The Symani® Surgical System is now cleared for use in reconstructive mouth and scalp procedures in the U.S.
The Symani Surgical System now offers more reconstructive surgeons access to the benefits of robotic precision to tackle even the most complex cases. Our first-of-its-kind robotic platform has been used in hundreds of head & neck procedures in Europe, including but not limited to, reconstruction of the mandible, tongue, and oral defects.
In the U.S., Symani empowers surgeons with enhanced precision and control for intricate procedures, including free flap reconstructions of the breast, extremities, mouth and scalp, and lymphatic repair of the extremities, all on one comprehensive, mobile platform.
Benefits of Symani in mouth and scalp reconstruction
Current surgical treatment options to address oral cancers can be very invasive and significantly impact patient functioning including speaking, eating, and other critical activities(1). As these cancer diagnoses continue to rise, so does the demand for reconstructive procedures utilizing microsurgical techniques.
Symani brings precision, accessibility, and ergonomic advantages to these and other mouth and scalp procedures, which could help surgeons perform difficult reconstructions with confidence and may impact patient outcomes.
With the world’s smallest wristed robotic instruments, tremor reduction, and motion scaling, robotic precision has the potential to:
- Improve accuracy in delicate reconstructions
- Increase vessel patency to support positive surgical outcomes
- Reduce vessel trauma to minimize complications
- Reduce costly re-interventions to help improve patient recovery
- Enable less invasive approaches to open surgery
Damaged tissue is often located deep within certain structures, such as the oral cavity, making access difficult. Symani is designed to enable access to these challenging areas and delicate vessels to support successful reconstructions with an optimal view and suturing approach.
Lengthy reconstructive surgeries often demand intense focus and fine motor skills. Symani’s ergonomic support minimizes surgeon fatigue, allowing surgeons to work comfortably for extended periods, to help provide optimal results for patients undergoing mouth and scalp surgeries.

Explore the latest Symani evidence
Single Center Study
Robotic-assisted free flap reconstruction of the scalp using the Symani Surgical System
University Hospital Zurich shares experience from six cases using Symani, demonstrating the safety and feasibility of using the system for robotic-assisted microsurgical anastomosis in scalp reconstruction, showing promising results with no flap loss and satisfactory outcomes.
Published in Acta Neurochir.
Real-world impact: A craniomaxillofacial oral defect reconstruction case example
How Symani is transforming head and neck procedures in Europe
Dr. Henning Wieker
Case: Radial flap transfer for oral defect reconstruction
Patient: Adult male
Background
- Patient underwent manual tumor resection, requiring oral reconstruction
Technique
- Radial flap harvested manually, then transferred to the oral defect
- Microvascular anastomosis of the radial artery and vein with recipient vessels in the neck utilizing Symani
Results
- Clear surgical margins
- Great flap viability
”Symani demonstrated its strength and ergonomic advantages. Having the control of the instruments with distal wrist flexibility is critical for maneuvering within a confined field, enabling efficient and precise reconstruction in such a challenging space.
Dr. Henning Wieker
Are you ready to revolutionize your surgery program with robotics? Contact us today to learn more how Symani can elevate your practice.
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INDICATIONS
In the U.S., the Symani® Surgical System is intended for soft tissue manipulation to perform anastomosis, suturing, and ligation microsurgery techniques on small blood vessels and lymphatic ducts between 0.1 and 2.5 mm in open free-flap surgery of the breast, mouth, scalp, extremities, and in open lymphatic surgery of the extremities.
CITATIONS
- Gormley, M., Creaney, G., Schache, A. et al. Reviewing the epidemiology of head and neck cancer: definitions, trends and risk factors. Br Dent J 233, 780–786 (2022). https://doi.org/10.1038/s41415-022-5166-x.
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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.