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Colon Intubation Assist Device
Colon Intubation Assist Device (CIAD) is a simple, low-cost and disposable accessory device compatible with conventional flexible endoscopes for facilitating insertion of the endoscope all the way to the cecum, the deepest part of the colon.
Relying on the proprietary Colon Grasping Technology (see Core Technology page for more information), a CIAD makes it possible for a physician to pull to pleat a segment of the colon over the shaft of the endoscope, effectively shortening it, as the endoscope is advanced into the colon. The new technique also helps the physician to straighten or soften the angles of numerous curves and sharp bends in the colon in its native disposition within abdominal and pelvic cavities making pushing maneuver to advance the tip of endoscope more effective.
The conventional, difficult maneuvers for navigating the endoscope through these tortuous sections of the colon, which most often cause over-stretching of mesenteries and associated procedure pain, are less likely needed with the use of CIAD.
Features of CIAD are: Ÿ Disposable – No sterilization or maintenance needed Ÿ Easy to use – Little overhead in procedure time and effort Ÿ Safe to use – Negligible possibility of patient injury Ÿ No up-front investment – Low economic barrier to adoption, Compatible with conventional endoscopes Ÿ Mild learning curve – Low technological barrier to adoption Ÿ Complementary to conventional intubation techniques – Low behavioral barrier to adoption
Various configurations of CIAD: Ÿ On-scope – Mounted on the endoscope prior to initial insertion Ÿ On-demand – Introduced through the accessory channel anytime during procedure Ÿ Small Bowel – Used with conventional small bowel enteroscope
Advantages of Colon Intubation Assist Device
Ÿ Shortened insertion time (procedure duration) – Increased patient throughput Ÿ Elimination or reduction of sedation – Lower procedure cost, Increases patient throughput Ÿ Reduced training requirement – Colonoscopy service provider and product usage base widened Ÿ Lower procedure cost – Private insurance coverage widened
Provider Adoption Drivers
Ÿ Requires little disruption to the existing practice patterns and financials Ÿ Brings visible improvement in patient care and short term financial returns to providers Ÿ Improved patient throughput and income for providers Ÿ Reduced patient anxiety – Increased patient compliance with the screening colonoscopy Ÿ Colonoscopy with reduced or no sedation – Patient out-of-pocket cost reduction
Reimbursement/Recovery of Device Cost
Korea Ÿ Screening colonoscopies not universally covered by payers, national or private Ÿ Cost of device – Easily absorbed by gains from no/reduced sedation and increased productivity
US Ÿ Reimbursement for the CIAD use unlikely in foreseeable future Ÿ Cost of device – Easily absorbed by gains from no/reduced sedation and increased productivity |
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