Using disruptive innovation to design endoscopic ligators for resource-challenged health settings.

IF 2.3 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

International Health Pub Date : 2024-10-15 DOI:10.1093/inthealth/ihae067

Jack T Gardner, Vincent Dusabejambo, Steve P Bensen

引用次数: 0

Abstract

Background: Commercial single-use endoscopic multiband ligators, used for esophageal variceal band ligation (EVL), are prohibitively expensive. To enable greater access to EVL, we used disruptive innovation to develop a novel endoscopic multiband ligator.

Methods: We designed and tested a prototype handle 'ENDOhandle' using computer-aided design modeling and exported a cap, trigger cord and latex to form a functional banding unit.

Results: The cost of the banding unit was US$4.80 compared with several hundred US dollars for commercially available devices in the USA.

Conclusions: Disruptive innovation technology developed an inexpensive ligator for resource-challenged health settings.

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利用颠覆性创新为资源匮乏的医疗机构设计内窥镜结扎器。

背景：用于食管静脉曲张带结扎术（EVL）的商用一次性内窥镜多带结扎器价格昂贵，令人望而却步。为了让更多人能够使用食管静脉曲张带结扎术，我们采用颠覆性创新技术开发了一种新型内窥镜多带结扎器：方法：我们利用计算机辅助设计建模设计并测试了 "ENDOhandle "手柄原型，并导出了一个盖帽、触发线和乳胶，形成了一个功能性结扎装置：捆绑装置的成本为 4.80 美元，而美国市售装置的成本则高达数百美元：颠覆性创新技术为资源匮乏的医疗环境开发出了一种廉价的结扎器。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.50

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： International Health is an official journal of the Royal Society of Tropical Medicine and Hygiene. It publishes original, peer-reviewed articles and reviews on all aspects of global health including the social and economic aspects of communicable and non-communicable diseases, health systems research, policy and implementation, and the evaluation of disease control programmes and healthcare delivery solutions. It aims to stimulate scientific and policy debate and provide a forum for analysis and opinion sharing for individuals and organisations engaged in all areas of global health.