“Old” instruments reconsidered

Needlescopic instruments

Mini-site™ series

Mini-lap instruments

Mini-laparoscopy

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

Pre-bent instruments Re-usable

more cost-effective

Lower degrees of freedom Steeper learning curve?

HiQ LS hand instruments

S-portal

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 DevicesInstrumentsScopes & camerasWhat else?

New concepts Aim

maintain camera view move camera handle away from

working instruments externally

New FeaturesMinimal External profileIntegrated 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 axisFlexible/ 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 LTF-VP 5-10 mm, 0o digital scope Deflectable tip (100o angulation) Integrated light and camera CCD chip on the tip

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

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 DevicesInstrumentsScopes & camerasWhat 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