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Endoscopist and Endoscope Motions During Digestive Endoscopy

Not Applicable
Completed
Conditions
Scheduled Gastroscopy Under Sedation
Interventions
Procedure: Motions during gastroscopy
Registration Number
NCT03458403
Lead Sponsor
IHU Strasbourg
Brief Summary

The aim of the study is to record and analyze endoscopist and endoscope motions to identify key movements in flexible endoscopy.

Detailed Description

The increasing development of interventional digestive endoscopy raises the challenge to teach and learn complex endoscopic procedures. Nowadays experts are facing the challenge of explaining precisely an elaborate choreography of movements performed during the procedure, while novices are confronted with a broad range of hand, wrist and shoulder movements each resulting in different endoscope responses. The teaching strategy of endoscopy could benefit from a dedicated motion library that would associate the endoscopist's motion and the consequent endoscope response. A simplified endoscopic language made of individual motions could greatly shorten the learning curve.

The aim of the study is to record and analyze endoscopist and endoscope motions to identify key movements in flexible endoscopy.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
23
Inclusion Criteria
  • Patient over 18 years old
  • Patient who are scheduled for a gastroscopy procedure under sedation
  • Patient able to understand the study and provide written informed consent
  • Patient affiliated to the French social security system.
Exclusion Criteria
  • Patient with an altered upper GI anatomy due to previous surgery
  • Patient with a known anomaly of the upper GI anatomy
  • Patient carrying an implantable medical device (pacemaker...)
  • Patient with a condition preventing its participation to study procedures, according to investigator's judgment
  • Pregnancy or breastfeeding
  • Patient in custody
  • Patient under guardianship

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Motions during gastroscopyMotions during gastroscopyRecording of endoscopist and endoscope motions right after the endoscopic exam the patient came for.
Primary Outcome Measures
NameTimeMethod
Body motions recordingAt time of endoscopy

Body motions recording using the Xsens tracking device. The Xsens motion tracking system consists of 17 wireless motion sensors that are applied with straps to the endoscopist without hindering natural movements.

Endoscope wheels rotation recordingAt time of endoscopy

External video recording of the endoscope wheels rotation.

Endoscope motions recordingAt time of endoscopy

Endoscope motions recording using the Aurora electromagnetic tracking system (NDI, Waterloo, Canada) inserted in the endoscope operating channel.

The Aurora electromagnetic tracking system is designed for tracking tip and orientation of rigid and flexible endoscopes. The system consists of an electromagnetic field generator and a probe carrying the captors.

Endoluminal images recordingAt time of endoscopy

Endoluminal images recording using the endoscopic camera.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Service de Chirurgie Digestive et Endocrinienne - Nouvel Hôpital Civil

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Strasbourg, France

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