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利用颠覆性创新为资源匮乏的医疗环境设计内镜结扎器。

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

作者信息

Gardner Jack T, Dusabejambo Vincent, Bensen Steve P

机构信息

Section of Gastroenterology and Hepatology, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA, 03756.

Department of Medicine, University of Rwanda, Kigali, Rwanda, 6677.

出版信息

Int Health. 2025 May 1;17(3):385-387. doi: 10.1093/inthealth/ihae067.

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.

摘要

背景

用于食管静脉曲张套扎术(EVL)的商用一次性内镜多带结扎器价格昂贵得令人望而却步。为了让更多人能够使用EVL,我们采用颠覆性创新开发了一种新型内镜多带结扎器。

方法

我们使用计算机辅助设计建模设计并测试了一个原型手柄“ENDOhandle”,并导出一个帽、触发线和乳胶以形成一个功能性套扎单元。

结果

该套扎单元的成本为4.80美元,而美国市场上同类商用设备的价格为几百美元。

结论

颠覆性创新技术为资源匮乏的医疗环境开发出了一种价格低廉的结扎器。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49d1/12045085/78120e8acd9f/ihae067fig1.jpg

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