Using disruptive innovation to design endoscopic ligators for resource-challenged health settings.

esophageal banding innovation ligator varices

Journal

International health
ISSN: 1876-3405
Titre abrégé: Int Health
Pays: England
ID NLM: 101517095

Informations de publication

Date de publication:
15 Oct 2024
Historique:
received: 18 08 2024
revised: 30 08 2024
accepted: 03 10 2024
medline: 15 10 2024
pubmed: 15 10 2024
entrez: 15 10 2024
Statut: aheadofprint

Résumé

Commercial single-use endoscopic multiband ligators, used for esophageal variceal band ligation (EVL), are prohibitively expensive. To enable greater access to EVL, we used disruptive innovation to develop a novel endoscopic multiband ligator. We designed and tested a prototype handle 'ENDOhandle' using computer-aided design modeling and exported a cap, trigger cord and latex to form a functional banding unit. The cost of the banding unit was US$4.80 compared with several hundred US dollars for commercially available devices in the USA. Disruptive innovation technology developed an inexpensive ligator for resource-challenged health settings.

Sections du résumé

BACKGROUND BACKGROUND
Commercial single-use endoscopic multiband ligators, used for esophageal variceal band ligation (EVL), are prohibitively expensive. To enable greater access to EVL, we used disruptive innovation to develop a novel endoscopic multiband ligator.
METHODS METHODS
We designed and tested a prototype handle 'ENDOhandle' using computer-aided design modeling and exported a cap, trigger cord and latex to form a functional banding unit.
RESULTS RESULTS
The cost of the banding unit was US$4.80 compared with several hundred US dollars for commercially available devices in the USA.
CONCLUSIONS CONCLUSIONS
Disruptive innovation technology developed an inexpensive ligator for resource-challenged health settings.

Identifiants

pubmed: 39403778
pii: 7822213
doi: 10.1093/inthealth/ihae067
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© The Author(s) 2024. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene.

Auteurs

Jack T Gardner (JT)

Section of Gastroenterology and Hepatology, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA, 03756.

Vincent Dusabejambo (V)

Department of Medicine, University of Rwanda, Kigali, Rwanda, 6677.

Steve P Bensen (SP)

Section of Gastroenterology and Hepatology, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA, 03756.

Classifications MeSH