The Scope Spring 2024


The Scope - Endoscopy Newsletter

Spring 2024

The future of endoscopy training

“Mikoto” – The Gold Standard Colonoscopy Training Simulator
A complex training platform was recently developed by Fuji et al. (1) based on a hybrid colonoscopy simulator. The system called “Mikoto” is an advanced mechanical trainer utilising motors, which allow the position change of the replicated abdomen. Furthermore, several functions are supported, such as abdominal compression and repositioning of the diaphragm, simulating the deep inspiration. Pressure and optical sensors enable measuring the distensibility of the colon phantom correlated with the potential pain experienced by the patient. This information together with other metrics tracked online is used to evaluate the trainee performance. (2)

The Mikoto is exclusively supplied by Aquilant in the UK through our partners Fujifilm and has the following impressive features:

  • Realistic colon model
    – Soft material with smooth surface
    – Realistic fold shape and texture
    – Multiple polyps
  • Self-Learning can be achieved
    – Record video for personal review
    – Procedure scoring system
    – 3 adjustable difficulty settings

The new Mikoto colonoscopy simulator will be demonstrated on the Fujifilm stand during ESGE Days in Berlin (25-28th April) and Endoport, Mariott Hotel Portsmouth (13-14th May).

Please contact us for more information.


(1) Finocchiaro, M.; Cortegoso Valdivia, P.; Hernansanz, A.; Marino, N.; Amram, D.; Casals, A.; Menciassi, A.; Marlicz, W.; Ciuti, G.; Koulaouzidis, A. Training Simulators for Gastrointestinal Endoscopy: Current and Future Perspectives. Cancers 2021, 13, 1427
(2) Fujii, M.; Onoyama, T.; Ikebuchi, Y.; Uehara, K.; Koga, A.; Ueki, M.; Isomoto, H. A Novel Humanoid-Robot Simulator for Colonoscopy. Endoscopy 2020
Artificial Lumen – Reproduces the feeling of entering the intestinal tract
Training Playback Mode
Internal Structure

Dr Sergio Coda describes his experience of using PuraStat to manage radiation proctopathy

In the UK, a total of 30,000 people are treated with radiotherapy annually. One of the most common side effects of radiotherapy is rectal bleeding, caused by radiation proctopathy (RP). Radiation proctopathy, as a consequence of the effect of radiation in the rectum, can hugely impact a patient’s quality of life. In this video, Dr Sergio Coda describes his experience of using PuraStat to manage Radiation Proctopathy.

PuraStat is a synthetic peptide hydrogel that when in contact with physiological fluids such as blood, self-assembles creating a scaffold which mimics the human extracellular matrix and stops the bleeding.  PuraStat is used in a wide range of applications to manage active bleeding and prevent delayed bleeding.

Colonoscope looping – a simple solution

Endorail, a magnetic balloon solution that optimises colonoscopy procedural outcomes.

Endorail will enhance the efficiency and safety of endoscopic procedures, offering a solution to solve looping and facilitate the competition of prolonged colonoscopies. Designed to streamline the colonoscopy process, Endorail combines its magnetic balloon solution with user-friendly features, which empowers physicians to overcome procedural challenges with ‘confidence and precision’.

With Endorail, physicians gain access to an on-demand tool that optimises procedural outcomes as well as reducing the healthcare costs associated with prolonged or incomplete procedures.

In 2023, Endostart conducted a multicentre clinical trial to demonstrate the high safety and efficacy profile of Endorail in the completion of difficult colonoscopies. The results of the study will be presented in the Digestive Disease Week Congress, taking place in Washington DC, May 18 to 21, 2024.

Aquilant have partnered with Endostart to bring the Endorail solution to the UK so contact us now for more information.

Size does matter!

SCALE EYE, real-time virtual scale to accurately measure the size of lesions in the colon.

When deciding on therapeutic intervention within the colon, such as resect and discard, EMR, and ESD, lesion size is considered one of the important factors.  However, it is not always straightforward to estimate lesion size in the endoscopic field of view.

SCALE EYE is the latest technology to be launched as part of the ELUXEO Ultra platform, delivering a comprehensive package for endoscopists.

Fujifilm has developed SCALE EYE, a function designed to aid endoscopists in estimating the size of lesions in the colon. By simply pressing the endoscope switch, SCALE EYE is activated to support the endoscopist to determine the size of the lesion within the endoscopic field of view.

How SCALE EYE works
The SCALE EYE system includes the newly developed endoscope EC-760S-A/M, L, which is equipped with a class 1 laser. The laser point is visible within the endoscopic image. The position of the laser point changes relative to the distance between the tip of endoscope and the object. Depending on this laser point position, the scale interval size adjusts automatically.

Please contact us for more information.

Better quality to the “end”

AI software for the OMOM Colon Capsule launches with enhanced image quality, further establishing colon capsule as a viable alternative to colonoscopies.

As the national colon capsule endoscopy pilot continues in the UK the evidence continues to support the use of colon capsules in intermediate and low risk patients with gastrointestinal symptons1

To meet the surging demand of early screening for colon diseases, the OMOM Colon Capsule (Omom CC) endoscopy system has been developed with the latest innovations including enhanced image quality, longer battery life and revolutionary AI powered software.

OMOM CC aims to make diagnostic colonoscopy easier and smarter.

Jinshan host the OMOM Capsule Endoscopy Master Course on Wednesday, 24th April 2024, 13:00-18:00pm at the Waldorlf Astoria, Berlin.

Join us to learn the latest practical aspects and skills of clinical application in capsule endoscopy.

Please contact us for more information.

Upcoming events

Omom Capsule Endoscopy Master Course – 24th April, Waldorf Astoria, Berlin, 1pm-6pm
Click here

ESGE Days – 25th to 27th April, Estrel Congress Center, Berlin, Germany
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Leinzett Cholangioscopy Training Day – 27th April, Mercure Hotel, Berlin, 2.30pm–6pm
Click here

London Live HPB Masterclass  – 9th to 10th May, UCLH Education Centre, London
Click here

Endoport – 12th to 14th May, Mariott Hotel, Portsmouth
Click here

14th International Transnasal Endoscopy Workshop – 7th June, Hallam Conference Centre, London
Click here

BSG Live 2024 – 17th to 20th June, ICC Birmingham
Click here

King’s ESD Course – 25th to 26th June, King’s College Hospital, London

Click here

Events taking place on Partners day during ESGE (27th April)

Leinzett Cholangioscopy Training Day

Mercure Hotel Berlin Templehof, 2.30pm–6pm

Please contact us to secure your place

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