Abstract: The present invention provides a surgical controlling system, comprising: a. at least one endoscope adapted to provide real-time image of surgical environment of a human body; b. at least one processing means, adapted to real time define n element within said real-time image of surgical environment of a human body; each of said elements is characterized by predetermined characteristics; c. image processing means in communication with said endoscope, adapted to image process said real-time image and to provide real time updates of said predetermined characteristics; d. a communicable database, in communication with said processing means and said image processing means, adapted to store said predetermined characteristics and said updated characteristics; wherein said system is adapted to notify if said updated characteristics are substantially different from said predetermined characteristics.

Abstract: Systems and methods for maneuvering an endoscope are disclosed. The system includes: at least one first pivoting support that is pivotally attached to the endoscope and that permits the endoscope to pivot around at least one first axis of rotation; at least one second pivoting support that is in communication with the at least one first pivoting support and that is adapted to rotate around at least one axis that is substantially orthogonal to said first axis so as to permit the endoscope to rotate around an insertion point into a body in at least two orthogonal axes; and at least one controller attached to either the first or the second pivoting. The controller is adapted to provide a constant dynamic equilibrium between said endoscope and at least one of the pivoting supports.

Abstract: The present invention provides a circular bone tunneling device, comprising: a hollow elongate body comprising a hollow elongate body head, said hollow elongate body head defining a rigid circular arc, comprising a surgical needle; an extendable and retractable support element, reconfigurable from an extended configuration to a retracted configuration; said support element, in said extended configuration, adapted to be located along said path formed by said rigid circular arc; said support element and said hollow elongate body head are adapted to grasp said bone from at least two points along the circumference of said bone; a stabilizing element.

Abstract: Surgical controlling systems and methods. A surgical controlling system includes: at least one surgical tool adapted to be inserted into a surgical environment of a human body for assisting a surgical procedure; at least one location estimating unit to real-time locate the 3D spatial position of at least one surgical tool at any given time t; and at least one movement detection unit in communication with a movement's database and with the location estimating means. The system also includes a controller having a processing unit in communication with a controller's database. The controller controls the spatial position of at least one surgical tool.

Abstract: The present invention provides a surgical tracking system for assisting an operator to perform a laparoscopic surgery of a human body, said surgical tracking system comprising: a. at least one endoscope adapted to acquire real-time images of a surgical environment within said human body; b. a maneuvering subsystem adapted to control the spatial position of said endoscope during said laparoscopic surgery; and, c. a tracking subsystem in communication with said maneuvering subsystem, adapted to control the maneuvering system so as to direct and modify the spatial position of said endoscope to a region of interest.

Abstract: The present invention discloses a system for handling a surgical instrument, useful for observation and/or intervention with respect to a patient's body. The system comprising a fixed support; hinge which enable changing of the inclination of the system; actuators system that produce the rotation movement utilized by handling surgical instrument mechanism; a flexible power transmission system; gear housing adapted to change the direction of the motors rotation transmitted by the flexible power transmission system; and, handling surgical instrument mechanism, said mechanism comprising: a first small size moveable element, connected to the gear housing is adapted to simultaneous maneuver of a second moveable element to the four main directions, and/or any other maneuver, e.g.

Abstract: The present invention discloses an endoscope positioning system for maneuvering, orienting and positioning an endoscope relative to an organ within a patient's body during an endoscopic operation. The endoscope positioning system comprises a gripper that reversibly attaches the positioning system to the patient's body while allowing full adjustment of the endoscope in four degrees of freedom.

Abstract: The present invention provides a fixating means adapted for use in hernia repair surgeries in attaching a mesh and mesh deployment means; said fixating means are attached to said mesh deployment means; and fixating means comprising: (a) a first portion coupled to said deployment means; and, (b) a second portion comprising a coil having a predetermined retracted shape; said coil is reconfigurable from a plurality of unretracted positions to a plurality of retracted positions and from said plurality of retracted positions to said plurality of unretracted positions; wherein said attachment between said deployment means and said mesh is obtained by reconfiguration of said coil from at least one of said unretracted positions to at least one of said retracted positions.

Abstract: A motorized surgical instrument that may be held by the surgeon or be attached to the surgeon's limb by means of a special adapter that includes an interface between the surgeon and the surgical tool. The motorized surgical instrument includes mechanism, motors, gears, interface and power source that enable the surgeon to easily control the motorized surgical tools in order perform the surgical procedure. The system differs from prior art systems in that the surgeon operates the tools by using the natural hand motions he would use if he were performing direct manual surgery on the subject. The described motorized surgical tool has a wider range of movement and reach than commonly used surgical tools. These new properties increase the possibilities of tool maneuvering by the surgeon, while allowing the surgeon to operate the motorized surgical tool segments easily while maintaining a comfortable posture.

Abstract: The present invention provides a fixating means (200) adapted for use in hernia repair surgeries in attaching a mesh (2) and mesh deployment means (3); said fixating means are attached to said mesh deployment means (3); said fixating means (200) comprising: (a) a first portion (200a) coupled to said deployment means (3); and, (b) a second portion (200b), comprising a coil (252) having a predetermined retracted shape; said coil is reconfigurable from a plurality of unretracted positions to a plurality of retracted positions and from said plurality of retracted positions to said plurality of unretracted positions; wherein said attachment between said deployment means (3) and said mesh (2) is obtained by reconfiguration of said coil (252) from at least one of said unretracted positions to at least one of said retracted positions.

Abstract: An adjustable suture passer for use in arthroscopic surgery is disclosed. In a preferred embodiment, the adjustable suture passer comprises a head that describes a semicircular arc, an elongate body, a support element, and driving and control mechanisms. The head is adapted to accommodate a surgical needle and a guide wire. When the adjustable suture passer is activated, the needle is driven with sufficient force to penetrate bone. Use of the adjustable suture passer thus enables surgical attachment of soft tissue to bone without any necessity for a separate anchor.

Abstract: An interface between a surgeon and an automated assistant, including: at least one array comprising N RF transmitters, where N is a positive integer; at least one RF receiver provided with at least two directional antenna; means for attaching said RF transmitter array to at least one surgical tool; and a computerized operating system adapted to record the received signal strength (RSS) received by each antenna of the one RF receiver and to calculate therefrom the position of each of the N RF transmitters, and further adapted to provide automatically the results of the calculation to the surgeon.

Abstract: An improved interface between the surgeon and an endoscope system for laparoscopic surgery, holding a laparoscopic came and/or controlling an automated endoscope assistant includes at least one wireless transmitter with at least one operating key (12a). at least one wireless receiver (11), at least one conventional laparoscopy computerized system (15) loaded with conventional surgical instrument spatial location software, and conventional automated assistant maneuvering software, software loaded onto to the conventional laparoscopy system that enables a visual response to the depression of at least one key on the wireless transmitter as well as an interface with the conventional automated assistant maneuvering software so as to achieve movement of the endoscope, and at least one video screen (30).

Abstract: An improved interface between the surgeon and an endoscope system for laparoscopic surgery, holding a laparoscopic came and/or controlling an automated endoscope assistant includes at least one wireless transmitter with at least one operating key (12a). at least one wireless receiver (11), at least one conventional laparoscopy computerized system (15) loaded with conventional surgical instrument spatial location software, and conventional automated assistant maneuvering software, software loaded onto to the conventional laparoscopy system that enables a visual response to the depression of at least one key on the wireless transmitter as well as an interface with the conventional automated assistant maneuvering software so as to achieve movement of the endoscope, and at least one video screen (30).

Abstract: An articulating medical instrument comprising of: a substantially straight proximal segment; a substantially straight distal segment; an articulation mechanism having a straight configuration in which the proximal and distal segments form a substantially straight line and at least one articulated configuration in which the proximal and distal segments form an articulation angle of less than 180 degrees between the segments, the articulation mechanism being configured for increasing or decreasing the articulation angle; and one or more drive mechanisms configured for transferring force from the proximal segment to the distal segment, wherein the drive mechanism does not follow substantially straight lines between the proximal and distal segments passing through the apex of the articulation angle.

Abstract: The present invention provides a two-part robotic device for positioning of a hand tool, comprising: a. a fixed base unit constantly fix to its position; b. a detachable body unit reversibly coupled to said fixed base unit, coupled to said current medical instrument; wherein said fixed base unit is adapted to provide independent movement to said hand tool, said independent movement selected from the group consisting of rotation and translation, and further wherein said detachable body unit is removable and replaceable from said fixed base unit such that upon exchange of said hand tool for a second hand tool, said second hand tool is placed in substantially the same location as the location of said hand tool prior to said exchange.

Abstract: An improved interface between the surgeon and an endoscope system for laparoscopic surgery, holding a laparoscopic came and/or controlling an automated endoscope assistant includes at least one wireless transmitter with at least one operating key (12a). at least one wireless receiver (11), at least one conventional laparoscopy computerized system (15) loaded with conventional surgical instrument spatial location software, and conventional automated assistant maneuvering software, software loaded onto to the conventional laparoscopy system that enables a visual response to the depression of at least one key on the wireless transmitter as well as an interface with the conventional automated assistant maneuvering software so as to achieve movement of the endoscope, and at least one video screen (30).

Abstract: A laparoscope including a cylindrical device of multiple degrees of freedom which can be inserted through a small surgical incision. This is accomplished by means of a series of coaxial members nested within the aforementioned cylinder, each can rotate independently and actuate a desired motion at the distal end. The laparoscope has multiple consecutive arm sections, each includes several coaxial input shafts adapted to be rotated around an input axis of rotation by multiple sources of torque. In addition, several constant velocity couplers connect the arm sections and are equipped with coaxial input transmission means, coaxial second transmission means and coaxial output transmission means to transfer the input torque to coaxial output shafts and facilitate the independent rotation and motion of the device distal end within the patient's body.

Abstract: The present invention provides a constant velocity joint comprising: a. n coaxial input shafts rotatable around an input axis of rotation by m sources of independent torques; b. n coaxial input transmission means, each of which is coupled to one of said n input shafts; said input transmission means defining a first plane substantially perpendicular to said input axis of rotation; c. n coaxial second transmission means rotatably connected to said n input transmission means; said second transmission means rotating in a second plane; d. n coaxial output transmission means rotatably connected to said n second transmission means; said output transmission means rotating in a third plane; e. n coaxial output shafts, each is coupled to one of said n output transmission means; wherein the angle between said input axis of rotation and said output axis of rotation varies in said second plane in an unlimited angular range.

Abstract: A hernia repair device, comprising: an inflatable balloon having an inflation tube, the inflation tube having a proximal end attached to said balloon and a distal end adapted to be extracted from the body, separately from the balloon, via an opening which is smaller than a laparoscopic opening; and a mesh removably attached to said balloon, wherein the inflation tube passes through the mesh.