelPOINT provided greater space for triangulation and, thus, decreased instrument clashing. It also allows easy, rapid modification of port configuration during the procedure, which aids in improving dissection and retraction ergonomics. In this series no extra-umbilical incisions were needed."

Link:	Link to Article

Simulation

Title:	Laparoendoscopic Single-Site (LESS) Surgery Versus Conventional Laparoscopic Surgery: Comparison Of Surgical Port Performance in a Surgical Simulator with Novices

Published:	December 2010 – Surgical Endoscopy

Authors:	Bernadette Brown-Clerk, Adam E. de Laveaga, Chad A. LaGrange, Laura M. Wirth, Bethany R. Lowndes, M. Susan Hallbeck

Excerpt:	"Overall, the TriPort may be more challenging for novices to use in learning the LESS procedure than either the SILS port or the GelPOINT system. The GelPOINT system may offer the most consistent platform for LESS performance and novice skill acquisition."

Link:	Link to Article

GelPOINT Advanced Access Platform

GelSeal Cap Offers a PseudoAbdomen platform for unmatched triangulation of standard laparoscopic instrumentation Incorporates insufflation and smoke evacuation capabilities Provides a flexible fulcrum for improved instrument articulation Maintains pneumoperitoneum for continuous access and visualization

	Alexis Wound Protector/Retractor Accommodates 1.5cm to 7cm incisions and varied abdominal wall thicknesses for wide spectrum of procedures Offers 360 degrees of atraumatic retraction and protection ^Ref for enhanced exposure, access and cosmetic results Facilitates extracorporeal anastamosis and specimen retrieval while protecting the incision site

Self-Retaining Ports Float above the incision to maximize internal working diameter Accommodate both 5mm and 10mm instrumentation Offer greater freedom of movement due to low-profile design

GelPOINT Advanced Access Platform

The GelPOINT Advanced Access Platform enables a single site approach by facilitating triangulation of standard instrumentation through a single incision, while potentially enhancing patient cosmesis. By offering an increased range of motion, the GelPOINT platform provides utmost versatility and access for a wide range of procedures.

The GelPOINT platform accommodates varying abdominal walls and incision sizes, provides continuous access and ensures improved articulation of both 5mm and 10mm instruments. The integral Alexis wound protector/retractor offers atraumatic retraction and protection ^Ref for enhanced cosmetic results, while providing convenient extracorporeal resection and specimen retrieval.

Specifications

Label

Reorder #	Description	Size	Qty
CNGL2	(1) GelSeal Cap (1) Alexis Wound Protector/Retractor (4) Cannulas and Seals (1) Introducer for Cannulas and Seals (1) Instrument Shield	Accommodates 1.5cm-7cm incision sizes Accommodates 5-10mm instrumentation Optional for added protection	1

GelPOINT Advanced Access Platform

Cholecystectomy

Colectomy

Gynecology

Nephrectomy

Simulation

GelPOINT Advanced Access Platform

Literature

Multimedia

GelPOINT Advanced Access Platform

GelSeal Cap

Alexis Wound Protector/Retractor

Self-Retaining Ports

GelPOINT Advanced Access Platform

Specifications