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

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

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

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

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)

Coming soon

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

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

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

Standard (extra long) Scopes By courtesy L. Schips

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

Flexible scopes Ideal EYES™ HD 10mm Friction assist brake Integrated light cable Over 100° of flexion in all directions

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

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

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

What’s next? Endograb™

What’s next? Robotics