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Fantastic Voyage the Gutsy Version
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  • .
  • Review of small bowel capsule specifications.
  • Given Imaging is a great Diagnostic Platform. We can now offer you two capsules: PillCam SB and PillCam ESO . The workstation consists of a data recorder and charger, sensory arrays (8 leads for SB, and/or 3 leads for ESO), a flat screen monitor, and a computer workstation with the latest RAPID 4 application software.

Transcript

  • 1. FANTASTIC VOYAGE: The Gutsy Version (also known as Dr. Sanderson’s Summer Vacation 2010) MEN’S HEALTH September 21, 2010 North Gastroenterology
  • 2. Touring Masada
  • 3. Collecting water from the Jordan River
  • 4. Caves of Qumran---gateway to the Dead Sea Scrolls
  • 5. Now, to a very different type of cave…
  • 6. A quick anatomy lesson
  • 7. From Rigid to Flexible scopes…
    • Rigid
    • Endoscopy
    Flexible Endoscopy 1960 1970 1990 1980
  • 8. Small Bowel Barium x-ray
  • 9. From Rigid, to Flexible, to Wireless
    • Rigid
    • Endoscopy
    Flexible Endoscopy 1960 2000 PillCam Capsule Endoscopy 1970 1990 1980
  • 10.  
  • 11. What is Capsule Endoscopy?
    • “… digital imaging device for the small intestine that provides direct high-resolution images of the mucosa.”
    Cave DR, Technology Insight: Current Status of Video Capsule Endoscopy. Nature Clin Pract Gastroenterol & Hepatol 2006:3(3):158-164.
  • 12. A capsule’s size and characteristics
    • Measures
      • 11x26mm
    • Transmits at
      • 431.1 MHZ
    • Field of view
      • 155 degrees
    • Detects objects
      • < 0.1mm
    • 2 pictures per second
      • 6 LED lights
    • Operating time
      • 8 hours (50,000 images!!!)
  • 13. Inside that tiny Capsule
    • 1 . Optical dome
    • 2. Lens holder
    • 3. Lens
    • 4. LEDs
    • 5. CMOS
    • 6. Battery
    • 7. ASIC transmitter
    • 8. Antenna
  • 14. Evolution of PillCam Capsule Endoscopy 1999 2010 2000 2003 Hardware Software Capsule
  • 15. Worldwide Experience
    • 9 years experience with Capsule Endoscopy in the United States
      • FDA approved
    • In use at nearly 3000 sites worldwide
    • More than 1,500,000 ingestions worldwide
  • 16. Capsule Endoscopy equipment Ambulatory DataRecorder ® on a belt Computer Workstation for image processing and viewing The capsule
  • 17. Normal Small Intestine as seen by Capsule Endoscopy
  • 18. How does a doctor examine the small intestine with the capsule? Single View Dual View (MultiView) QuadView Mosaic View
  • 19. A secret----doctors like movies!
  • 20. FICE: Flexible spectral Intelligent Color Enhancement
  • 21. A teenager’s idea of capsule endoscopy
  • 22. Normal Small Intestine
  • 23. Diseases we find in the small intestine
    • Bleeding
    Crohn’s Disease Celiac Disease Tumors
  • 24. Crohn’s Disease
  • 25. Celiac Disease (allergy to gluten) Celiac disease is a complicated disease that takes on average 11 years to diagnose
  • 26. Small Bowel Tumors
  • 27. A Capsule finding a tumor
  • 28. Showing soon at a theatre near you…
  • 29. As Captain Kirk would say, “to boldly go where no one has gone before”…the Final Frontier….. (For those who don’t look forward to their colonoscopies)
  • 30. Colonoscopy images The “Colon Capsule” PillCam COLON images PillCam™ COLON is not cleared for marketing or available for commercial distribution in the USA [510(k) pending]. This presentation is for educational purposes only .
  • 31. The final frontiers????? The Colon Capsule--- coming very soon Capsules that we drive---soon Capsules that take biopsies---soon Capsules that treat diseases---soon … .and Capsules your grandchildren will discover (things we can hardly imagine possible!!!)
  • 32. Thank you