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Clinical Applications

Our proprietary technology is specifically designed to address the scale and complexities of microsurgery and supermicrosurgery

Designed for Microsurgical Techniques during Soft Tissue Open Surgery

Microvascular Vessel Repair

A technique used during reconstructive free flap procedures to connect arteries and veins from a donor flap to a recipient location on the body. Also used for replantation procedures to restore circulation. Symani® can support microsurgeons in connecting these small and delicate blood vessels with a high degree of precision and control. It may also expand the availability of difficult-to-perform procedures, such as perforator flaps, which can result in a less invasive procedure for patients.

Lymphatic Repair

For patients suffering from lymphedema, surgical treatment options have the potential to reduce symptoms and improve quality of life. The Symani Surgical System can be used in lymphedema surgery procedures such as lymphovenous anastomosis or bypass (LVA/LVB) and vascularized lymph node transfer (VLNT). With LVA/LVB, surgeons can connect extremely small and delicate lymphatic ducts to nearby veins to push fluid out of the lymphedema-impacted area. VLNT uses lymph nodes harvested from another part of the body that are transferred to the lymphedema-impacted part of the body.

Peripheral Nerve Repair

Peripheral nerve injuries (PNI) with traumatic origin in upper and lower extremities can have a significant impact on quality of life for patients. When a nerve injury occurs, the main goal of reconstructive surgery is to restore sensation to the area. Symani can support surgeons performing peripheral nerve repair as these procedures require tremendous precision given the small size of the nerves (<2mm).

Breast Cancer Overview

Whether it’s deciding on a reconstructive procedure following mastectomy or dealing with the possibility of developing lymphedema as a result of their care, breast cancer patients face a significant uphill battle after their treatment. With Symani, patients can access reconstructive options using their own tissue and the latest technological innovations. For hospitals offering surgical treatment options for lymphedema, they may also be able to prevent or treat the symptoms of lymphedema following their care.

Lymphedema Overview

Lymphedema, the build-up of lymphatic fluid resulting in swelling and discomfort, affects over 250 million people worldwide*. Surgical treatment options may improve the symptoms and overall quality of life for these patients, but access to these treatments is limited. This is mainly due to procedural complexity associated with the size of lymphatic vessels. With 7-20x motion scaling and tremor filtration, the Symani Surgical System is designed to enable supermicrosurgical procedures such as lymphovenous anastomosis or bypass (LVA/LVB).

Head & Neck Cancer Overview

The incidence of head and neck cancers is on the rise and increasing the need for reconstructive procedures that utilize microsurgical techniques. Reconstruction of the head and neck following tumor resection or trauma can help restore function and improve quality of life for patients. With Symani, surgeons can perform these challenging and complex procedures with a high degree of precision and control in an optimized work environment.

Trauma Overview

Trauma refers to any altering injury sustained through accident or impact like burns, laceration, crush, nerve damage and fractures. Where tissue is lost due to trauma or infection, it may be necessary to perform a reconstructive procedure using transferred tissue or to perform a replantation of an amputated body part with the goal of restoring circulation and sensation, and where possible, function. Symani allows surgeons to confidently perform these procedures with a high degree of precision and accuracy.

Advantages of the Symani Surgical System

Enables more treatment options for patients

Improves access to complex open surgical treatments by translating natural surgical movements to the micro level with high precision and control.

Elevates microsurgical skills and accelerates the learning curve

Potential to increase the number of specialists performing complex procedures by opening microsurgery to new surgeons and empowering experienced microsurgeons to expand into supermicrosurgery.

Expands microsurgical programs by enabling challenging clinical applications

Designed to allow hospitals to treat more patients by better supporting complex procedures while strengthening your position as a leader in your market.

How it Works

Get an in-depth look at the components that make up the Symani Surgical System


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*Schulze, H., Nacke, M., Gutenbrunner, C., & Hadamitzky, C. (2018). Worldwide assessment of healthcare personnel dealing with lymphoedema. Health economics review, 8(1), 10. 

The Symani Surgical System is authorized for use in the U.S. by the FDA and is a CE marked medical device. Clinical indications vary by geography. Refer to global indications for more information. © 2024 Medical Microinstruments, Inc. All Rights Reserved.

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