Lumendi DiLumen EIP

Role

Design Lead, Research

Client

M.I.N.T. (Minimally Invasive New Technologies)

Sector

Medical

Year

2014

Challenge

Surgical interventions generally require a hospital stay of four to six days and over a month of recovery, and may also increase the costs of care significantly and result in loss of productivity for the patient.

Some of these conditions can be treated through endoscopic procedures rather than surgery. However, patients with di cult anatomy, large polyps on folds, or flexures in the cecum, present challenges that may be difficult to overcome.

Factors like:

  • Stability of the endoscope and colon segment can always be a challenge.
  • Poor visualization can inhibit progress during the procedure.
  • These and other challenges can result in long, arduous procedures and inadequate resections.
Impact

A randomized prospective study evaluates the economic efficiency of the endoluminal double-balloon platform DiLumen for colorectal endoscopic submucosal dissection (ESD)

Presented at UEG Week 2020 and ACG 2020 by Dr. S. Kantsevoy, Director of Therapeutic Endoscopy, Mercy Medical Center, Baltimore, USA

The results at a glance:

  • 49% less time spent on ESD
  • 37% less time required for the entire procedure
  • En bloc resection in 97% vs. 86% in the comparison group

 


Primary Research 

Ethnographic field visits and sim lab research was conducted to evaluate opportunities and risks related to endoscopic minimally invasive procedures.

Innovation Workshop

Building on the results of the primary research and concept assessment rubric, a 2-day workshop summarized key criteria developed from our Needs Assessment. The first half of the workshop focused on divergence: creating as many varied Concept Component solutions as possible for individual criteria through facilitated brainstorming. The second half of the workshop focused on convergence: aggregating the Component solutions into full Concepts that address all criteria. These Concepts went through a set of team based iterations in order to maximize the benefit of having the entire team present. 

Distal Prototyping

Evaluation

Iteration


Proximal & Refinement Prototyping

Final Solution

SURGICAL TREATMENT

ENDOLUMENAL TREATMENT

Operating Room

Operating Room or GI Suite

Open or laparoscopic incisions

No incisions

Hospital stay of 4-7 days

Typically go home same day or next day

Recovery of 4-6 weeks

Typical recovery of 1-2 days

Possible stoma

Stoma very unlikely

Potential for complications:
• Wound infection (5%-30%)
• Anastomotic leaks (3%-24%)

Potential for Complications:
• Perforation
• Infection
• Bleeding

Cost of surgery (MS-DRG)
• $10,000 with no complications
• $15,000-30,000 with minor to major complications

Cost of Endolumenal Treatment (MS-DRG)

  • $1,000-$8,000

Back to Work Samples
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