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A self-propelled colonoscope: Aer-O-Scope

  • Published:
Current Colorectal Cancer Reports

Abstract

Screening for colorectal cancer by full colon imaging has major advantages for detection of precancerous polyps. Colonoscopy is not feasible in all settings and is undesirable in some because of its cost, risk, need for sedation, and limited capacity. The Aer-O-Scope (GI View Ltd.; Ramat Gan, Israel) is a self-propelled, diagnosis-only colonoscope. Its propulsion system utilizes two balloons, one inflated and fixed in position in the rectum and a second, mobile balloon with a capsule endoscope fixed to the advancing end and a supply cable trailing from the opposite end. Gas insufflated between the balloons advances the mobile balloon. Propulsion has proven effective in pig and human colons in small studies. The imaging capsule has a forward viewing lens with a 90° angle of view and an “Omni” lens with 360° circumferential vision, including 25° of both forward vision and retrovision. The imaging system has proven effective in both in vivo and in vitro porcine models.

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References and Recommended Reading

  1. Harewood GC, Lieberman DA: Colonoscopy practice patterns since introduction of Medicare coverage for average-risk screening. Clin Gastroenterol Hepatol 2004, 2:72–77.

    Article  PubMed  Google Scholar 

  2. Sieg A, Brenner H: Screening colonoscopy in Germany is cost-saving. Z Gastroenterol 2006, 44:454.

    Google Scholar 

  3. Regula J, Rupinski M, Kraszewska E, et al.: Colonoscopy in colorectal-cancer screening for detection of advanced neoplasia. N Engl J Med 2006, 355:1863–1872.

    Article  PubMed  CAS  Google Scholar 

  4. Barclay RL, Vicari JJ, Doughty AS, et al.: Colonoscopic withdrawal times and adenoma detection during screening colonoscopy. N Engl J Med 2006, 355:2533–2541.

    Article  PubMed  CAS  Google Scholar 

  5. Chen SC, Rex DK: Endoscopist can be more powerful than age and male gender in predicting adenoma detection at colonoscopy. Am J Gastroenterol 2007, 102:856–861.

    Article  PubMed  Google Scholar 

  6. Gatto NM, Frucht H, Sundararajan V, et al.: Risk of perforation after colonoscopy and sigmoidoscopy: a population-based study. J Natl Cancer Inst 2003, 95:230–236.

    Article  PubMed  Google Scholar 

  7. Levin TR, Zhao W, Conell C, et al.: Complications of colonoscopy in an integrated health care delivery system. Ann Intern Med 2006, 145:880–886.

    PubMed  Google Scholar 

  8. Herman LL, Kurtz RC, McKee KJ, et al.: Risk factors associated with vasovagal reactions during colonoscopy. Gastrointest Endosc 1993, 39:388–391.

    Article  PubMed  CAS  Google Scholar 

  9. Ng WS, Phee SJ, Seow CF, inventors; Ng Ws, assignee: Robotic endoscope and an autonomous pipe robot for performing endoscopic procedures. US patent 6,162,171. December 19, 2000.

  10. Manciassi A, Park HJ, Lee S, et al.: Robotic solutions and mechanisms for a semi-autonomous endoscope [abstract]. In Proceedings of the 2002 IEEE/RSJ International Conference on Intelligent Robots and Systems. Lausanne, Switzerland: EPFL; 2002:113.

    Google Scholar 

  11. Shike M, Repici A, Cohen LB, et al.: Major advances in colonoscopic technology: the ColonoSight (r), a pull-power assisted disposable, non fiber-optic colonoscope [abstract]. Gastrointest Endosc 2004, 59:P113.

    Article  Google Scholar 

  12. Pfeffer J, Grinshpon R, Rex D, et al.: The Aer-O-Scope: proof of the concept of a pneumatic, skill-independent, self-propelling, self-navigating colonoscope in a pig model. Endoscopy 2006, 38:144–148.

    Article  PubMed  CAS  Google Scholar 

  13. Vucelic B, Rex D, Pulanic R, et al.: The Aer-O-Scope: proof of concept of a pneumatic, skill-independent, self-propelling, self-navigating colonoscope. Gastroenterology 2006, 130:672–677.

    Article  PubMed  Google Scholar 

  14. Arber N, Grinshpon R, Pfeffer J, et al.: Proof-of-concept study of the Aer-O-Scope omnidirectional colonoscopic viewing system in ex vivo and in vivo porcine models. Endoscopy 2007, 39:412–417.

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Douglas K. Rex.

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Rex, D.K. A self-propelled colonoscope: Aer-O-Scope. Curr colorectal cancer rep 4, 10–13 (2008). https://doi.org/10.1007/s11888-008-0003-4

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  • DOI: https://doi.org/10.1007/s11888-008-0003-4

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