The Flexible Video laparoscope in India device is the first of its kind in the medical literature and a patent is filed for it at the 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 and 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.
Rigid Video Proctosigmoidoscope
Video proctosigmoidoscopy india
video proctosigmoidoscopy India Traditionally a rigid procto-sigmoidoscope is just a metal tube with the inbuilt light source. I describe a rigid video Procto-sigmoidoscope, used for the purpose of proctosigmoidoscopy. It is a major advance in the past 100 years in rigid instruments and is described for the first time in the 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 video proctosigmoidoscopy, 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 a 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
Video esophagoscope India 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 instruments. 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 a variety of diagnostic procedures such as 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.
Noninvasive Vagal stimulation device
Introduction: Postoperative paralytic ileus is very common in children with a lot of morbidity and occasionally even mortality. The therapy stimulates the 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 postoperative 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.