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

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

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

4. Articulating (flexible) instruments Real 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. Photos courtesy Bo Yang
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 scopes ENDOEYE™
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 scopes Ideal EYES™ HD
10mm
Friction assist brake
Integrated light cable
Over 100° of flexion in all directions

13. A new idea ENDOCAmeleon™
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