Literature DB >> 18640676

First clinical trial of the "MiRo" capsule endoscope by using a novel transmission technology: electric-field propagation.

Seungmin Bang1, Jeong Youp Park, Seok Jeong, Young Ho Kim, Han Bo Shim, Tae Song Kim, Don Haeng Lee, Si Young Song.   

Abstract

BACKGROUND: We developed a capsule endoscope (CE), "MiRo," with the novel transmission technology of electric-field propagation. The technology uses the human body as a conductive medium for data transmission. Specifications of the prototype include the ability to receive real-time images; size, 10.8 x 24 mm; weight, 3.3 g; field of view, 150 degrees; resolution of power, 320 x 320 pixels; and transmittal speed, 2 frames per second.
OBJECTIVE: To evaluate the clinical safety and diagnostic feasibility of the prototype MiRo, we conducted a multicenter clinical trial. DESIGN AND PATIENTS: All volunteers underwent baseline examinations, including EGD and electrocardiography for the screening of GI obstructive and cardiovascular diseases, before the trial. In the first 10 cases, 24-hour Holter monitoring was also performed. To evaluate the diagnostic feasibility, transmission rate of the captured images, inspection rate of the entire small bowel, and quality of transmitted images (graded as outstanding, excellent, good/average, below average, and poor) were analyzed.
RESULTS: Of the 49 healthy volunteers, 45 were included in the trial, and 4 were excluded because of baseline abnormalities. No adverse effects were noted. All CEs were expelled within 2 days, and the entire small bowel could be explored in all cases. The transmission rates of the captured image in the stomach, small bowel, and colon were 99.5%, 99.6%, and 97.2%, respectively. The mean total duration of image transmission was 9 hours, 51 minutes, and the mean transit time of the entire small bowel was 4 hours, 33 minutes. Image quality was graded as good or better in 41 cases (91.1%). Details of the villi and vascular structures of the entire small bowel were clearly visualized in 31 cases (68.9%).
CONCLUSIONS: MiRo is safe and effective for exploring the entire small bowel, with good image quality and real-time feasibility. This novel transmission technology may have applications beyond the field of capsule endoscopy.

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Mesh:

Year:  2008        PMID: 18640676     DOI: 10.1016/j.gie.2008.04.033

Source DB:  PubMed          Journal:  Gastrointest Endosc        ISSN: 0016-5107            Impact factor:   9.427


  25 in total

1.  Diagnosis and management of mid-gastrointestinal bleeding by double-balloon endoscopy.

Authors:  Yoshikazu Hayashi; Hironori Yamamoto; Tomonori Yano; Kentaro Sugano
Journal:  Therap Adv Gastroenterol       Date:  2009-03       Impact factor: 4.409

Review 2.  Capsule endoscopy: The road ahead.

Authors:  Ana-Maria Singeap; Carol Stanciu; Anca Trifan
Journal:  World J Gastroenterol       Date:  2016-01-07       Impact factor: 5.742

3.  Safety of capsule endoscopy using human body communication in patients with cardiac devices.

Authors:  Joo Won Chung; Hye Jin Hwang; Moon Jae Chung; Jeong Youp Park; Hui-Nam Pak; Si Young Song
Journal:  Dig Dis Sci       Date:  2012-02-07       Impact factor: 3.199

Review 4.  Capsule endoscopy: progress update and challenges ahead.

Authors:  Andrea Moglia; Arianna Menciassi; Paolo Dario; Alfred Cuschieri
Journal:  Nat Rev Gastroenterol Hepatol       Date:  2009-06       Impact factor: 46.802

Review 5.  New vision in video capsule endoscopy: current status and future directions.

Authors:  Laurel R Fisher; William L Hasler
Journal:  Nat Rev Gastroenterol Hepatol       Date:  2012-05-08       Impact factor: 46.802

Review 6.  Continuing challenges in the diagnosis and management of obscure gastrointestinal bleeding.

Authors:  Veronica Baptista; Neil Marya; Anupam Singh; Abbas Rupawala; Bilal Gondal; David Cave
Journal:  World J Gastrointest Pathophysiol       Date:  2014-11-15

Review 7.  Where do I see minimally invasive endoscopy in 2020: clock is ticking.

Authors:  Rami Eliakim
Journal:  Ann Transl Med       Date:  2017-05

Review 8.  Optimising the performance and interpretation of small bowel capsule endoscopy.

Authors:  Sabina Beg; Adolfo Parra-Blanco; Krish Ragunath
Journal:  Frontline Gastroenterol       Date:  2017-11-16

Review 9.  Capsule endoscopy: Present status and future expectation.

Authors:  Mahesh K Goenka; Shounak Majumder; Usha Goenka
Journal:  World J Gastroenterol       Date:  2014-08-07       Impact factor: 5.742

10.  A pilot study of single-use endoscopy in screening acute gastrointestinal bleeding.

Authors:  Jae Hee Cho; Hee Man Kim; Sangheun Lee; Yu Jin Kim; Ki Jun Han; Hyeon Geun Cho; Si Young Song
Journal:  World J Gastroenterol       Date:  2013-01-07       Impact factor: 5.742

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