2023-09-28 14:46:10 +00:00
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abstract: 'Laparoscopic surgery is the standard of care in high-income countries
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for many procedures in the chest and abdomen. It avoids large incisions
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by using a tiny camera and fine instruments manipulated through keyhole
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incisions, but it is generally unavailable in low- and middle-income
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countries (LMICs) due to the high cost of installment, lack of qualified
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maintenance personnel, unreliable electricity, and shortage of
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consumable items. Patients in LMICs would benefit from laparoscopic
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surgery, as advantages include decreased pain, improved recovery time,
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fewer wound infections, and shorter hospital stays. To address this
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need, we developed an accessible laparoscopic system, called the
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ReadyView laparoscope for use in LMICs. The device includes an
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integrated camera and LED light source that can be displayed on any
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monitor. The ReadyView laparoscope was evaluated with standard optical
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imaging targets to determine its performance against a state-of-the-art
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commercial laparoscope. The ReadyView laparoscope has a comparable
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resolving power, lens distortion, field of view, depth of field, and
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color reproduction accuracy to a commercially available endoscope,
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particularly at shorter, commonly-used working distances (3-5 cm).
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Additionally, the ReadyView has a cooler temperature profile, decreasing
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the risk for tissue injury and operating room fires. The ReadyView
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features a waterproof design, enabling sterilization by submersion, as
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commonly performed in LMICs. A custom desktop software was developed to
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view the video on a laptop computer with a frame rate greater than 30
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frames per second and to white balance the image, which is critical for
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clinical use. The ReadyView laparoscope is capable of providing the
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image quality and overall performance needed for laparoscopic surgery.
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This portable low-cost system is well suited to increase access to
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laparoscopic surgery in LMICs.'
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affiliation: 'Fitzgerald, TN (Corresponding Author), Duke Global Hlth Inst, Durham,
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NC 27710 USA.
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Mueller, Jenna L., Univ Maryland, Clark Sch Engn, College Pk, MD 20742 USA.
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Rozman, Natalie; Sunassee, Enakshi D.; Gupta, Aryaman; Schuval, Cayla; Biswas, Arushi;
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Kulkarni, Shreyas; Ramanujam, Nimmi, Duke Univ, Pratt Sch Engn, Durham, NC USA.
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Knight, Bailey; Brown, Meredith, Duke Univ, Trinity Sch Arts \& Sci, Durham, NC
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USA.
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Ramanujam, Nimmi; Fitzgerald, Tamara N., Duke Global Hlth Inst, Durham, NC 27710
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USA.
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Fitzgerald, Tamara N., Duke Univ, Sch Med, Durham, NC USA.'
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author: Mueller, Jenna L. and Rozman, Natalie and Sunassee, Enakshi D. and Gupta,
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Aryaman and Schuval, Cayla and Biswas, Arushi and Knight, Bailey and Kulkarni, Shreyas
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and Brown, Meredith and Ramanujam, Nimmi and Fitzgerald, Tamara N.
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author-email: tnfitz@hotmail.com
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author_list:
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- family: Mueller
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given: Jenna L.
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- family: Rozman
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given: Natalie
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- family: Sunassee
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given: Enakshi D.
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- family: Gupta
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given: Aryaman
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- family: Schuval
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given: Cayla
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- family: Biswas
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given: Arushi
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- family: Knight
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given: Bailey
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- family: Kulkarni
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given: Shreyas
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- family: Brown
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given: Meredith
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- family: Ramanujam
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given: Nimmi
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- family: Fitzgerald
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given: Tamara N.
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da: '2023-09-28'
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doi: 10.1007/s10439-020-02707-6
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earlyaccessdate: MAR 2021
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eissn: 1573-9686
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files: []
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issn: 0090-6964
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journal: ANNALS OF BIOMEDICAL ENGINEERING
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keywords: Biomedical devices; Laparoscopic surgery; Global surgery
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keywords-plus: SURGICAL CARE; COST
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language: English
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month: JUL
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number: '7'
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number-of-cited-references: '39'
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orcid-numbers: 'Knight, Bailey/0000-0001-7813-5624
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Biswas, Arushi/0000-0001-9785-1466
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Kulkarni, Shreyas/0000-0002-6723-515X'
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pages: 1657-1669
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papis_id: 76ba11ce59ba282d73417b95e2d8f895
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ref: Mueller2021accessiblelaparoscop
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times-cited: '3'
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title: An Accessible Laparoscope for Surgery in Low- and Middle- Income Countries
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000626407700006
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usage-count-last-180-days: '0'
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usage-count-since-2013: '1'
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volume: '49'
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web-of-science-categories: Engineering, Biomedical
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year: '2021'
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