BACKGROUND/AIMS: We aimed to investigate the efficacy of peracetic acid (EndoPA®; Firson Co., Ltd., Cheonan, Korea) in disinfecting endoscopes. METHODS: We prospectively investigated the gastroscopes (Part I) utilized in 100 gastroscopic examinations and colonoscopes (Part II) utilized in 30 colonoscopic examinations after disinfecting them with 0.2% peracetic acid (EndoPA®; Firson Co., Ltd.). These instruments had been collected consecutively throughout the study period. We reprocessed and disinfected the endoscopes according to the guidelines for cleaning and disinfecting gastrointestinal endoscopes laid down by the Korean Society of Gastrointestinal Endoscopy in 2017. Three culture samples were obtained from each examination, based on different sampling methods. The primary outcome was a positive culture rate. RESULTS: In Part I of our study, two of 300 samples were positive. The culture positive rate after disinfection was 0.7% (2/300). The culture positive rate was not significantly different based on the exposure time to EndoPA® or the age of the scopes (p=0.7 or 0.2, respectively). In Part II of our study, all samples (n=90) were negative. CONCLUSIONS: We conclude that 0.2% peracetic acid (EndoPA®) appears to be a good disinfectant for both gastroscopes and colonoscopes.
Chungcheongnam-do ; Colonoscopes ; Disinfection* ; Endoscopes* ; Endoscopes, Gastrointestinal ; Endoscopy, Gastrointestinal ; Gastroscopes ; Peracetic Acid* ; Prospective Studies

The capsule endoscope swallowed from the mouth into the digestive system can capture the images of important gastrointestinal tract regions. It can compensate for the blind spot of traditional endoscopic techniques. It enables inspection of the digestive system without discomfort or need for sedation. However, currently available clinical capsule endoscope has some limitations such as the diagnostic information being not able to correspond to the orientation in the body, since the doctor is unable to control the capsule motion and orientation. To solve the problem, it is significant to track the position and orientation of the capsule in the human body. This study presents an AC excitation wireless tracking method in the capsule endoscope, and the sensor embedded in the capsule can measure the magnetic field generated by excitation coil. And then the position and orientation of the capsule can be obtained by solving a magnetic field inverse problem. Since the magnetic field decays with distance dramatically, the dynamic range of the received signal spans three orders of magnitude, we designed an adjustable alternating magnetic field generating device. The device can adjust the strength of the alternating magnetic field automatically through the feedback signal from the sensor. The prototype experiment showed that the adjustable magnetic field generating device was feasible. It could realize the automatic adjustment of the magnetic field strength successfully, and improve the tracking accuracy.
Capsule Endoscopes ; Endoscopy ; Gastrointestinal Tract ; Humans ; Magnetic Fields

BACKGROUND/AIMS: Capsule endoscope (CE) is a new method of investigating entire small bowel (SB). Some reported that current battery time was sufficient for observing entire SB, but others reported negatively. The aims of this study were to determine the factors influencing the entire SB transit rate. METHODS: From Sep. 2002 to Aug. 2003, CE was performed in 197 cases and they were devided into complete/incomplete transit according to getting ileocecal valve image within battery time. sixteen cases were excluded due to anatomical abnormality or artificial procedure. one hundred eighty one cases were analyzed with multiple logistic regression. RESULTS: The complete SB transit rate was 63.5%. Mean battery time was 7 and 1/2 hrs. Gastric transit time (GTT) was significantly shorter in complete group than in incomplete group but the other factors (age, sex, preparation, symptom) were not significant. Mean small bowel transit time in complete group was 4 and 1/2 hrs and ranged from 1 to 8 hrs. In incomplete group (66 cases), 2 cases were reached to distal jejunum, 11 cases to proximal ileum, and the other 53 cases to distal ileum. CONCLUSIONS: Complete SB transit rate of CE was 63.5% in the 181 cases under current battery time. GTT was the only significant factor influencing gastrointestinal transit rate of CE.
Capsule Endoscopes ; Capsule Endoscopy* ; Gastrointestinal Transit* ; Ileocecal Valve ; Ileum ; Jejunum ; Logistic Models

The work of research and development of noninvasive monitoring system for human GI (gastrointestinal tract) has been very successful all over the world, and without questions, the system as such will extensively be applied in the future. However, the method for localization of the monitoring capsule in the system is not perfect. This paper reports the status quo of the research process for the capsule localization system, and analyzes their advantages and defects.
Biosensing Techniques ; Capsule Endoscopes ; Capsule Endoscopy ; methods ; trends ; Equipment Design ; Gastrointestinal Tract ; Humans

A duodenoscope has a very complex structure that contains many small parts which make reprocessing more challenging. The difficulty in cleaning duodenoscopes contributes to a higher risk of infection than that of conventional gastrointestinal endoscopes. However, a duodenoscope shares similar disinfection process with other gastrointestinal endoscopes. Recent outbreaks of carbapenem-resistant Enterobacteriaceae (CRE) infections associated with duodenoscopes used for endoscopic retrograde cholangiopancreatography procedures have raised many concerns worldwide. Duodenoscope-associated infections involving CRE or other multidrug-resistant bacteria pose a great threat to patients undergoing procedures using duodenoscopes and should be dealt with a great concern. Updated guidelines regarding cleaning and disinfection of duodenoscope needs to be developed urgently to prevent transmission of infection and ensure patient safety. Meanwhile, healthcare staff should pay special attention to thorough cleaning and disinfection of duodenoscopes.
Bacteria ; Cholangiopancreatography, Endoscopic Retrograde ; Delivery of Health Care ; Disease Outbreaks ; Disinfection ; Duodenoscopes ; Endoscopes, Gastrointestinal ; Enterobacteriaceae ; Humans ; Patient Safety

This paper mainly introduces the design and implementation of rotary scanning imaging for Endoscopic Ultrasonography System based on USB2.0. The ultrasonic pulse-echo imaging technique has been used. In the paper, we simply introduce the emission circuit, receiving circuit and isolation circuit. According to the character of rotary scanning, we design the synchronous control circuit based on FPGA and data transmission circuit based on USB2.0. Finally the original polar coordinate image is transformed to rectangular coordinate grey image through coordinate transformation. The system performances have been validated by the experimental result gotten by scanning a specific object with continuous rotary motor.
Capsule Endoscopes ; Endoscopy, Gastrointestinal ; methods ; Equipment Design ; Humans ; Image Processing, Computer-Assisted ; methods ; Ultrasonography ; instrumentation ; methods

The portable gastrointestinal wireless endoscope image receiver is developed and based on TMS320C6211 DSP. It can receive and demodulate the modulated signal which is transmitted from the camera-capsule, and then output the video signal. The synchronizing signals offered by SAA7114H are made best of and are used to design the time logic circuit. The fitful video signal can be collected under the control of the time logic circuit. The circuit can automatically get rid of useless blank data and only collect effective and good-quality video signals, and storage them in CF card. In addition, the image signal can be processed and compressed by DSP, and thus the data storage space and the data- analyzing time can be saved.
Capsule Endoscopes ; Capsule Endoscopy ; methods ; Computer Systems ; Endoscopes, Gastrointestinal ; Equipment Design ; Humans ; Image Interpretation, Computer-Assisted ; instrumentation ; methods ; Signal Processing, Computer-Assisted ; instrumentation ; Software

Small bowel tumors have been difficult to diagnose because of low incidence and absence of specific symptoms. There are no efficient and accurate tests available for diagnosis. Capsule endoscopy is an efficient diagnostic tool for small bowel disease and obscure gastrointestinal bleeding. We diagnosed two cases of small bowel gastrointestinal stromal tumor (GIST) diagnosed by capsule endoscopy that were treated by surgery. A 68 year old male presented with abdominal pain. The capsule endoscopy showed fungating ulcer mass at the jejunum. A 55 year female presented with melena. The capsule endoscopy showed an intraluminal protruding mass with a superficial ulcer at the jejunum. Two cases were diagnosed with GIST after surgery. We report these two case diagnosed by capsule endoscopy and review the medical literature.
Abdominal Pain ; Aged ; Capsule Endoscopes* ; Capsule Endoscopy ; Diagnosis ; Female ; Gastrointestinal Stromal Tumors* ; Hemorrhage ; Humans ; Incidence ; Jejunum ; Male ; Melena ; Ulcer

The small intestine has always been a problematic segments for endoscopic exploration in patients with obscure gastrointestinal bleeding. Recent emergence of capsule endoscopy has entailed a relevant diagnostic imaging advance for gastrointestinal conditions. Capsule endoscope can be used to detect small bowel bleeding. Some studies report that capsule endoscopy has the high diagnostic yield and is superior to enteroscopy and other diagnostic methods. We report here the first case of small bowel bleeding detected by using capsule endoscope in Korea, in a woman with hematochezia and a history of aspirin ingestion.
Aspirin ; Capsule Endoscopes ; Capsule Endoscopy* ; Diagnostic Imaging ; Eating ; Female ; Gastrointestinal Hemorrhage ; Hemorrhage* ; Humans ; Intestine, Small ; Korea ; Ulcer*

A wireless power transmission method based on electromagnetic coupling was proposed for gastrointestinal microsystems. We analyzed the coupling coefficient, taking coils' misalignments into account by calculating mutual inductance. A power transmission model was built up. And based on this model, the electric parameters of maximizing the received power were deducted under weakly coupling condition. From the transmitting efficiency formula, we found two ways to enhance the efficiency. The transmission power was more than 200mW in our experiments when the receiving coil was located at the center of transmitting coil. This validated the method feasibility.
Capsule Endoscopes ; Capsule Endoscopy ; methods ; Electric Power Supplies ; Electromagnetic Fields ; Equipment Design ; Gastrointestinal Diseases ; diagnosis ; Humans ; Miniaturization