Medical Devices
Enhancing Surgical Precision: The Mizzo Flex SA
Enhancing Surgical Precision: The Mizzo Flex SA
Hysterectomy—the surgical removal of the uterus or parts of it—is one of the most common[1] gynaecological surgeries, with around 60,000[2] performed annually in the U.S. alone. What was once a high-risk, high-mortality[3] procedure performed without anesthesia is now a minimally invasive surgery, thanks to the evolution of laparoscopic techniques that allow for less pain, quicker recovery, and shorter hospital stays for patients.
Yet, traditional laparoscopic procedures come with their own challenges. Issues like incisional hernia, bowel interference, and increased risks of urinary tract injuries[4] and scarring remain. The procedure can also be time-consuming, often requiring specialized skills, expensive equipment, and longer operating times[5] —all factors that can limit its accessibility.
This is where robotic platforms, such as the MIZZO Flex Single Access Surgical Robotic System[6], have the potential to play an important role.
Designed for single-access surgeries, MIZZO Flex combines retroflexed robotic arms with laparoscopic visualization—replicating complete freedom of movement within the abdomen while also minimizing disruption to surrounding tissues. This is especially useful for procedures where precision is critical, e.g., separating the ovary from surrounding tissues while preserving healthy structures.
The instrument tip of the MIZZO Flex performs tissue cutting and coagulation with a single tool. By using a minimally invasive approach, MIZZO Flex reduces postoperative pain and accelerates recovery times, while its single-incision design leaves little to no visible scarring. These advancements hold significant promise for patients undergoing hysterectomies and other gynaecological surgeries, such as oophorectomy (removal of the ovaries), salpingectomy (removal of the fallopian tubes), and adnexectomy (removal of both ovaries and fallopian tubes).
Minimally invasive robotic systems also address ergonomic challenges faced by surgeons during traditional laparoscopic procedures. Prolonged operations can cause physical strain, affecting surgeons’ performance and career longevity. By incorporating an ergonomic design, MIZZO Flex helps reduce these challenges, improving the overall surgical experience for healthcare professionals.
Unlike many traditional robotic systems that require extensive infrastructure modifications, MIZZO Flex features a compact design with a small OR footprint and an open-platform concept, allowing it to be integrated into most operating rooms with minimal additional investment. This makes it a viable option for healthcare facilities looking to adopt advanced robotic technology without incurring prohibitive costs. Additionally, the system allows surgeons to utilize their existing laparoscopic visualization skills, minimizing the learning curve and supporting easier adoption in diverse clinical settings.
Today, only 15% of hysterectomies performed globally are robot-assisted, even though robot-assisted laparoscopic surgery has the potential to truly redefine healthcare. By addressing the limitations of traditional methods and enhancing patient outcomes, systems like MIZZO Flex represent a step forward in making cutting-edge surgical technologies accessible and effective.
Meril’s commitment to advancing such solutions reflects a broader vision: ensuring that women worldwide have access to safer, smarter, and more effective surgical care. By bridging the gap between technological innovation and real-world application, the focus remains on delivering better outcomes for both patients and surgeons, helping redefine what is possible in modern gynaecological surgery.
Annexure
[2] https://my.clevelandclinic.org/health/procedures/hysterectomy
[4] https://gynecolsurg.springeropen.com/articles/10.1007/s10397-007-0349-7
[5] https://pubmed.ncbi.nlm.nih.gov/16754157/
[6] https://www.merillife.com/medical-devices/endosurgery/robotics/surgical-robotics-system/mizzo
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