A surgeon-controlled robotic uterine manipulator to improve autonomy, efficiency, and consistency during hysterectomy: a clinical opinion on the InvisiGrasp concept: Short Title: Surgeon-Controlled Robotic Uterine Manipulator.

Uterine manipulation remains a critical yet often overlooked component of robotic-assisted hysterectomy. Conventional approaches rely on assistant-operated devices, introducing variability, communication delays, and limitations to surgeon autonomy. In this clinical opinion, we describe the conceptual design and potential advantages of InvisiGrasp, a patent-pending, surgeon-controlled robotic uterine manipulator. This device integrates uterine positioning into the robotic platform, eliminating dependence on verbal commands or manual assistant input. Beyond improving surgical precision and workflow efficiency, InvisiGrasp may also reduce operating room staffing demands and address challenges such as assistant fatigue during prolonged procedures. Preliminary feedback from practicing gynecologic surgeons indicates strong clinical interest in adopting such a device.