Maintenance of optimal vision during minimally invasive surgery is crucial to maintaining operative awareness, efficiency and safety. Hampered vision is commonly caused by laparoscopic lens fogging (LLF) which has prompted the development of various anti-fogging fluids and warming devices. Numerous tricks have been proposed to overcome this issue, such as heating the scope into a sterile thermos flask filled with hot water, or using one of the commercially available antifogging solutions. However, whether one method is superior to another remains elusive. As most surgeons know, none of these tips are totally efficient, as they don’t treat the cause: the temperature difference. Taking into account this need, Noruco has developed EHS, a thermo-adjustable system by microcontroller, which is implemented in the manufacturing process of the rigid endoscope focused on laparoscopy. The technology enables the selfmodulation of the temperature of the endoscope within the different conditions during the surgery, avoiding the 100% of laparoscopic fogging.
The objectives of the Noruco EHS project are focused on defining the technological, commercial and financial tasks to improve the product’s performance from a technical perspective as well as ensuring that the platform meets and exceeds the basic requirements for adoption by surgeons.