Endockscope: A Disruptive Endoscopic Technology

Lu, Shao Chun; Cottone, Courtney; Yoon, Renai; Jefferson, Francis; Sung, John; Okhunov, Zhamshid; Tapiero, Shlomi; Landman, Jaime; Clayman, Ralph V.

doi:10.1089/end.2019.0252

Cited by 9 publications

(2 citation statements)

References 11 publications

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“…Our results regarding visual discernment outcomes between SBE and TBE are similar to those found in other studies external to otolaryngology. The use of various smartphone-based visualization systems has been evaluated and found to be equivalent or better to traditional visualization systems in nasolaryngoscopy, 10 uroscopy, 11 colposcopy, 12 and laparoscopy 13 when evaluating clinical photographs and visuals. Our data were collected to add to the current body of research, allow for a scaled rather than binary measure of visual perception, and to investigate a particular SBE system which had not previously been examined.…”

Section: Discussionmentioning

confidence: 99%

A Quantitative Analysis of Smartphone-Based Endoscopy and Video Tower Endoscopy

Maksimoski

Maurrasse

Valika

2023

Ann Otol Rhinol Laryngol

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Objectives: Examine the differences between traditional tower-based endoscopy (TBE) and smartphone-based endoscopy (SBE) using objective measures of cost, setup time, and image quality. Methods: Cost analysis study and randomized single-blinded prospective trial was performed at a tertiary academic health center. Twenty-three healthcare providers, 2 PA-C, 9 residents, 2 fellows, 10 attendings varying in practice from 1 to 27 years were a part of the study. Actual cost analysis was used for purchase of the Karl Storz video tower system and the Save My Scope smartphone-based endoscopy system for cost analysis. For setup time, providers entered a room and were randomized to set up either an SBE or TBE system and timed from room entry to a visible on-screen image. A crossover was then performed so all providers performed both setups. For image discernment, standardized photos of a modified Snellen’s test were sent via text message to providers who were blinded as to which photo represented which system. Practitioners were randomized as to which photo to receive first. Results: Cost savings was 95.8% ($39,917 USD) per system. Setup time for the smartphone system was 46.7 seconds less than video tower system on average (61.5 vs 23.5 seconds; P < .001, 95% CI: 30.3-63.1 seconds). Level of visual discernment was slightly better for SBE over TBE, with reviewers able to identify Snellen test letters at a size of 4.2 mm with SBE versus 5.9 mm with TBE ( P < .001). Conclusions: Smartphone-based endoscopy was found to be cheaper, quicker to set up, and to have marginally better image quality when transmitted via messaging than tower-based endoscopy, although the clinical significance of these visual differences are unknown. If appropriate for their needs, clinicians should consider smartphone-based endoscopy as a viable option for viewing and collaborating on endoscopic images from a fiberoptic endoscope.

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Section: Discussionmentioning

confidence: 99%

A Quantitative Analysis of Smartphone-Based Endoscopy and Video Tower Endoscopy

Maksimoski

Maurrasse

Valika

2023

Ann Otol Rhinol Laryngol

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“…The results were found to be comparable to conventional cystoscopy for the rigid cystoscope. [57] The cost is approximately 50 to 70 times less than that of a standard high definition endoscopic camera [58]. Other devices replacing the usual laparoscopic surgical equipment have been developed and are constantly being improved.…”

Section: The Smart Scopementioning

confidence: 99%

Smartphone and Surgery, Reality or Gadget?

Boughizane¹,

Bannour²,

Bannour³

et al. 2022

Medical Education for the 21st Century

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Surgical care is an essential component of health care. This basic universal right is not available to everyone. Indeed, countries with low economic resources suffer from a lack of access to surgical care and the most developed countries will have to reduce the cost of health care to ensure the sustainability of provided care quality. New communication technologies have invaded the field of health and have led to the development of a new concept of mobile health. The purpose of this paper is to answer the following question: Can these new tools, and in particular the Smartphone, remedy, even partially, the lack of health care in poor countries and reduce the cost of health care in rich countries? New communication tools, led by the Smartphone, have the capacity to capture, store, retrieve and transmit data to provide instant and personalized information to individuals. This information could be a key element in health systems and can contribute to monitoring health status and improving patient safety and care quality. Mobile telephony via applications and connected objects can facilitate the pre-, intra- and post-operative management of patients. These mobile systems also facilitate the collection and transmission of data. This will allow better analysis of this data and will greatly pave the way to the introduction of artificial intelligence in medicine and surgery. The Smartphone can be used as an important tool for both, diagnosis care and surgical training. Surgeons must adapt their equipment to local resources while respecting safety standards. Covid-19 has put health systems around the world under severe strain. Decision-makers are being forced to make adjustments. The long-vaunted digital health is becoming a reality and a necessity. Healthcare authorities and strategy specialists face challenges in terms of disease prevention and therapy, as well as in terms of health economics and management.

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