Colonoscopy with robotic steering and automated lumen centralization: a feasibility study in a colon model

Pullens, Hendrikus J.M.; Stap, Nanda van der; Rozeboom, Esther; Schwartz, Matthijs P.; Heijden, Ferdinand van der; Oijen, Martijn G.H. van; Siersema, Peter D.; Broeders, I. A. M. J.

doi:10.1055/s-0034-1392550

Cited by 18 publications

(16 citation statements)

References 12 publications

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“…Colonoscopy with robotic steering and automated lumen centralization (RS-ALC, Enschede, Netherlands) (non-approved) is a colonoscope platform provided with electromechanically controlled wheels that allow automated lumen centralization. A preclinical study showed that this system was able to improve the intubation time and the polyp detection rate among novices but not expert endoscopists [6].…”

Section: Robot-assisted Flexible Eendoscopymentioning

confidence: 99%

Robotics and Artificial Intelligence in Gastrointestinal Endoscopy: Updated Review of the Literature and State of the Art

et al. 2021

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Purpose of Review Gastrointestinal endoscopy includes a wide range of procedures that has dramatically evolved over the past decades. Robotic endoscopy and artificial intelligence are expanding the horizons of traditional techniques and will play a key role in clinical practice in the near future. Understanding the main available devices and procedures is a key unmet need. This review aims to assess the current and future applications of the most recently developed endoscopy robots. Recent Findings Even though a few devices have gained approval for clinical application, the majority of robotic and artificial intelligence systems are yet to become an integral part of the current endoscopic instrumentarium. Some of the innovative endoscopic devices and artificial intelligence systems are dedicated to complex procedures such as endoscopic submucosal dissection, whereas others aim to improve diagnostic techniques such as colonoscopy. Summary A review on flexible endoscopic robotics and artificial intelligence systems is presented here, showing the m3ost recently approved and experimental devices and artificial intelligence systems for diagnosis and robotic endoscopy.

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Section: Robot-assisted Flexible Eendoscopymentioning

confidence: 99%

Robotics and Artificial Intelligence in Gastrointestinal Endoscopy: Updated Review of the Literature and State of the Art

et al. 2021

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“…It was known that novices were more positive than experts about the new platform and mean cecal intubation time of novice with RS-ALC was 781 seconds. 4 The master-slave endoscopic operation robot…”

Section: Colonoscopy With Robotic Steering and Automated Lumen Centramentioning

confidence: 99%

The development of robotic flexible endoscopic platforms

Lim

2020

Int J Gastrointest Interv

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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. Flexible robotic endoscopic platforms are divided into four categories as follows: robot-assisted flexible endoscopy for maneuvering, robotic flexible endoscopy with therapeutic functions, active flexible colonoscopy, and active capsule endoscope. A thorough literature analysis was performed to assess the current status of robotic flexible endoscopic platforms designed for advanced endoluminal procedures.

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“…The tip of the endoscope may be driven remotely by the operator or through the image-based navigation algorithm. The operability of the system has been evaluated in a validated colon model, which showed that the system enabled novices, but not experienced endoscopists, to reach the cecum faster during colonoscopy [30]. Moreover, the novices detected more polyps when this system was used.…”

Section: Technology Solutions For Advanced Endoscopymentioning

confidence: 99%

Robotics for Advanced Therapeutic Colonoscopy

Wong

2018

Clin Endosc

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Although colonoscopy was originally a diagnostic imaging procedure, it has now expanded to include an increasing range of therapeutic interventions. These procedures require precise maneuvers of instruments, execution of force, efficient transmission of force from the operator to the point of application, and sufficient dexterity in the mobilization of endoscopic surgical instruments. The conventional endoscope is not designed to support technically demanding endoscopic procedures. In case of colonoscopy, the tortuous anatomy of the colon makes inserting, moving, and orientating the endoscope difficult. Exerting excessive pressure can cause looping of the endoscope, pain to the patient, and even perforation of the colon. To mitigate the technical constraints, numerous technically enhanced systems have been developed to enable better control of instruments and precise delivery of force in the execution of surgical tasks such as apposing, grasping, traction, counter-traction, and cutting of tissues. Among the recent developments are highly dexterous robotic master and slave systems, computer-assisted or robotically enhanced conventional endoscopes, and autonomously driven locomotion devices that can effortlessly traverse the colon. Developments in endoscopic instrumentations have overcome technical barriers and opened new horizons for further advancements in therapeutic interventions. This review describes examples of some of these systems in the context of their applications to advanced therapeutic colonoscopy.

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Colonoscopy with robotic steering and automated lumen centralization: a feasibility study in a colon model

Abstract: Colonoscopy with RS-ALC is technically feasible and appears to be easier and more intuitive than conventional steering for endoscopy-naive novices.

Cited by 18 publications

References 12 publications

Robotics and Artificial Intelligence in Gastrointestinal Endoscopy: Updated Review of the Literature and State of the Art

Robotics and Artificial Intelligence in Gastrointestinal Endoscopy: Updated Review of the Literature and State of the Art

The development of robotic flexible endoscopic platforms

Robotics for Advanced Therapeutic Colonoscopy

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