The first study of OMOM Robotic Capsule “Fully automated magnetically controlled capsule endoscopy for examination of the stomach and small bowel: a prospective, feasibility, two-centre study” was published online in THE LANCENT Gastroenterology & Hepatology on 20 September, 2021.
This study is aimed to evaluate the safety and efficacy of a fully automated magnetically controlled capsule endoscopy (FAMCE) system in clinical practice for gastroscopy and small bowel examination.
114 eligible participants aged 18–80 years with suspected gastric pathology and no previous surgery underwent FAMCE for screening of gastric lesions, then conventional transoral gastroscopy 2 h later, and stomach examination results were compared to evaluate the rate of complete detection of gastric anatomy landmarks and the time required for gastric completion by FAMCE, the rate of detection of gastric lesions by FAMCE compared with conventional transoral gastroscopy, and the rate of complete small bowel examination.
The findings show that “the complete detection rate of six gastric anatomical structures (cardia, fundus, body, angulus, antrum, and pylorus) was 100%”and “The concordance between FAMCE and conventional transoral gastroscopy for the detection of five types of gastric lesion (gastritis, polyps, submucosal protuberances, mucosal erosion, and xanthoma) in various stomach segments was 99·61% (95% CI 99·45–99·78)” , which indicates “The performance of FAMCE is similar to conventional transoral gastroscopy in completion of gastric examination and lesion detection. Furthermore, it can provide a complete small bowel examination. Therefore, FAMCE could be effective method for examination of the gastrointestinal tract.”
Dr. Jean-Francois Rey, the former president of the World Endoscopy Organization, in his comment on this study titled as "Gastric examination by guided capsule endoscopy: a new era " speaks highly of the new technology: “The use of robotic control and full automation opens a new era for capsule endoscopy. The use of a robotic arm means that, unlike with magnetic capsule endoscopy, no human operator is needed, which reduces the need for trained operators and could help minimise human error.”
OMOM RC offers a safe, noninvasive, and fully automated diagnostic gastroscopy. Proprietary algorithms have been developed to detect the anatomical gastric landmarks. Those algorithms have been pre-programmed into the control system to automatically guide the Robotic Movement Unit to navigate the capsule. The capsule is moved in translational and rotational direction to capture the gastric images until the full gastric coverage is achieved when the Robotic Movement Unit stops automatically. All six gastric anatomical landmarks, cardia, fundus, body, angulus, antrum and pylorus, are covered.
With recent technology advancement, it now only takes 12 minutes to complete the gastric examination, and the capsule works for longer time in small bowel with extended battery life up to 12 hours. More information on the newly released OMOM RC system could be found here: http://www.toddbischoff.net/en/solutions/omomrobotic.html