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“Old” instruments reconsidered Needlescopic instruments

“Old” instruments reconsidered Needlescopic instruments. Mini-site™ series. Mini-laparoscopy. Mini-lap instruments. “Old” instruments “revised” SILS™ Stitch Articulating Suturing Device™. Pre-bent instruments. Re-usable more cost-effective Lower degrees of freedom

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“Old” instruments reconsidered Needlescopic instruments

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  1. “Old” instruments reconsidered Needlescopic instruments Mini-site™ series Mini-laparoscopy Mini-lap instruments

  2. “Old” instruments “revised”SILS™ Stitch Articulating Suturing Device™

  3. Pre-bent instruments Re-usable more cost-effective Lower degrees of freedom Steeper learning curve? S-portal HiQ LS hand instruments

  4. Articulating (flexible) instrumentsReal Hand™ • graspers, shears • Endolink mechanism • Technology designed to mirror surgeon’s hand direction • 7 d.o.f. • Not intuitive locking mechanism

  5. Articulating (flexible) instruments:Autonomy™ laparo-angle™ • grasper/dissector, scissors, needle holder, hook • 7 d.o.f. • Full articulation maping surgeon's hand motions • A tip rotating 360° around its axis • Simultaneous actions (ie articulating downward while rotating) • Locking Mechanism • Bulky handles (external clashing)

  6. Coming soon

  7. LESS: surgical toolbox Access Devices Instruments Scopes & cameras What else?

  8. New concepts Aim maintain camera view move camera handle away from working instruments externally New Features Minimal External profile Integrated in-line light source Cable light in the same axis (No right angle light cord) High image quality - HD vision Chip on the tip technology Able to visualize structures from different perspectives Vision off-line from instruments axis Flexible/ semi-rigid shaft Photos courtesy Bo Yang

  9. Standard (extra long) Scopes • 5-mm, 30° extra long (50 cm) • extra length removing the camera head and light cord from the operative field • right angle light cord adapter that brings the light cord off of the back of the scope

  10. Standard (extra long) Scopes By courtesy L. Schips

  11. Flexible scopesENDOEYE™ • EndoEYE LS • 5 mm, 30o digital scope • control section can be bent by as much as 90o • Integrated light and camera • CCD chip on the tip • EndoEYE LTF-VP • 5-10 mm, 0o digital scope • Deflectable tip (100o angulation) • Integrated light and camera • CCD chip on the tip

  12. Flexible scopesIdeal EYES™ HD • 10mm • Friction assist brake • Integrated light cable • Over 100° of flexion in all directions

  13. A new ideaENDOCAmeleon™ • 10mm • camera chip rotating within the tip • eliminating the need for the plastic casing while still giving surgeons the multi-directional view they need to operate By courtesy L. Schips

  14. LESS: surgical toolbox Access Devices Instruments Scopes & cameras What else?

  15. What’s next?MAGS (Magnetic anchoring and guidance systems) Moveable platform that is positioned intra-abdominally and stabilized by an external magnetic element placed on the abdominal skin

  16. What’s next?Endograb™

  17. What’s next?Robotics

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