title: Feasibility of a Newly Developed Thumb Control Device for Simultaneous Manipulation of the Endoscope and Treatment Devices in Endoscopic Submucosal Dissection: A Clinical Feasibility Study.
abstract: OBJECTIVE
  We developed a new device for the simultaneous manipulation of an endoscope and treatment devices, which we named the Smart Shooter®. The aim of this study was to validate the feasibility of using the Smart Shooter® in endoscopic submucosal dissection (ESD).
  
  
  METHODS
  This pilot feasibility study conducted between March and June 2014 involved 20 consecutive patients who underwent ESD for superficial gastrointestinal neoplasia. The primary endpoint was a serious adverse event during the ESD procedure. The secondary endpoints were completion rate of ESD using the Smart Shooter® and a mechanical problem with the Smart Shooter® during ESD.
  
  
  RESULTS
  A total of 20 patients underwent ESD for 23 lesions: 5 pharyngeal, 8 esophageal, 7 gastric, and 3 colonic lesions. There were no serious adverse events or mechanical problems during ESD. The completion rate of ESD using the Smart Shooter® was 82.6% (19/23).
  
  
  CONCLUSIONS
  ESD using the Smart Shooter® appears to be technically feasible.
  
  
  BACKGROUND
  UMIN 000013710.
authors.affiliation: Department of Gastroenterology, Toranomon Hospital, Tokyo, Japan.
authors.forename: Daisuke
authors.initials: D
authors.lastname: Kikuchi
authors.forename: Toshiro
authors.initials: T
authors.lastname: Iizuka
authors.forename: Akihiro
authors.initials: A
authors.lastname: Yamada
authors.forename: Kosuke
authors.initials: K
authors.lastname: Nomura
authors.forename: Yasutaka
authors.initials: Y
authors.lastname: Kuribayashi
authors.forename: Ryusuke
authors.initials: R
authors.lastname: Kimura
authors.forename: Shu
authors.initials: S
authors.lastname: Hoteya
authors.forename: Mitsuru
authors.initials: M
authors.lastname: Kaise
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D020776:Endoscopes, Gastrointestinal; D000069916:Endoscopic Mucosal Resection / Q000009:adverse effects / Q000295:instrumentation*; D016099:Endoscopy, Gastrointestinal / Q000009:adverse effects / Q000295:instrumentation*; D005240:Feasibility Studies; D005260:Female; D005770:Gastrointestinal Neoplasms / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007564:Japan; D008297:Male; D008875:Middle Aged; D010865:Pilot Projects; D016896:Treatment Outcome