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The laparoscope (8 and 10 mm) is a three in one device in the sense that It is the combination of a telescope, Led light source and laparoscopic endo camera. It is equivalent to $ 10,000 as $ 4000 for optical endoscope, $ 4000 for endo camera and $ 2000 for Led light source are incorporated in it. With great hard work the first author himself commercialized it with a cost of Rs.20,000 which is the cheapest laparoscope in the market today.
Publication: https://misjournal.net/article/view/3123

The device is the first of its kind in the medical literature and patent is filed for it at Mumbai office. The authors have been using this camera for short procedures especially while doing Single Incision Surgeries and Gas Insufflation Less Surgeries .

The special advantage is that it is ideal for use with Single Incision Gas Insufflation Less Laparoscopic Surgeries. It is possible to bend the telescope to the required position and the camera does not interfere with the working of the other hand instruments.

This device is a three in one that replaces the telescope, the LED light source and the Endoscopic camera all of which are very expensive ($10,000). It is commercialized at a negligible cost of Rs.20,000.

Publication: https://journals.sagepub.com/doi/abs/10.1177/0049475518808622


The instrument is a 4 in 1 device and is a genius merger of a telescope, LED light source, Ventilating bronchoscope sheath and bronchoscopic foreign body removal forceps A video camera with 4 LEDs is fitted at the tip of a rigid tube made up of surgical steel and has USB output. The tube has holes on each side for ventilation with ventilating port. A foreign body removing peanut forceps is welded at 6 O’ clock position to the tube. Outer transverse diameter of the instrument is 4.5 mm and vertical diameter of 5.5 mm. The working length is 50 cm. Sterilization is done by formalin chamber or ethylene oxide gas.
The instrument was commercialized for a reasonable cost of Rs.40,000. It was a commercial hit and more than 50 pieces sold in India. The instrument is easily worth USD 10,000 as a telescope (USD 3000), a LED light source (USD 1,500) endo camera (USD 4000) and ventilating bronchoscope (USD 1,500) are not necessary.
Publication: https://docdro.id/Nmr0IzH
https://docdro.id/Nmr0IzH
USB Laparocam-laparoscopic endocamera regular model 1)     Cheapest laparoscopic camera in the world costing. 2) No separate bulky processing unit and compact design 3) World’s highest video resolution of 5 Mp compared to 0.25 MP in other cameras. 4) Adapter is detachable; hence camera need not be discarded if adapter develops a fault. 5) The camera can be used for purpose other than laparoscopy as it attaches to a cystoscope, bronchoscopic telescope, arthroscope and even to upper and lower GI endoscopes. It also attaches to a pathology microscope with a different adapter. 6) The quality of image does not drop with time as the sensor and processing unit is in the same place without having any wires   in between them. 7) The camera is extremely user friendly with all functions automatic with manual adjustment options for specific customization. 8) The camera comes with a free but advanced software with variety of customizable options for color, exposure, brightness, contrast and white balance which is usually not supplied with other laparoscopic cameras. 9) The camera is extremely light sensitive and requires far little light giving bright and crisp images even in darker places and through smaller scopes. 10) The camera is compatible with variety of free software and applications available on internet and is compatible with variety of devices such as PC, Laptop, Android phone, Android and IOS based devices. 11) Recording of the video in my camera is possible with the free software. You have to buy a separate recording system for other laparoscopic cameras. 12) Although the camera is not reparable, but the camera board can be replaced immediately saving money and time.
Publication:


Introducing USB Laparocam Deluxe Model, the most advance endo-camera in the world made by me. It has a massive 34 Megapixel resolution compared to 0.5 to 1 MP for other Rs. 3 Lakh cameras in the market. The camera has HDMI and USB output. It works on 4 MP video in HDMI mode and records video on 4 MP on TF card. It records images on TF card on massive 21 MP. It has on screen display and a remote control. It comes with equally advanced zoom coupler that can accept any telescope from 1 mm to 10 mm. with a special adapter it can attach to any flexible Olympus endoscopes. Width and height is 7cm, thickness 1 cm. With all these features it is the most advanced endo-camera on the planet.

Rigid Video Proctosigmoidoscope

Traditionally a rigid procto-sigmoidoscope is just a metal tube with inbuilt light source. I describe a rigid video Procto-sigmoidoscope, used for the purpose of proctosigmoidoscopy. It is a major advance in past 100 years in rigid instrument and is described for the first time in medical literature.

I performed 21 cases of procto-sigmoidoscopy in past 2 years with the rigid video Procto-sigmoidoscope. 17 patients had a polyp, 2 had ulcers and 2 had proctitis. It is a 5 in 1 device which is a merger of a telescope, light source, endo-camera, sheath and instrumentation channel. It has a diameter of 10 mm with 30 cm working length a 4 mm instrumentation channel and a 4 mm video camera with 4 LEDs. It has a side channel for gas insufflation.

The advantages of the device over traditional equipment are that it is a compact device 5 in 1 in nature with inbuilt endo-camera and LEDs as light source at the tip.  It is extremely cheap and is commercialized at a reasonable cost of Rs.40,000 compared to Rs. 5 Lakh for conventional instrument. The liberal 4 mm instrumentation channel accommodates all sorts of 3 mm laparoscopy and endoscopy instruments which are already commercially available in the market. The output of the device is USB that goes in variety of devices such as desktop, laptop, android mobile phones and android based tabs and no separate utility is needed for recording. The rigid video procto-sigmoidoscopes can do variety of diagnostic procedures such proctoscopy, sigmoidoscopy and therapeutic procedures such as endoscopic biopsy for Hirschsprung’s disease and operative procedures such as polypectomy, coagulation of rectal ulcers, banding of piles etc. It can be sterilized by putting in Formalin chamber for 30 minutes or by Ethylene Oxide gas.

Rigid video procto- igmoidoscope is a unique low cost and compact device which is affordable to every pediatric surgeon. It will revolutionize proctosigmoidoscopy in third world countries.

Rigid Video esophagoscope

It is a 5 in 1 device which is a merger of a telescope, light source, endo-camera, sheath and instrumentation channel. It has a diameter of 8 mm with 40 cm working length a 3 mm instrumentation channel and a 4 mm video camera with 4 LEDs. It has a side channel for gas insufflation.

The advantages of the device over traditional equipment are that it is a compact device 5 in 1 in nature with inbuilt endo-camera and LEDs as light source at the tip. It is extremely cheap and is commercialized at a reasonable cost of Rs.40,000 compared to Rs. 5 Lakh for conventional instrument. The 2.5 mm instrumentation channel accommodates all sorts of 2 mm laparoscopy and endoscopy instruments which are already commercially available in the market. The output of the device is USB that goes in variety of devices such as desktop, laptop, android mobile phones and android based tabs and no separate utility is needed for recording. The rigid video esophagoscope can do variety of diagnostic procedures such esophagoscopy and therapeutic procedures such as endoscopic biopsy for and operative procedures such as polypectomy, coagulation of ulcers, banding of varices and dilatation of stricturess etc. It can be sterilized by putting in Formalin chamber for 30 minutes or by Ethylene Oxide gas.

Non invasive Vagal stimulation device

Introduction: Postoperative paralytic ileus is very common in children with a lot of morbidity and occasionally even mortality. The therapy stimulates Vagus nerve in the neck non-invasively and it increases intestinal mobility to treat paralytic ileus. This therapy and its device are reported for the first time in medical literature for this indication. Aims and Objectives: To study the role of Non-invasive vagal stimulation therapy in post-operative paralytic ileus in children. Materials and methods: Last 3 years, I used the therapy on 26 patients of postoperative paralytic ileus in various diseases such as Hirschsprung’s disease, Ano-rectal malformation last stage, perforative peritonitis etc. 36 patients in the same period with similar diseases and significantly longer paralytic ileus were kept as control. Dynamic intestinal obstruction was ruled out clinically and by investigations. All patients in therapy group were given a fair trial of conservative treatment before subjecting to the therapy. The device used in the therapy produces electrical impulses of 50 Hz and 1 Amp with voltage of 12 Volt. One terminal is placed on left Vagus and another as control left shoulder. The left Vegas nerve in the neck is used for stimulation as it has far less fibers to the heart than right Vegas nerve. Therapy duration is 4 hours. Results: All patients responded to the therapy well. No patient had any side effects. The therapy group had average recovery period of 28.6 hours compared to 168.7 hour for the control group and the difference came as statistically very significant. The morbidity in therapy group was far less than control group. Discussion: Vagus nerve is secretomotor to the intestines, hence its stimulation leads to increased intestinal motility. The device stimulates left Vagus nerve in the neck just below angle of the mandible through disposable ECG electrode which reduce skin resistance from 100000 Ohm to 100 Ohm. Prolonged paralytic ileus leads to lot of morbidity such as electrolyte imbalance, respiratory distress, longer hospital stay, longer RT duration, abdominal distention, infection etc. Prolonged ileus reduces surgeon’s confidence and puts him in a dilemma whether to conserve or re-operate unnecessarily. It also makes patient’s relatives anxious. The device is safe as it used 12 Volt DC current and actual current flowing through body is 0.5 Mili Amp which is 10 times less than FDA approved limit of electricity on human body. The device is commercialized at a reasonable cost of Rs. 10,000. Conclusion: The therapy group had significantly faster recovery and far less morbidity compared to control group. Non-invasive vagal stimulation therapy and its device are cheap, effective and safe treatment options in postoperative paralytic ileus in children.

Portable Muscle Stimulator