Increasing Access to Laparoscopic Surgery in Low-income Countries (2020-2021)

Laparoscopic surgery is the standard of care in high-income countries but is unavailable in most low- and middle-income countries. To increase access to laparoscopic surgery, this project team built on the work of previous teams to develop of a low-cost and reusable laparoscope suitable for use in low- and middle-income countries. 

The ReadySuite is a comprehensive set of prototypes including the ReadyView Laparoscope (which only costs $150 and can be connected to a laptop for power), ReadyMentoring capabilities and ReadyLift Retractor. ReadyLift gently lifts the abdominal wall, which eliminates the need for carbon dioxide, pressure regulation and continuous electricity. ReadyMentoring allows surgeons in different locations to interact audibly and visually during surgery and enables information exchange and remote mentoring.

In 2020-2021, team members worked to create assess the regulatory landscape for the device as well as a business model that includes marketing ReadyView in high-income country markets and the ReadySuite for low- and middle-income country markets. Team members also completed preclinical studies to collect feedback on the device and engaged in usability testing with collaborators. The team collected data on current laparoscopic cases performed in Uganda, Myanmar and Papua New Guinea, including what types of cases are being performed laparoscopically, what problems surgeons are having with equipment and what complications are occurring. 

Timing

Fall 2020 – Summer 2021

Team Outputs

ReadyView: Increasing Access to Laparoscopic Surgery (lightning talk by Jamila Otieno and Siddhesh Zadey)

Sarah Hubner, Caroline Maloney, Sarah Dunn Phillips, Pratik Doshi, Julius Mugaga, Robert Tamale Ssekitoleko, Jenna L Mueller, Tamara N Fitzgerald. 2021. "The Evolving Landscape of Medical Device Regulation in East, Central, and Southern Africa." Global Health: Science and Practice 9(1).

Jenna L. Mueller, Natalie Rozman, Enakshi D. Sunassee, Aryaman Gupta, Cayla Schuval, Arushi Biswas, Bailey Knight, Shreyas Kulkarni, Meredith Brown, Nimmi Ramanujam, Tamara N. Fitzgerald. 2021. "An Accessible Laparoscope for Surgery in Low- and Middle- Income Countries." Annals of Biomedical Engineering.

Reflections

John Boom

This Team in the News

Cut Costs, Not Patients: The Promise of Laparoscopic Surgery in Global Health

See related teams, Sustainable Implementation of Laparoscopy in Low-income Countries (2021-2022) and Sustainable Laparoscopic Surgery for Low-Income Countries: FDA Approval and Business Model for Access (2019-2020).

 

Image: Previous team members pose with their laparoscopes

Laparoscope.

Team Leaders

  • Sarah Dunn Phillips, Margolis Center for Health Policy
  • Tamara Fitzgerald, School of Medicine-Surgery: Pediatric General Surgery
  • Jenna Mueller, University of Maryland

/graduate Team Members

  • Natalie Rozman, Electrical/Computer Engg-MS, Electrical/Computer Engg-PHD
  • Siddhesh Zadey, Global Health - MSc

/undergraduate Team Members

  • Vignesh Alagappan, Economics (BS)
  • Arushi Biswas, Biomedical Engineering (BSE), Global Health (AB2)
  • John Boom, Biomedical Engineering (BSE), Chemistry (AB2)
  • Yi Chen, Electrical & Computer Egr(BSE), Computer Science (BSE2)
  • Reed Chen, Biomedical Engineering (BSE)
  • Aarzu Gupta
  • Pierce Hollier, Neuroscience (BS)
  • Sarah Hubner, Political Science (AB), Global Health (AB2)
  • Khue Huynh, Biomedical Engineering (BSE)
  • Bailey Knight, Biology (BS), Global Health (AB2)
  • Shreyas Kulkarni, Computer Science (BS)
  • Caroline Maloney, Biology (BS)
  • Jamila Otieno
  • Ria Thimmaiahgari, Biomedical Engineering (BSE), Computer Science (BS2)
  • Matthew Wang, Biomedical Engineering (BSE)

/yfaculty/staff Team Members

  • Charles Geddie, School of Medicine-Neurosurgery
  • Harold Leraas, School of Medicine-Surgery
  • Amos Loh Hong Pheng, Duke-NUS Medical School

/zcommunity Team Members

  • Kids OR
  • Julius Mugaga, Makerere University - Kampala
  • John Sekabira, Mulago Hospital, Uganda
  • Khushboo Shah, Kenan Institute for Ethics
  • Robert Ssekitoleko, Makerere University-Kampala