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News Center
Surgical Platform Effectively Closes a Gastrotomy
An innovative operating system provides surgeons an operating platform and the tools needed to cut, sew, and manipulate tissue solely through natural body orifices.
The EndoSurgical Operating System (EOS) includes a multi-lumen operating platform, a combined tissue grasper and approximation device, tissue anchors, and a variety of endosurgical tissue graspers. The EOS has been designed to address many of the challenges of endolumenal and natural orifice translumenal endoscopic surgery (NOTES), and is the first surgical platform to effectively close a gastrotomy--an incision in the stomach wall--through the mouth, which will allow surgeons to eliminate the laparoscopic ports previously used to guide NOTES cases in surgical patients. The EOS is a product of USGI Medical (San Clemente, CA; USA).
“USGI Medical's EOS allows surgeons to overcome the largest hurdle in the adoption of NOTES techniques - the ability to close a gastrotomy from inside the stomach,” said Dr. Mark A. Talamini, M.D., professor and chair of the Department of Surgery at the University of California San Diego (USA). “No other endolumenal tools or clips have been shown to close the full thickness of the gastric wall, the way surgeons would prefer.”
“Soon we will be able to perform numerous procedures, including gall bladder surgery, appendectomy, liver biopsy, and many others using NOTES techniques,” said Dr. Santiago Horgan, M.D., director of minimally invasive surgery at the UCSD medical school. “Because of the versatility of the system, the EOS can also be used to create and anchor full thickness folds within the stomach, opening the door for incisionless obesity-related procedures.”
In NOTES, a small camera and surgical instrument are passed through the body's natural orifices to operate on abdominal organs without making external incisions into the body. Because NOTES procedures require no skin incisions, they are expected to result in less pain, lower risk of wound infection, and reduced recovery time when compared to traditional surgery, and may eventually be performed with the patient under sedation, rather than general anesthesia.
