Surgical Applications
Subject to model-specific approval, a Tintara Uterine Manipulator may be considered for:
Laparoscopic tubal ligation
Fertility-related laparoscopic procedures
Procedures requiring fallopian-tube exposure
Procedures requiring uterine elevation
Procedures requiring lateral uterine movement
Selected laparoscopic hysterectomy procedures
Other gynecological operations requiring uterine positioning
The published Songkla design was evaluated in procedures including tubal sterilization, adnexal surgery and hysterectomy. This evidence relates to the published device, not automatically to every commercial Tintara-pattern instrument.
Important Hysterectomy Suitability Note
Online supplier descriptions are inconsistent about using Tintara manipulators for total hysterectomy. Some market the instrument for total or supracervical laparoscopic hysterectomy, while one clinical review describes the Tintara type as suitable for multiple laparoscopic indications except total hysterectomy.
The original Songkla publication reported use in total laparoscopic and laparoscopic-assisted vaginal hysterectomy but also identified limitations, including the need for improved cervical retention and prevention of vaginal gas leakage.
Therefore, this page should not make an unrestricted claim that Bharat Surgical’s Tintara Manipulator is suitable for total laparoscopic hysterectomy.
Before using or purchasing the instrument for hysterectomy, confirm:
- The exact intended use
- Cervical fixation method
- Vaginal sealing capability
- Colpotomy-cup availability
- Ability to maintain pneumoperitoneum
- Manufacturer-approved procedure list
- Model-specific warnings
- Surgeon and hospital approval
How the Instrument Supports Pelvic Exposure
Controlled uterine movement may assist surgical exposure in several ways:
- Anteversion may improve access to posterior structures.
- Retroversion may improve exposure of the anterior pelvis.
- Lateral movement may expose the opposite adnexa or pelvic sidewall.
- Elevation may improve access to the cul-de-sac.
- Stabilization can help maintain the selected uterine position.
- Controlled movement may improve visualization of the fallopian tubes and ovaries.
The published comparative study found that the Songkla device provided greater lateral uterine movement and better fallopian-tube exposure than a Hulka controlling tenaculum in laparoscopic tubal-ligation cases. These findings should not be converted into claims of superiority for Bharat Surgical’s untested commercial model.
How to Select the Correct Tintara Manipulator
Confirm the intended procedure: State whether the instrument is required for diagnostic laparoscopy, tubal ligation, adnexal surgery, hysterectomy or another approved procedure.
Confirm the tip dimensions: Request:
- Tip diameter
- Tip length
- Maximum insertion depth
- Tip profile
- Number of included tips
- Connection type
Confirm the range of movement: Ask whether the instrument provides:
- Anteversion
- Retroversion
- Bilateral movement
- Elevation
- Position locking
Do not use movement figures from the original Songkla paper unless they apply to Bharat Surgical’s exact model.
Confirm the fixation system: Establish how the device is retained relative to the cervix and whether a separate tenaculum is required.
Confirm cup availability: Ask whether a cervical, vaginal or colpotomy cup is included or compatible.
Confirm sealing capability: If required for laparoscopic hysterectomy, verify whether the set includes a validated vaginal sealing or occlusion component.
Confirm channel availability: Do not assume the instrument provides dye injection, suction or insufflation unless explicitly stated.
