RUMI II

Advanced Uterine Manipulation System

Delivering Superior Control
and Enhanced Visualization

The RUMI®II System: The Right Choice

For All Pelvic Laparoscopic Procedures

Unparalleled Visualization
and Pelvic Access

The RUMI® II System is ideal for any laparoscopic pelvic
surgery. As a surgeon, you will experience superior
exposure and access to pelvic anatomy. The RUMI II
System provides maximum flexibility through a wide
range of single-use intrauterine tips specifically chosen
to accommodate individual patient anatomy. Plus,
the RUMI II uterine manipulator handle provides
additional length while delivering a full 140 degrees
of articulation at the cervix for remarkable exposure.
Simply put, the RUMI II System is the solution for
effective uterine manipulation.

Locking handle
maintains tip orientation
and uterine position

New comfortable blue handle
visually differentiates RUMI II
from original RUMI

Unique locking handle allows total control Soft distal end of tip and silicone balloon provide
of uterine position less traumatic insertion, while the saline filled
balloon holds the tip firmly but gently in place
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The Most Versatile System For Your Needs

The RUMI II System is flexible for a wide range of laparoscopic procedures. The
combination of superior uterine control and minimal tissue trauma makes RUMI II
ideal for diagnostic laparoscopy, myomectomy, oophorectomy, endometriosis
excision, and infertility applications requiring reliable chromopertubation.

Articulation: Achieve Superior Uterine A full range of flexible silicone tips for
Exposure and Access an ideal fit to your patient’s anatomy

The RUMI II System enables full control of the uterus in all directions, including
full 90 degrees of anteversion, 50 degrees retroversion and maximum lateral
positioning, which provides unmatched exposure and access to important
anatomical structures. Also, the frictionless, locking handle mechanism ensures
stable positioning during dissection for added surgical control and safety.

Sacrocolpopexy: Easier and Safer 6.7mm x 12cm 6.7mm x 10cm 6.7mm x 8cm 6.7mm x 6cm 5.1mm x 6cm 5.1mm x 3.75cm

Mesh placement during sacrocolpopexies can be cumbersome and time consuming.
The Sacrocolpopexy Tip, used in conjunction with any of the RUMI handles is an
ideal solution. The tip will elevate the vagina. Bladder flap creation and suturing
challenges are reduced because the tip provides stable control of the tissues.
With constant tension, migration of tissue is minimized during mesh attachment.

For sacrocervicopexy, a tip with a concave distal end is available.

Tips are available in multiple sizes that easily attach to any RUMI uterine manipulator.

Sacrocervicopexy and Sacrocolpopexy Tips, Sacrocolpopexy Tip shown on Advincula Arch™ Tips: The Right Size and Less Trauma
single-use, disposable
The RUMI II System is ideal for any laparoscopic or robotic pelvic surgery
in a broad range of patient anatomy. Available in six sizes, the RUMI Tips
have a soft, flexible distal tip, which reduces the risk of uterine perforation
and trauma. The strength and flexibility of the RUMI Tips allows the intrauterine
balloon to be inflated with saline, providing unmatched durability even
during caudal traction.

RUMI II : Upgraded Design Improves
Your Surgical Procedures

The RUMI II System has been reengineered with a range of design enhancements to
improve the efficiency and safety of your procedures. These include a new Koh-Efficient™
colpotomy system for easier and quicker TLH procedures, new tip sizes and more:

Catheter management system Six uterine tips to suit a wider
range of patient anatomy

2 inch longer shaft for better access 140º of articulation at the cervix
(90º anteversion and
50º retroversion)

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RUMI® II / Koh-Efficient™: TLH is Easier, Faster and
Four Sizes to Suit Patient
Anatomical Needs With The RUMI® II Easy

2.5 cm Koh-Efficient: Insertion Made Easy
3.0 cm
3.5 cm The Koh-Efficient combines the Koh Cup™ and the pneumo-occlusion balloon
into one device for easy loading onto the RUMI® II handle as well as rapid and
accurate clinical positioning.
Once the proper size Koh-Efficient is loaded onto the RUMI II handle, the uterine
tip is advanced into the cervical canal. Then the tip is advanced into the uterus
and the cup seats into the vaginal fornix. Once in position, full articulation at the
cervix is available.

This sterile, single-use device is available in four sizes to suit your patient’s anatomy.

An Improved Margin of Safety
for Total Laparoscopic Hysterectomy

A key challenge in total laparoscopic hysterectomy is the identification,
management and safekeeping of the ureters and uterine arteries during the
procedure. The RUMI II / Koh-Efficient is designed to fit securely over the cervix
to place the vaginal fornix on stretch. The delineation provides a visual landmark
and backstop for dissection while distancing the colpotomy incision from the
ureters. This creates a ‘margin of safety’ allowing you to continue the procedure
with confidence. The locking handle maintains tip orientation and uterine
position – both crucial to the success of the procedure.

4.0 cm

A Safer Colpotomy Incision Robust Koh Cup Occluder balloon
provides a precise and is pre-attached on
The Koh-Efficient provides a ‘margin of safety’ stable cutting surface the Koh-Efficient
away from the ureters as well as a visual
landmark and backstop for a full circumferential
colpotomy incision. Vaginal length is maximized
and pneumoperitoneum is maintained.

RUMI II is engineered with our easy
load system making it simple and
easy to insert into patient anatomy

Margin of Safety

Cervical Sizer enables accurate selection
of the Koh-Efficient size based upon
each patient’s anatomy

Safer
Load Koh-Efficient™

Saline inflated tip provides a firm hold for superior manipulation Easy load Koh-Efficient is engineered for easier insertion Koh-Efficient provides an ideal visual landmark for dissection

Cervical Sizer: The Right Cervical Measurement...Every Time

Using the right size Koh-Efficient is important for enhancing the ‘margin of safety.’ With the specially-designed
Cervical Sizer, measuring your patient’s cervix is simple and fast, ensuring superior delineation of the vaginal
fornix for enhanced procedure safety.

Easy Load Design Provides a Simple Way to
Achieve Efficiency and Greater Patient Safety

Based on extensive testing and surgeon feedback, we are proud to introduce a simple, effective loading mechanism
in the Koh-Efficient, which assures a snug fit with no struggle. With this easy load innovation, it’s easier to correctly
position the Koh-Efficient – plus, we’ve engineered integrated catheter retention channels for improved site
management. Both of these advanced features help to reduce valuable surgical time and effort.

Visual and audio indicators alert you Locking handle maintains tip orientation and uterine
when cup is locked into position position while permitting 140º of articulation at the cervix

STEP 1 STEP 2 STEP 3 STEP 4

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ArchKoh-Efficient™: Ideally Advincula Arch™:
Suited for Any Simple and Strong

Patient Anatomy

2.5 cm

3.0 cm

3.5 cm Designed with our easy load system for quicker and easier insertion
4.0 cm
Traditional Uterine Manipulator
Designed for Strength and Durability

An alternative to the articulating RUMI II, the reusable Advincula Arch is ideal for
physicians who prefer the simple and lightweight design of a disposable uterine
manipulator but would like additional strength.

Some physicians choose the Advincula Arch because they prefer executing anteversion/
retroversion manipulation of the uterus manually or with the Uterine Positioning
System™. The radial design permits easy insertion from any angle and its unique
curve provides outstanding elevation for superior visualization and control.

The Advincula Arch has a specially designed Koh-Efficient™ system
enabling the physician to safely insert and correctly position
the device for use. The Advincula Arch shares the same
tips as the articulating RUMI II, thereby expanding
the versatility and functionality of the total
RUMI II System.

Advincula Arch is designed with our STEP 1 STEP 2 STEP 3
easy load system making it simple
and easy to insert into patient
anatomy

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Uterine Positioning UPS provides an ideal field of view, delivers constant
System™ static pressure and frees up O.R. personnel for other tasks

Three hydraulic joints provide Provides Hands-Free
complete range of motion Constant Static Pressure

Easily attaches to the O.R. The Uterine Positioning System (UPS) creates exposure
table with large turn knobs and static control of the anatomy during operative
and diagnostic GYN laparoscopy. This table-mounted
system is designed with three hydraulic joints to
provide a full range of motion.
The UPS is a must-have for long gynecologic procedures
such as sacrocolpopexy. It provides the constant
static pressure that assistants are unable to maintain,
thereby providing an additional margin of safety during
surgical procedures.
Through reusable adaptors, the UPS can be used
with RUMI®, RUMI Arch®, RUMI® II and Advincula
Arch™ uterine manipulators.

The RUMI® II System: Outstanding Versatility For a Wide Range of Surgical Procedures

Procedure Estimated Time RUMI II Advincula Kronner UPS Priorities Accessories Needed
Arch

Endometriosis Excision 45 min-2 hrs. x x x Medium/High Tip

Myomectomy 30-45 min. x x x Medium/High Tip

Oophorectomy 30 min. x x x Low Tip

Supracervical Laparoscopic Hysterectomy 1 hr. x x – Medium/High Tip + Koh-Efficient

Total Laparoscopic Hysterectomy 1-1.5 hrs. x x – Medium/High Tip + Koh-Efficient

Sacrocolpopexy 1.5-2 hrs. x x – High Sacro Tip

Diagnostic – x x x– Tip

For more information, visit coopersurgical.com or call 800.243.2974
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Achieve Superior Control Ordering Information
and Ideal Visualization
with the Redesigned Code Product Description
RUMI® II System
Uterine Manipulator Handles (1 each)
• 2 inch longer shaft for better access
• New tips to accommodate varying anatomy UMH650 RUMI II Handle
• Sacrocolpopexy and sacrocervicopexy tips
• New Koh-Efficient™ for easier, faster, safer TLHs UMH750 Advincula Arch Handle (1 each)
• Improved easy load of Koh Cup™ onto cervix
• Cervical Sizer to ensure the right Koh-Efficient fit RUMI Tips
• Catheter management system
UMY514 RUMI Tip Yellow 5.1 mm x 3.75 cm (5 per box)
RUMI® and RUMI II
System Compatibility UML516 RUMI Tip Lavender 5.1 mm x 6 cm (5 per box)

• RUMI tips are compatible with all RUMI UMW676 RUMI Tip White 6.7 mm x 6 cm (5 per box)
handles including RUMI, RUMI II, RUMI Arch®
and Advincula Arch™ UMB678 RUMI Tip Blue 6.7 mm x 8 cm (5 per box)

• The Koh-Efficient systems are unique to the UMG670 RUMI Tip Green 6.7 mm x 10 cm (5 per box)
RUMI II and Advincula Arch handles. They are not
compatible with the original RUMI or RUMI Arch UMO672 RUMI Tip Orange 6.7 mm x 12 cm (5 per box)

• The UPS has four reusable adaptors – one each SACRO-1 Sacrocolpopexy Tip - Large (3 per box)
that is specific to the RUMI, RUMI II, RUMI Arch
and Advincula Arch SACRO-1S Sacrocolpopexy Tip - Small (3 per box)

• The original Koh Cup and Colpo-Pneumo Occluder™ SACRO-1C Sacrocervicopexy Tip - (3 per box)
system can be used with RUMI II and Advincula Arch Concave Distal End

RUMI II is engineered with our easy load Cervical Sizer
system making it simple and easy to insert.
Scan. Watch. Learn. KC-SIZER Cervical Sizer (1 each)
or go to coopersurgical.com/RUMI
RUMI II Koh-Efficient System –For Electrosurgery Devices
CooperSurgical is the leading company dedicated
to providing medical devices and procedure solutions KC-RUMI-25 RUMI II / Koh-Efficient 2.5 cm (5 per box)
that improve health care delivery to women regardless
of clinical setting. Our company is fostering that position KC-RUMI-30 RUMI II / Koh-Efficient 3.0 cm (5 per box)
through expansion of its core businesses and introduc-
tion of advanced technology-based products, which KC-RUMI-35 RUMI II / Koh-Efficient 3.5 cm (5 per box)
aid clinicians in the management and treatment of
commonly seen conditions. KC-RUMI-40 RUMI II / Koh-Efficient 4.0 cm (5 per box)

Find out how The RUMI II System can benefit your RUMI II Koh-Efficient System –For Harmonic Scalpel/Laser
practice... and your patients. Call 800.243.2974
or visit www.coopersurgical.com. KCS-RUMI-25 RUMI II / Koh-Efficient 2.5 cm (5 per box)

203.601.5200 | coopersurgical.com KCS-RUMI-30 RUMI II / Koh-Efficient 3.0 cm (5 per box)
95 Corporate Drive | Trumbull, CT 06611
Also on YouTube.com/coopersurgical KCS-RUMI-35 RUMI II / Koh-Efficient 3.5 cm (5 per box)

KCS-RUMI-40 RUMI II / Koh-Efficient 4.0 cm (5 per box)

Arch Koh-Efficient System –For Electrosurgery Devices

KC-ARCH-25 Arch Koh-Efficient 2.5 cm (5 per box)

KC-ARCH-30 Arch Koh-Efficient 3.0 cm (5 per box)

KC-ARCH-35 Arch Koh-Efficient 3.5 cm (5 per box)

KC-ARCH-40 Arch Koh-Efficient 4.0 cm (5 per box)

Arch Koh-Efficient System –For Harmonic Scalpel/Laser

KCS-ARCH-25 Arch Koh-Efficient 2.5 cm (5 per box)

KCS-ARCH-30 Arch Koh-Efficient 3.0 cm (5 per box)

KCS-ARCH-35 Arch Koh-Efficient 3.5 cm (5 per box)

KCS-ARCH-40 Arch Koh-Efficient 4.0 cm (5 per box)

Uterine Positioning System™

371550-03 Uterine Positioning System
53468 Adapter, RUMI II , UPS

53469 Adapter, Advincula Arch , UPS

400245-01 Drape, UPS, 20/Case

371560-01 Uterine Positioning System - Cart

All RUMI Products are Latex Free

The marks bearing the symbols 'TM' and '®' are trademarks and registered 81895 Rev. 12/11
trademarks of CooperSurgcal, Inc.
©2011 CooperSurgical, Inc.

RUMI II SYSTEM

Advanced Uterine Manipulation System

Procedure Guide for
Uterine Manipulation and
Laparoscopic Hysterectomy

SOUND UTERUS Sound the Uterus

The first step when doing any laparoscopic procedure
utilizing uterine manipulation is to sound the uterus
to measure length.

Choose the Correct Tip Size TIP SELECTION

A Full Range of Flexible Tips
to Fit the Patient and the Procedure

6.7mm x 12cm 6.7mm x 10cm 6.7mm x 8cm 6.7mm x 6cm 5.1mm x 6cm 5.1mm x 3.75cm

Choose the tip size that is just below the length of the uterus.
For example, choose an 8 cm tip for a uterus that is
9 cm in length.
Using the right tip reduces the risk of uterine
perforation or trauma.

ATTACH TIP Place Tip on the Handle

Easy Tip Application

1. After Choosing Correct Tip
Size, Place Tip on Handle

2. Gently twist 180º
to Attach Tip

3. Insert Tubes in Catheter
Management System

Place tip on handle and gently twist 180º to lock in place.
Insert tubes into catheter channels on either side
of the handle. The catheter management system will
improve site management during procedure.

Measure Cervical Size SIZER DO’S & DON’TS

Do’s and Don’ts of Sizing

Koh Cup Size Reader

DO’s
With speculum in place, insert Cervical Sizer in a slightly
closed position with numerical guide facing up.
Once in vagina, open the sizer.
Place Cervical Sizer blades up to fornices.
Gently close Cervical Sizer until it is adjacent to the cervix.
Read numerical value for proper Koh Cup™ size.
DON’Ts
Don’t insert Cervical Sizer with numbers facing down.
Don’t stretch cervix with tenaculum during sizing.
Don’t remove Cervical Sizer prior to reading.
Don’t clamp Cervical Sizer down. This may result in
undersizing the Koh Cup.

SYSTEM ASSEMBLY Preparing the RUMI® II
with Koh-Efficient™
for Patient Insertion

Four Simple Steps to Insertion

1. Guide the Koh-Efficient over
the tip of the RUMI II handle.

2. Match the white arrow on the
Koh-Efficient to the black arrow
on the handle. Snap into place.

3. Confirm Koh-Efficient is resting
on top of the handle rails.

4. Pull back until the Koh-Efficient is
around the handle – when properly
locked, there is an audible click.

Insert Device into Uterus

Saline-inflated Tip Provides Koh-Efficient™ is Easily Inserted
a Firm Hold for Manipulation Using Index Finger

The cervix should be dilated up to a size 8 using a Hank MANIPULATOR INSERTION
or Hegar dilator.

Advance the uterine tip into the cervical canal.

Inflate balloon tip with 3-5 cc’s of saline.

Gently push the Koh-Efficient forward using the index
finger or thumb until it audibly clicks, indicating it is
locked in place. Typically, there is no need to use a suture or
tenaculum when engaging the Koh Cup™ around cervix.

Manually and visually check to ensure the cervix
is completely seated within the Koh-Efficient cup.

Utilization of Manipulator

90 Degrees of Anteversion 50 Degrees of Retroversion

MANIPULATOR OPERATION The uterine manipulation handle provides 140 degrees of
articulation at the cervix – 90 degrees of anteversion and
50 degrees of retroversion – for maximum visualization
of the anatomy.

Prior to starting the colpotomy, inflate the pneumo-occluder
balloon with 60 cc’s of saline.

Cephalad pressure during colpotomy will help create a
‘margin of safety’ for the colpotomy incision by increasing
the distance between the ureters and the point of incision.

Scan. View. Learn. Apply Cephalad Pressure to
Or go to coopersurgical.com/RUMI Help Create a Margin of Safety

How to Remove
the Koh-Efficient™

Place Thumbs on Thumb Rest Push Out and Down to Remove

To remove the Koh-Efficient™ from the shaft, apply firm
pressure with both thumbs down and outward simultaneously.
Unclip and remove locking mechanism from handle shaft.
Slide cup forward off of shaft to remove from device.
Dispose of in accordance with all applicable Federal,
State and local Medical/Hazardous waste practices.

DISASSEMBLY

CooperSurgical is the leading company dedicated to providing medical devices and
procedure solutions that improve health care delivery to women regardless of clinical
setting. Our company is fostering that position through expansion of its core businesses
and introduction of advanced technology-based products, which aid clinicians in the
management and treatment of commonly seen conditions.

203.601.5200 | 800.243.2974 | www.coopersurgical.com | 95 Corporate Dr. | Trumbull, CT 06611
Also on YouTube at www.YouTube.com/coopersurgical

CooperSurgical RUMI® II is engineered with our easy load 82065 Rev. 10/11
system making it simple and easy to insert.
Scan. Watch. Learn.
or go to coopersurgical.com/RUMI

The marks bearing the symbols ‘TM’ and ‘®’ are trademarks and registered
trademarks of CooperSurgical, Inc.
©2011 CooperSurgical, Inc.