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Wireless Capsule Endoscopy

Wireless Capsule Endoscopy. Presented by: Chad J. Vick, RN. Objectives. Describe Wireless Capsule Endoscopy. Describe and evaluate the hardware and software utilized with this trend. Describe and evaluate the information system used with this trend.

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Wireless Capsule Endoscopy

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  1. Wireless Capsule Endoscopy Presented by: Chad J. Vick, RN

  2. Objectives • Describe Wireless Capsule Endoscopy. • Describe and evaluate the hardware and software utilized with this trend. • Describe and evaluate the information system used with this trend. • Assess the role and functions of the nurse informaticist when working with this trend. • Examine related legal/ethical issues. • Discuss the Advantages/Disadvantages from nursing perspective.

  3. Wireless Capsule Endoscopy (Wikipedia, 2009)

  4. Wireless Capsule Endoscopy • Traditional endoscopy’s reach from the mouth – duodenum. • Traditional colonoscopy’s only view the colon. • Specialized for small bowel imaging. • Important tool in detecting Crohn’s disease, gastric ulcers, and colon cancer. (Marks, 2008)

  5. Wireless Capsule Endoscopy • Approved by the US FDA in 2001. • “Pill sized” camera that is swallowed and transmits imaging. • Used to diagnose diseases and disorders of the gastrointestinal tract. • Less invasive alternative to traditional endoscope. (Marks, 2008)

  6. Types of Hardware • Given Imaging Hardware • AGILE Capsule • PillCam ESO • PillCam SB • Data Recorder • OLYMPUS EndoCapsule (OLYMPUS KeyMed, 2009)

  7. The premier non-invasive diagnostic tool for visualizing the entire small bowel • >800,000 ingestions to date • >900 peer-reviewed journal articles published • Produces 55,000+ images per study • 30- to 60-minute reading time per study (CapsuleEndoscopy.org, 2008)

  8. Types of Software • RAPID 5 Given Imaging Software • Quickview • RAPID Atlas • Olympus EndoMed Capsule Software • Dedicated Diagnostic Software • Real Time Viewer (OLYMPUS KeyMed, 2009)

  9. RAPID® 5 Features Study Manager QuickView v5 Setting Selectable: High/Normal/Low Image Adjustment One-click on/off IA button A–Mode or M-mode (when RAPID is M-mode enabled) Lewis Score (CapsuleEndoscopy.org, 2008)

  10. Software Usability Evaluation • Axiom 1 • Axiom 2 • Axiom 3

  11. Information System • Endoscopic Electronic Medical Record Systems • Interfaces with hospital electronic medical records. • Incorporates imaging, data management, communication, and inventory. • Ex. Endoworks 7.3, CORI, gCare, and Provation. (ASGE, 2008)

  12. Endoscopic Electronic Medical Record Systems • Administrative and Clinical Information System • Usage by multiple health care professionals. • Workstation Mainframe • ICD-9 (ASGE, 2008)

  13. Advantages • Painless & noninvasive • Eliminates G.I. bleed risk • Procedure requires no sedation • 3x length examined compared to Colonoscopy • More accurate than Colonoscopy (Johnson, 2008)

  14. Disadvantages • Capsule can be hard to swallow • Unable to perform biopsy • Possible poor visualization • Inability for precise location • Capsule retention (Johnson, 2008)

  15. Ethical & Legal Issues • Patient privacy • Price

  16. Informatics Competencies • Generalized training for software use • Yearly competency • Continuing education

  17. Functions & Responsibilities • Patient privacy • Patient education • User training • Updates

  18. Summary • Non traditional, less invasive than colonoscopy • Greater imaging with less patient restrictions • Less side effects • Results easily accessible via e-chart • Better data management and trending

  19. References • ASGE (2008).TECHNOLOGY STATUS EVALUATION REPORT: Endoscopic electronic medical record systems . Gastrointestinal Endoscopy, 67, 590-94. • CapsuleEndoscopy.org, (2008, October). Physicians Resources. Retrieved June 22, 2009, Web site: http://www.capsuleendoscopy.org/PhysicianResources/Pages/default.aspx

  20. References • Given Imaging, (2009). Capsule Endoscopy Hardware. Retrieved June 22, 2009, from Given Imaging Web site: http://www.givenimaging.com/en-us/HealthCareProfessionals/Products/Pages/Hardware.aspx • Johnson, C. (2008). Clinical Role of Capsule Endoscopy. Retrieved August 5, 2009, from Wireless Capsule Endoscopy Web site: http://biomed.brown.edu/Courses/BI108/BI108_2008_Groups/group11/clinical.html

  21. References • Marks, J.W. (2008, February 02). Capsule Endoscopy (Wireless Capsule Endoscopy). Retrieved June 4, 2009, from MedicineNet.com Web site: http://www.medicinenet.com/capsule_endoscopy/article.htm • OLYMPUS KeyMed, (2009). Capsule Endoscopy. Retrieved June 22, 2009, from OLYMPUS KeyMed Web site: http://www.keymed.co.uk/index.cfm/page/products.index.cfm/cid/3269/navid/860/parentid/771

  22. References • Wikipedia, (2009, June 3). Capsule Endoscopy. Retrieved June 4, 2009, from Wikipedia Web site: http://en.wikipedia.org/wiki/Wireless_capsule_endoscopy

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