Ethicon Endo-Surgery, Inc. announced that it will be completing the study of NOTES Toolbox by January 2010. NOTES (natural orifice translumenal endoscopic surgery) Toolbox is a comprehensive suite of devices designed specifically for natural orifice surgery. NOTES is an approach to minimally invasive surgery, in which external incisions are eliminated, potentially leading to reduced pain, a quicker recovery and a faster return to normal activities for the patient. NOTES, surgery can be performed through a natural orifice, eliminating the need for an external incision. An endoscope is passed through a natural orifice such as the mouth or vagina and then through an internal incision in the stomach, bladder, colon or uterus to assist with visualizing the internal surgical site.

The study will document being able to successfully remove a subject’s gallbladder through the vagina using a small collection of study surgical tools. This 10 patient study is currently recruiting participants. The official title of the study is “A Trial to Evaluate Natural Orifice Transvaginal Endoscopic Cholecystectomy With Laparoscopic Assistance”.