Download Camera Capsule Insertion – process done by the nurse

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Torus Medical has developed a new Invertible Pliant Sleeve, described below.
The sleeve may be used in two different ways:
1. Preparation to colonoscopy which involves cleaning (in one of two ways, depend on
willing of patient).
2. After preparation of the patient (not depended of method of cleaning), new sleeve
with camera will be inserted to the cecum of the patient for diagnostic of the colon.
a. A detailed description of the sleeve can be found below.
b. A description of the cleaning process, performed both by a nurse and by the patient
can be found below.
c. A description of the diagnostic process can be found below.
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:
(Anaconda)
Packed section
of the Pliant
Colonic Sleeve
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Preparation to colonoscopy which involves cleaning with
Invertible Pliant Sleeve
The sleeve, 1.5-1.7 meters in length, 15 mm diameter, 40 micron thickness is folded so as to form a “packet”.
This packet is folded internally in the sleeve (the internally folded section is referred to as “bukhta”). The
transition of the tube, from the closed packet to it’s full length, is done by flowing water into the tube. The
packet is folded in a proprietary manner – allowing each part that expands to remain static In it’s place, allowing
the tube to progressively expand, which results in the “bukhta” being the only moving part, until it reaches the
cecum. The water pressure is up to 0.4 atmospheres. Higher pressure will result in a rupture of the sleeve.
The advantages of this method are:
1. The Torus method works according to and in parallel to the peristaltic movement of the bowel, as opposed to
regular enema methods that work against the peristaltic movement.
2. The Torus method, due to this progressive expansion completely eliminated the possibility of bacteria from
the anus to reach the cecum.
3. The Torus method is simple and quick – about 50 minutes total.
4. The procedure can be performed by a nurse or technician, it does not
require a doctor.
• Air must not be inserted in the procedure.
• Water must go through tank, not directly from tap.
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Besides
Advantages
The advantages of this method are:
1. The Torus method works according to and in parallel to the peristaltic movement of the bowel, as
opposed to regular enema methods that work against the peristaltic movement.
2. The Torus method, due to this progressive expansion completely eliminated the possibility of bacteria
from the anus to reach the cecum.
3. The Torus method is simple and quick – about 50 minutes total (including colon cleaning and diagnostic).
4. The procedure can be performed by a nurse or technician, it does not require a doctor.
5. Anesthesia (local or general) is not required.
6. Insertion of the sleeve lasts 60-90 seconds.
7. All the materials and parts are disposable and are designed for a single use (the camera capsule is
reusable)
• Air must not be inserted in the procedure.
• Water must go through tank, not directly from tap.
All will be demonstrated in the following clip
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2.1.2011ver 6
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Cleansing Process – Performed by nurse
:
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Insert the Main tube about 4-5 cm into rectum
Water Inlet: fill water, inflate
balloon. Inflated balloon is
used to keep the Main tube
in the rectum.
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2.1.2011ver 6
Insert the Sleeve and
fixate it inside the
Close Cup
Sleeve water filling
port
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Insert Sleeve into the Main tube. Inner
diameter of Main tube allows to Sleeve
to pass easily inside.
Drainage tube port
Distance between proximal
end of the sleeve and distal end
of the Main tube is kept about 2 cm
that allows easy drainage
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Sleeve water filling
port
3. Water is inserted via tube to balloon
4. Sleeve (Anaconda) is connected to water filling port
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Cleansing Process – Performed by patient
:
The patient inserts the sleeve
and “bukhta” into the anal
cavity and begins pumping
water, which allows the
“bukhta” to progress and unfold
the sleeve, progressing towards
the cecum.
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At this stage the water is
pumped into the cecum. When
the patient feels pressure in the
stomach area, the sleeve is
extracted and the patient passes
the excrements.
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Camera Capsule Insertion – Production and preparation
Torus Medical has developed a diagnostic process which uses the operational principles previously
described sleeve for the insertion of a camera capsule.
This process is possible to perform on patients who have already gone through a cleansing process (the
Torus process or otherwise).
All the currently available camera capsules measure 11-12mm in diameter and 26-30mm in length. For this
reason, the only difference in the invertible sleeve is a small increase in diameter.
We use a cylinder measuring 15-16mm in internal diameter and 30mm in length, with threads used to
attaching the camera. This cylinder is attached to the end of the sleeve. The sleeve is wrapped over the
cylinder, and the edge of the sleeve is partially inverted, so that the threads remain accessible.
In this form the sleeve is shipped to the medical facility.
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Camera Capsule Insertion – process done by the nurse
The only actions required of the nurse are as follows:
The nurse has to attach the camera capsule by the threads and insert the capsule into the cylinder, and
attach the device to a water tank, as described in the cleansing process.
During the next phase, water is pumped into the sleeve exactly the same was as in the cleansing process.
When the sleeve is fully unwrapped, the water pressure causes the camera capsule to protrude to the
distance corresponding to the length of the threads.
The sleeve is then slowly pulled out, together with the camera capsule, while the camera is filming its
surroundings, transmitting an online video to the doctor.
Usually %70-75 of the patients conclude the treatment at this stage, since no problems were discovered.
The remaining %25-30 have polyps or other problems discovered. The polyps or other problematic areas
are colored and the patients are directed to a doctor for further examination. The coloring allows the
doctor to easily locate and identify the polyps.
At the end of the process the camera is sent to disinfection, and it can be reused.
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Advantages of the diagnostic process
The advantages of this method are:
1. The Torus method is quick and simple, the whole process takes about 10 minutes.
2. The sleeve is disposable, but the camera capsule may be re-used, same as in a colonoscope, which
makes the process extremely cost effective.
3. The insertion process is identical to the cleaning process.
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Business Plan
$ per unit
Sale Price
400
$
$ per unit
units in 1
Revenue Per Hour
2.0 800
units in 1
$
Monthly Revenue
Annual Revenue
136,000
1,632,000 $
Cost Per Hour
$
Monthly Cost
Annual Cost
Disposable set\kit
50
$
2.0 100
$
17,000
$
204,000
$
Nurse
25
$
2.0 50
$
8,500
$
102,000
$
Treatment Room
1,700
$
170.0 10
$
1,700
$
20,400
$
-
$
0-
$
-
$
-
$
-
$
-
$
-
$
Total (Var) Cost
160
$
27,200
$
326,400
$
Total Profit
640
$
108,800
$
1,305,600 $
???
Comment - In the US the
price for colonoscopy is
$300, without cleanig
Our price of $400
includes an additional
fee of $100 for
cleaning
.
Profit estimation
Taking into account that 2 patients are treated per hour, 340 per month and 4080 per year, and each patient
pays $100 for cleaning and $300 for colonoscopy, the profit will be as follows:
$640 per hour
$108,800 per month
$1,305,600 per year
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