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Category Archives: Natural orifices tranlumenal endosurgery NOTES

EURO-NOTES Foundation > Awarded Research Funding > Twelve Winners From Across Europe > Attended by gastroenterologists and surgeons > Encouraging research into Natural Orifice Translumenal Endoscopic Surgery NOTES > Developing field and further investigation is needed > Understand the full implications and opportunities for the patient > Exciting area of surgery > European Association for Endoscopic Surgery EAES > European Society of Gastrointestinal Endoscopy ESGE

Are the growing capabilities of therapeutic flexible endoscopy leading to a new era in treatment of gastrointestinal conditions? Are the most important areas for initial NOTES study safe peritoneal access and secure gastric closure, intraperitoneal contamination, image display and maintenance of spatial orientation, development of stable working platforms, physiologic perturbations, and tissue approximation methods?

IIP > […]

OverStitch endoscopic suture system > Apollo Endosurgery > Announces 510(k) Clearance > Flexible Endoscopic Suturing System > New surgical tool for endoscopic surgical procedures > Adapting suturing to a standard flexible endoscope platform > Fully disposable suturing system > Advanced endoscopist > Perform full thickness tissue apposition > Mimics laparoscopic suturing

Is a device with the capability to suture endoscopically a valuable tool for a variety of endolumenal GI procedures? Is the 510(k) clearance of the OverStitch endoscopic suture system a significant step towards making the benefits of endolumenal surgery a realistic therapeutic option? Will the OverStitch system will enable the advanced endoscopist to perform more […]

No-Scar Surgery > Through the Mouth or Vagina > Removing gallbladders and appendixes > Natural orifice operations > Natural orifice translumenal endoscopic surgery > Through-the-mouth appendectomy

Are the plum-size gallbladders usually extracted through tiny holes in the abdomen, safe to be pulled out through the vagina? Does it makes sense to put a hole in a perfectly good organ? Will NOTES ever be embraced by the surgical community?

IIP > read on here > http://health.usnews.com…
…The unusual operation, performed at New York-Presbyterian Hospital/Columbia […]

GI Dynamics > Clinical-stage medical device company > New noninvasive approaches to treat obesity > Type 2 diabetes > Related metabolic diseases > EndoBarrier technology > EndoBarrier Gastrointestinal Liner > Orally delivered > Removable device > Lines portion of small intestine > Immediate metabolic control with less risk

Has GI Dynamics developed therapies resulting in weight loss and improved glycemic control? Is the technology designed to deliver immediate metabolic control by modifying metabolic pathways? Will EndoBarrier application data be presented at the 1st World Congress on Interventional Therapies for Type 2 Diabetes?

IIP > read on here > http://www.earthtimes.org…
Data from Clinical Trial of EndoBarrier(TM) […]

Surgical procedures that will be completely concealed > Leave no visible scars > Medical robots > Swallow the surgeon > Biomedicine > Tiny medical robots > Perform surgery inside patients > Greater precision than existing methods > Richard Feynman > Nanobots > Pioneers of gastrointestinal devices > Pillcam > ARES Assembling Reconfigurable Endoluminal Surgical system > Micro-robot > Involves only one incision and smaller surgical instruments > Build an operating room inside a patient > Paolo Dario > Biomedical robotics > Scuola Superiore Sant’Anna in Pisa Italy > Institute of Robotics and Intelligent Systems > Swiss Federal Institute of Technology ETH in Zurich > Micro Nanophysics Research Laboratory at Monash University near Melbourne Australia > Carnegie Mellon University’s NanoRobotics Lab in Pittsburgh Pennsylvania > Tiny rotary motors called flagella > Resemble corkscrews

Will the robots be able to navigate exactly where doctors direct it? Is it feasible to take highly detailed photos of possible trouble spots inside the human gastrointestinal GI sytem? Will it even be able to take tiny biopsies?

IIP > read on here > http://www.economist.com…
…IN THE 1966 film “Fantastic Voyage”, a submarine carrying a team […]

NOTES > TUES > TULA > NOTUS > IRCAD > EITS > Hôpitaux Universitaires de Strasbourg

Did Antony Kalloo, when he presented his experience in transgastric surgery in 2004, imagine that he and NOTES would be at the epicentre of a revolution in laparoscopic surgery? Did the ASGE and SAGES leaders, who created a working group to develop transluminal surgery, sense that this idea would have some repercussion on laparoscopic surgery? […]

Open gripper is 500 micrometers > Diameter of 0.05 centimeters > Helping Hand for Surgery > Tiny gripper > Responds to chemical triggers > New tool for surgery > Minimally invasive > Keyhole surgery > Surgical tools that move more freely inside the human body > Biomolecular and chemical-engineering > Johns Hopkins University

Does NOTES need mobile surgical tools? Is the ultimate goal to have a machine that a patient can swallow? Could we inject small structures that move and can do things on their own?

IIP > read on here > http://www.technologyreview.com…
A tiny handlike gripper that can grasp tissue or cell samples could make it easier for doctors […]