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ColoGrip has been developed as an aid which allows torquing and manoeuvring of the colonoscope shaft to progress the colonoscope through the colon. It has been designed to enhance the grip of the colonoscope to make insertion of a colonoscope easier and reduce the repetitive strain associated with manoeuvring the colonoscope through the anatomy. ColoGrip may help reduce or remove the formation of alpha-loops and therefore increase the incidence of cecal intubations.
Colonoscope insertion aid
• Addresses the concerns of strain injury due to colonoscopy
• Universal design fits onto a wide range of colonoscopes
• Improves grip and therefore aids torquing of the scope and potentially reduces alpha loops possibly increasing cecal intubation rates
• Easy grip design doesn’t fall from scope unlike gauze pads
• Force limiting hinge prevents the ColoGrip from being squeezed too hard and damaging the scope
• Ergonomically designed; larger diameter than the endoscope, and therefore fits more comfortably into the hand
• Cannot be reused and therefore helps prevent cross-contamination “Smart-Click” technology ensures ColoGrip is ‘broken’ to remove and therefore prevents re-use
In a study by Cotton et al, of 69 endoscopists at seven major centres, only 55% of endoscopists achieved cecal intubation rates exceeding 90%, and 9% of the endoscopists had cecal intubation rates of less than 80%. In a study from England, cecal intubation was recorded in only 76.9% of procedures, with an adjusted cecal intubation rate of only 56.9%.
Published data indicate that looping occurs in 50-90% of colonoscopies.
In twelve studies of collected responses from 2,306 Endoscopy Units showed the prevalence of injury among all endoscopist was 53.0%. Of the 1,693 endoscopists included in the review, 901 (53.2%) reported at least one musculoskeletal complaint.
ASGE - Minimizing occupational hazards in endoscopy: personal protective equipment, radiation safety, and ergonomics Volume 72, No. 2 : 2010 Gastrointestinal Endoscopy, 227 – 235
Key points include:
"Survey based studies have estimated a prevalence of musculoskeletal symptoms ranging from 37% to 89%".
"Currently, there are limited options to reduce hand or wrist loads during endoscopy".