Colonic Diseases, Intestinal Disease
Conditions
Keywords
colonoscopy, tracking motion
Brief summary
The aim of the study is to record and analyze endoscopist and endoscope motions to identify key movements during colonoscopy.
Detailed description
The increasing development of interventional digestive endoscopy raises the challenge to teach and learn complex endoscopic procedures. Nowadays experts are facing the challenge of explaining precisely an elaborate choreography of movements performed during the procedure, while novices are confronted with a broad range of hand, wrist and shoulder movements each resulting in different endoscope responses. The teaching strategy of endoscopy could benefit from a dedicated motion library that would associate the endoscopist's motion and the consequent endoscope response. A simplified endoscopic language made of individual motions could greatly shorten the learning curve. The aim of the study is to record and analyze endoscopist and endoscope motions to identify key movements during colonoscopy.
Interventions
PROCEDURERecording of endoscopist and endoscope motions right after the endoscopic exam the patient came for
Carrying out the endoscopic procedure planned for the patient with the dedicated colonoscope which has magnetic coils over the entire length of the insertion tube. These magnetic coils generate a pulsed magnetic field at low frequency. These pulses are transmitted to an external receiver, refreshed at 15 images per second, then relayed to the processor to generate a 3D representation of the colonoscope next to it of the endoscopic image. There is no additional risk to the patient compared to current practice. Recording of endoscopist and endoscope motions right after the endoscopic exam the patient came for.
Sponsors
IHU Strasbourg
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patient male or female * Patient over 18 years old * Patient who are scheduled for a colonoscopy procedure under sedation * Patient able to understand the study and provide written informed consent * Patient affiliated to the French social security system.
Exclusion criteria
* Patient unable to provide a written informed consent * Patient with an altered colonic anatomy due to previous surgery * Patient with a known anomaly of the colon * Patient carrying an implantable medical device (pacemaker…) * Patient with a condition preventing its participation to study procedures, according to investigator's judgment * Pregnancy or breastfeeding * Patient in custody * Patient under guardianship
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Body motions recording | At time of colonoscopy | Body motions recording using the Xsens tracking device. The Xsens motion tracking system consists of 17 wireless motion sensors that are applied with straps to the endoscopist without hindering natural movements. |
| Endoscope motions recording | At time of colonoscopy | Endoscope motions recording using the ScopeGuide tracking system. Real-time visualization of the ScopeGuide system is possible thanks to integrated electromagnetic coils and an external sensor that generate a 3D representation of the colonoscope next to the endoscopic image. |
| Endoscope wheels rotation recording | At time of colonoscopy | External video recording of the endoscope wheels rotation |
| Endoluminal images recording | At time of colonoscopy | Endoluminal images recording using the endoscopic camera. |
Countries
France
Outcome results
None listed