Medigus reported that it received the first purchase order for the MUSE system in Italy from Innovamedica S.p. A in accordance with their existing distribution agreement. Under terms of the four-year agreement which took effect January 1st 2017, Innovamedica S.p.A. will be required to purchase at least EUR 1 million of Medigus Ultrasonic Surgical Endostapler (MUSE) equipment over the course of the agreement. Medigus said that the MUSE system is a single-use flexible transoral stapler that merges the latest advancements in microvisual, ultrasonic and surgical stapling. The device comes equipped with an ultrasonic sight and range finder and a micro ScoutCam CMOS camera, which enables a single physician to perform an incisionless transoral fundoplication the procedure intended to treat the anatomical cause of gastroesophageal reflux disease.