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An Accessible Laparoscope for Surgery in Low- and Middle- Income Countries.

Publication ,  Journal Article
Mueller, JL; Rozman, N; Sunassee, ED; Gupta, A; Schuval, C; Biswas, A; Knight, B; Kulkarni, S; Brown, M; Ramanujam, N; Fitzgerald, TN
Published in: Ann Biomed Eng
July 2021

Laparoscopic surgery is the standard of care in high-income countries for many procedures in the chest and abdomen. It avoids large incisions by using a tiny camera and fine instruments manipulated through keyhole incisions, but it is generally unavailable in low- and middle-income countries (LMICs) due to the high cost of installment, lack of qualified maintenance personnel, unreliable electricity, and shortage of consumable items. Patients in LMICs would benefit from laparoscopic surgery, as advantages include decreased pain, improved recovery time, fewer wound infections, and shorter hospital stays. To address this need, we developed an accessible laparoscopic system, called the ReadyView laparoscope for use in LMICs. The device includes an integrated camera and LED light source that can be displayed on any monitor. The ReadyView laparoscope was evaluated with standard optical imaging targets to determine its performance against a state-of-the-art commercial laparoscope. The ReadyView laparoscope has a comparable resolving power, lens distortion, field of view, depth of field, and color reproduction accuracy to a commercially available endoscope, particularly at shorter, commonly-used working distances (3-5 cm). Additionally, the ReadyView has a cooler temperature profile, decreasing the risk for tissue injury and operating room fires. The ReadyView features a waterproof design, enabling sterilization by submersion, as commonly performed in LMICs. A custom desktop software was developed to view the video on a laptop computer with a frame rate greater than 30 frames per second and to white balance the image, which is critical for clinical use. The ReadyView laparoscope is capable of providing the image quality and overall performance needed for laparoscopic surgery. This portable low-cost system is well suited to increase access to laparoscopic surgery in LMICs.

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Published In

Ann Biomed Eng

DOI

EISSN

1573-9686

Publication Date

July 2021

Volume

49

Issue

7

Start / End Page

1657 / 1669

Location

United States

Related Subject Headings

  • Laparoscopy
  • Laparoscopes
  • Humans
  • Equipment Design
  • Biomedical Engineering
  • 4003 Biomedical engineering
  • 11 Medical and Health Sciences
  • 09 Engineering
 

Citation

APA
Chicago
ICMJE
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Mueller, J. L., Rozman, N., Sunassee, E. D., Gupta, A., Schuval, C., Biswas, A., … Fitzgerald, T. N. (2021). An Accessible Laparoscope for Surgery in Low- and Middle- Income Countries. Ann Biomed Eng, 49(7), 1657–1669. https://doi.org/10.1007/s10439-020-02707-6
Mueller, Jenna L., Natalie Rozman, Enakshi D. Sunassee, Aryaman Gupta, Cayla Schuval, Arushi Biswas, Bailey Knight, et al. “An Accessible Laparoscope for Surgery in Low- and Middle- Income Countries.Ann Biomed Eng 49, no. 7 (July 2021): 1657–69. https://doi.org/10.1007/s10439-020-02707-6.
Mueller JL, Rozman N, Sunassee ED, Gupta A, Schuval C, Biswas A, et al. An Accessible Laparoscope for Surgery in Low- and Middle- Income Countries. Ann Biomed Eng. 2021 Jul;49(7):1657–69.
Mueller, Jenna L., et al. “An Accessible Laparoscope for Surgery in Low- and Middle- Income Countries.Ann Biomed Eng, vol. 49, no. 7, July 2021, pp. 1657–69. Pubmed, doi:10.1007/s10439-020-02707-6.
Mueller JL, Rozman N, Sunassee ED, Gupta A, Schuval C, Biswas A, Knight B, Kulkarni S, Brown M, Ramanujam N, Fitzgerald TN. An Accessible Laparoscope for Surgery in Low- and Middle- Income Countries. Ann Biomed Eng. 2021 Jul;49(7):1657–1669.
Journal cover image

Published In

Ann Biomed Eng

DOI

EISSN

1573-9686

Publication Date

July 2021

Volume

49

Issue

7

Start / End Page

1657 / 1669

Location

United States

Related Subject Headings

  • Laparoscopy
  • Laparoscopes
  • Humans
  • Equipment Design
  • Biomedical Engineering
  • 4003 Biomedical engineering
  • 11 Medical and Health Sciences
  • 09 Engineering