March 16, 2023
(C) Copyright 2021 2
Disposable & Portable
Scope to peek inside
abdomen
using local anesthesia
Dr Adarsh M Patil

PROBLEM
Surgery is required to peek inside
abdomen
Diagnostic Laparoscopy Or Laparotomy
• Hospital Admission, Anesthesia &
Surgery
• Painful, Inconvenient ,Expensive

SOLUTION
Scope to peek inside abdomen
using local anesthesia
• Ambulatory Procedure
• Local Anesthesia
• Painless
• Convenient
• Cost-effective

POTENTIAL APPLICATIONS
Onco
• Peritoneal Secondaries
• Staging
Gastro
• Tuberculosis of abdomen Adhesions
• Chronic abdominal pain of unknown
origin
Critical Care
• Patients in ICU – Not Fit for surgery or
shifted to imaging
Trauma & Military & Rural
• Blunt abdominal injury – Penetrating
Injury – Blast Injury
Sequential monitoring
• Postoperative bleeding or anastomotic
leak
Procedures
• Liver Biopsy , Adhesiolysis, etc
• Future
• Local Chemo & Radiotherapy

SUPPORTING STUDY
Peritoneoscopy for surgeons*- Prof UDWADIA
Annals of the Royal College of Surgeons of England (1986)
14 years and over 2,500 peritoneoscopy in a Surgical Unit,
Peritoneoscopy has its greatest value in the diagnosis of liver pathology,
in ascites, jaundice, malignancy and tuberculosis especially if non-
invasive scanning techniques are not available.
Surgeons will be gratified to find the extent to which the PeritoneoScope can
help arrive at an early histological diagnosis, plan surgery, reduce morbidity by
avoiding unnecessary surgery and shorten hospitalization.

SUPPORTING STUDY
• Bedside diagnostic laparoscopy to diagnose intraabdominal pathology in the
intensive care unit – Prof Adriano Peris -2008
• Intensive Care Unit University of Florence Italy
• 30 patients
• Bedside diagnostic laparoscopy represents a safe and accurate technique for
diagnosing intraabdominal pathology in an ICU setting and should be taken
into consideration when patient transfer to radiology or the operating room
is considered unsafe, or when routine radiological examinations are not
conclusive enough to reach a definite diagnosis

IS ATMOSPHERIC AIR IN ABDOMEN SAFE ?
Preoperative Progressive
Pneumoperitoneum
(PPP) is a technique well described for the
repair of giant ventral and incisional hernias
with loss of domain allowing for gradual
enlargement of the abdominal cavity

COMPARISON.
CT, MRI, USG, PET Scan Peritoneoscope
Single dimension view, 2-dimensional view
Black & White & Static Colour & Live Feed
No Biopsy Biopsy Forceps
Does Not differentiate between Pus, blood, or Ascitic Fluid Can differentiate between Pus, blood or Ascitic Fluid
Does not pick up micro disease Can pick up micro disease
Early anastomotic leak cannot be identified Can be identified
investment and maintenance. Cost effective, portable, Disposable
May require contrast Does not require contrast
Fixed patient has to be brought to the machine, Bedside
Risk of Radiation No Radiation

SAFETY OF THE DEVICE
• Port is FDA cleared- Used routinely
• Camera FDA Approved – Used in
disposable scopes

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Founder
Surgeon
• Laparoscopic & Bariatric Surgeon
• 15 Years experience with Scopes
• Entrepreneur
• Inventor
Dr Adarsh M Patil MD
TEAM
Co Founder
Hrishikesh Gadagkar
Engineer
• 30 Years of MedTech
experience
• Product development
• Regulatory Landscape

March 16, 2023
(C) Copyright 2021 12
THANK YOU
www. Oui-Medical.com
ap@oui-medical.com
Paradigm shift in Endoscopy