Safety and Comfort in Laparoscopic Surgery

HICURA is the new generation of laparoscopic hand instruments that follows the HiQ+ line. HICURA was developed to improve the hand instruments’ handling and safety. HICURA is a modular system comprising a wide range of products with different lengths, shafts, handles and jaws to accommodate surgeons’ needs. The three-part design (handle, jaw insert and shaft) enables the individual replacement of worn components. The system contains no spare parts that might get lost, making HICURA a smart solution for every OR.

Furthermore, there’s no need to assemble HICURA instruments in the OR because they can be steam-sterilized (250 mm and 330 mm) in their assembled state.

The New Design

HICURA is designed with two unique features for optimal tissue manipulation:

The “CAM grasping mechanism,” which enables the gripping force to be distributed uniformly to the tissue. This allows the surgeon to work with fragile tissue and still provides higher grasping forces for firm grasping.

The “SL dissection mechanism,” which is designed for optimized dissection. The instrument’s jaws open to a wider angle, spreading the force laterally, resulting in the optimal dissection of tissue layers and opening of tissue planes.

The New Generation — from HiQ+ to HICURA

HICURA is a new generation of laparoscopic hand instruments that offers:

  • White color coding for the clear identification of bipolar instruments.
  • Safe HF application with bipolar energy.
  • Robust PEEK insulation of the shaft.
  • Modular three-part system.

Different Hands — Different Needs

HICURA offers two different handle sizes: size M for small to medium hands, and size L for medium to large hands. HICURA handles are designed to enhance usability and user comfort during laparoscopy. Depending on preferences and the area of application, handles with a ratchet, a ratchet that can be deactivated, or no ratchet are available.

Adapted Jaw Mechanism

The two dedicated joint mechanisms (CAM and SL) give surgeons adapted tissue control when grasping and dissecting. The CAM mechanism provides higher grasping forces and is therefore designed for firm grasping, whereas the SL mechanism is designed for optimized dissection because the jaws open to a wider angle.

Intuitive and Easy Assembly

Just click it!
HICURA’s modular system enables an intuitive and easy assembly in just three steps.
Acoustic feedback confirms that the instrument has been correctly assembled.

Rotation Knob

The new design of the rotation knob allows for the easy and precise rotation of the jaws insert: rotation with low resistance when the jaws are open; retarded rotation when tissue is firmly grasped.

HICURA Bipolar — Safe and Reliable

Strong Grasping and Precise Dissection

HICURA bipolar instruments have a special joint design that enables strong grasping and precise dissection, just like their monopolar counterparts. Furthermore, safe and reliable bipolar coagulation is possible, even in challenging situations.
HICURA bipolar instruments thus combine monopolar mechanical characteristics with safe bipolar coagulation.

Color Coding

HICURA bipolar hand instruments are color-coded on the handle and the rotation wheel, and the inserts also have white insulation. This coding system allows for the rapid identification of all the bipolar components.

Excellent Jaw Insulation

The bipolar jaws are PFA-insulated, thus reducing the risk of coagulation failures.
The design of HICURA bipolar instruments enables strong grasping and effective coagulation, thereby combining monopolar mechanical strengths with bipolar coagulation.

Safety First

HICURA shafts are PEEK-insulated in order to provide optimized stability, durability and electrical insulation.

A wide range of products

HICURA offers a large variety of modular parts. There are eight different-sized handles, four shafts, and more than forty different jaw inserts, which are available in different lengths.
Depending on the surgeon’s preferences and the procedure being performed, basic instrumentation can be recommended for every area of application.

General Surgery

The following instruments are mostly used in standard laparoscopic procedures such as cholecystectomy, hernia repair and appendectomy.

  • Johann, Clinching, Johann single action, and Croce-Olmi grasping forceps.
  • Maryland dissection forceps.
  • Metzenbaum scissors.

Urology

Recommendations for laparoscopic urology include bipolar instruments that can — for example — be used for nephrectomies and adrenalectomies.

  • Johann and Hirsch bipolar grasping forceps.
  • Monopolar grasping forceps with lumen.
  • Maryland bipolar dissection forceps.
  • Maryland monopolar dissection forceps, 90° angled.
  • Monopolar Metzenbaum scissors

General Surgery

The following instruments may be useful for colon surgery and fundoplication.

  • Babcock, Johann long, and atraumatic grasping forceps.
  • Maryland long dissection forceps.
  • Needle holder.
  • Hook scissors.

Gynecology

The following hand instruments may be helpful for laparoscopic procedures such as hysterectomies and cystectomies.

  • Johann, Hirsch, and Manhes bipolar grasping forceps.
  • Monopolar grasping forceps with lumen.
  • Maryland bipolar dissection forceps.
  • Monopolar Metzenbaum scissors.

Sterilization Tray

  • Compatible with standard container systems or soft packaging thanks to durable wire mesh of lid and instrument basket.
  • Storage and sterilization of disassembled and assembled laparoscopic hand instruments.
  • Minimal contact between the instrument and the retainer while enabling the secure immobilization of different instrument diameters.
  • Blue silicone components (retainer, mat) can be individually replaced.

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UDI (Unique Device Identification)

We recently implemented the UDI direct marking on HICURA shafts and handles.

The UDI (Unique Device Identification) helps to identify medical devices and trace them from manufacturing through distribution to patient use. The system consists of a unique set of article numbers for all manufacturers, called Global Trade Item Numbers (GTINs).

The unique device identifier (UDI) is written in human- and machine-readable form. The device can be scanned and traced throughout the entire product life cycle and the entire supply chain, reducing errors by enabling users to identify a device and obtain important information about its characteristics.

General information about the content of the UDI and other information may be found here.

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