Evaluation Background: Video Colonoscope Systems

October 10, 2019 | Evaluations & Guidance

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Here's background for our Evaluations of video colonoscope systems, outlining the key considerations for making wise purchasing decisions. Learn how the technology is used, which specs are important, and what factors we test for. Also review our latest product ratings and ECRI Institute's data describing hospitals' interest in each vendor.

Colonoscopes are inserted anally to inspect the colon or lower gastrointestinal tract for polyps, adenomas, or bleeding. Surveillance colonoscopies are performed on patients aged 45 to 75 years (Wolf et al. 2018) to detect and remove precancerous lesions that could otherwise lead to colorectal cancer. Colonoscopes are flexible, allowing them to navigate the twists and turns of the digestive tract. Most, if not all, colonoscopes are video capable. Currently, only reusable models are available in the United States, though single-use models have been cleared by FDA.

Flexible colonoscopy procedures were first performed in the late 1960s. Since then, the technology has evolved to facilitate these procedures. Major developments include improvements in video quality, ergonomics, and reprocessing guidelines.

Clinical applications include inspection and diagnosis, biopsy, polyp or lesion removal, fecal transplant, and treatment of lower gastrointestinal (GI) bleeding. Facilities and clinical departments that would use colonoscopes include GI endoscopy units, ORs, ambulatory surgery centers, and ICUs. The types of physicians who would use these devices include gastroenterologists, colorectal surgeons, general surgeons, and primary care physicians trained in endoscopy.

These devices are referred to by a number of names. Common synonyms include video colonoscopes, colonovideoscopes, and diagnostic/therapeutic colonoscopes.

Click the product names below to view our complete findings. Products are listed alphabetically by supplier. ​ ​ ​ ​ ​ ​ ​ ​ ​ ​

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