This looks like ROSE Platform (Robot for Surgical Endoscope) by EndoRobotics (South Korea).
The system is a robotic add-on platform designed to convert a standard diagnostic/therapeutic endoscope into a more capable surgical tool without replacing the entire endoscope.
Key Features:
• Mounting: The robotic module attaches directly to the distal tip (or near the tip) of a conventional flexible endoscope — exactly as described (“mounted over the scope”).
• Robotic Arm: Features a single (or multi-DOF) robotic arm/manipulator equipped with a grasper. The arm can:
• Rotate circumferentially around the endoscope tip (often up to 180°–360° depending on the version).
• Flex / Articulate in multiple directions (typically 3 degrees of freedom).
• Grasp and provide traction — actively retracting tissue.
• Purpose: Provides dynamic countertraction during complex procedures like Endoscopic Submucosal Dissection (ESD) for early neoplastic (cancerous or precancerous) lesions in the GI tract (esophagus, stomach, colon, rectum).
Clinical Advantage
In conventional ESD, the biggest challenge is poor visualization and unstable tissue exposure because the submucosal layer collapses without proper traction. The ROSE robotic arm solves this by:
• Grasping the mucosal flap.
• Providing adjustable, multi-directional countertraction.
• Allowing the endoscopist (or assistant) to maintain clear visualization and precise dissection with the main endoscopic instruments (knife, etc.).
This makes ESD safer, faster, and more effective, especially for large, fibrotic, or difficult-to-access lesions.
Benefits of This Add-on Design
• Compatible with existing hospital endoscopes (cost-effective).
• Easier regulatory path and adoption compared to fully robotic platforms (e.g., EndoMaster EASE).
• Can be attached/detached as needed.
• Reduces the technical difficulty of advanced endoscopic resection.
Current Status
The ROSE platform (and its grasping device) has received regulatory approvals in Korea, with ongoing clinical studies and international interest (including FDA progress in recent updates).
This technology represents an important step toward making complex “scarless” endoscopic surgery more accessible and reproducible.
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Robotic endoscopy in action! Mounted over the scope, the robot has an arm that is controlled externally, with the ability to rotate, flex and grasp tissue. This enables countertraction to assist with complex resection of neoplastic GI lesions.