A novel self-propelled disposable colonoscope is effective for colonoscopy in humans (with video)

Gluck, Nathan; Melhem, Alaa; Halpern, Zamir; Mergener, Klaus; Santo, Erwin

doi:10.1016/j.gie.2015.08.083

Cited by 44 publications

(36 citation statements)

References 31 publications

(36 reference statements)

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“…Clinical study suggests high caecal intubation rates of 98.2%. 73 Endotics Endoscopy System (EES; CE trademarked, Era Endoscopy SRL, Peccioli, Italy) incorporates a steerable tip with two mucosal clamping systems placed at both ends, ascending the colon using an iterative process of mucosal suction for clamping, extension followed by retraction. Direct comparison to conventional colonoscopy does not demonstrated superiority of EES; 74 however EES achieved caecal intubation in 93% of 102 patients with prior Digestive Endoscopy 2020; 32: 512-522…”

Section: Robotic-assisted Devices For Endoscopic Imagingmentioning

confidence: 99%

The future of endoscopy: Advances in endoscopic image innovations

Gulati

Patel

Emmanuel

et al. 2019

Digestive Endoscopy

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The latest state of the art technological innovations have led to a palpable progression in endoscopic imaging and may facilitate standardisation of practice. One of the most rapidly evolving modalities is artificial intelligence with recent studies providing real-time diagnoses and encouraging results in the first randomised trials to conventional endoscopic imaging. Advances in functional hypoxia imaging offer novel opportunities to be used to detect neoplasia and the assessment of colitis. Three-dimensional volumetric imaging provides spatial information and has shown promise in the increased detection of small polyps. Studies to date of self-propelling colonoscopes demonstrate an increased caecal intubation rate and possibly offer patients a more comfortable procedure. Further development in robotic technology has introduced ex vivo automated locomotor upper gastrointestinal and small bowel capsule devices. Eye-tracking has the potential to revolutionise endoscopic training through the identification of differences in experts and non-expert endoscopist as trainable parameters. In this review, we discuss the latest innovations of all these technologies and provide perspective into the exciting future of diagnostic luminal endoscopy.

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Section: Robotic-assisted Devices For Endoscopic Imagingmentioning

confidence: 99%

The future of endoscopy: Advances in endoscopic image innovations

Gulati

Patel

Emmanuel

et al. 2019

Digestive Endoscopy

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“…In the literature, there is a single‐center prospective study on 56 patients that was conducted to assess the performance of Aer‐O‐Scope compared to conventional colonoscopy. In this study, the Aer‐O‐Scope achieved a cecal intubation rate of 98.2% but polyp detection rate was only 87.5% when compared with conventional colonoscopy, including all polyps larger than 5 mm . The Aer‐O‐Scope is already on the market and has both the CE mark and FDA approval.…”

Section: Robotic‐driven Endoscope Locomotionmentioning

confidence: 75%

“…In this study, the Aer-O-Scope achieved a cecal intubation rate of 98.2% but polyp detection rate was only 87.5% when compared with conventional colonoscopy, including all polyps larger than 5 mm. 5 The Aer-O-Scope is already on the market and has both the CE mark and FDA approval. Recently, on its website, the company claimed that the new Aer-O-Scope has a therapeutic access channel.…”

Section: Robotic-driven Endoscope Locomotionmentioning

confidence: 99%

Endoscopy robotics: Current and future applications

Boškoski

Costamagna

2018

Digestive Endoscopy

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Many different types of endoscopy robot have been developed or are under development. Some of these innovative biotechnologies are dedicated to complex endoscopic procedures such as endoscopic submucosal dissection whereas others are purely diagnostic. In endoscopy robotics, there are still several problems that need a solution. These problems basically concern robotic locomotion and instrument control, as well as clinical application. In most cases, the technology is still under development. The current fields of investigation are augmented reality, advances in actuation and reduction of hysteresis, optical analysis, wireless movement transmission and many others. Besides endoscopic submucosal dissection, other promising fields of implementation of endoscopy robots are natural orifices transluminal endoscopic surgery and bariatric endoscopy. Obviously, endoscopy robots are expensive, but both doctors and health system providers are becoming more aware of the possibilities that these platforms can offer. Improvement of the performance of endoscopy robots undoubtedly will lead to their widespread use and, therefore, a balance in cost-effectiveness.

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“…An overlaying transparent dome encases the lens and the light emitting diodes (LEDs) that provide the illumination. The propulsion of the scanning balloon is achieved by carbon dioxide, which minimizes the need for the operator to exert a pushing force, greatly facilitating its navigation through the flexures and colonic angulations . On withdrawal of the scope the pressures are reversed, which pushes the balloons back towards the rectum.…”

Section: Aer‐o‐scopementioning

confidence: 99%

Emerging next‐generation robotic colonoscopy systems towards painless colonoscopy

Yeung

Cheung²,

Sreedhar³

2019

J of Digest Diseases

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Advances in the field of robotics have allowed modern technology to be integrated into medicine and that can minimize patients suffering from the side effects that are inherent to procedures for improving their quality of life. Conventional devices that are used for colonoscopies are rigid and require a high level of expertise from endoscopists to perform the procedure. Advances in robot‐assisted colonoscopic systems now produce softer, more slender, automated designs that no longer require the operator to use forceful pushing to advance the colonoscope inside the colon, reducing risks to the patient of perforation and pain. It is challenging to reprocess these scopes for reuse as the materials used can be damaged during decontamination, leading to the possible risks of cross‐infection by pathogenic microorganisms when reused by patients. An ideal solution is to eliminate these contamination risks to patients by adopting sterile, single‐use scopes straight from the manufacturer's package to the patient. With this idea in mind, emerging developments that push the boundaries in this area will benefit patients and encourage the public to participate in and adhere better to colonoscopy screening to reduce the development of colorectal cancer. Thus, in light of these concerns and challenges, to encourage patients undergoing colorectal screening to comply with colonoscopy procedures that they are less invasive, changes in the design and materials are necessary. One of the more promising technological advances in this area is the advent of robotic colonoscopy.

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A novel self-propelled disposable colonoscope is effective for colonoscopy in humans (with video)

Abstract: 0692-12-TLV.).

Cited by 44 publications

References 31 publications

The future of endoscopy: Advances in endoscopic image innovations

The future of endoscopy: Advances in endoscopic image innovations

Endoscopy robotics: Current and future applications

Emerging next‐generation robotic colonoscopy systems towards painless colonoscopy

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