ADDLER Laparoscopic Uterine Manipulator Marwa Type Gynecology Surgical Instruments Life Time Anti Rusting Warranty. A uterine manipulator or elevator is used in a Hysterectomy. The device allows the surgeon to easily access the key surgical targets in the pelvic cavity by creating clear visibility of surgical landmarks and superior mobility of the uterus by maximizing safe operative margins from the pelvic wall. This means that surgeons can approach the surgery with higher degree of confidence. They offered instruments are quality tested.