A novel bimanual endoluminal robotic platform compatible with standard gastroscopes for endoscopic submucosal dissection: preclinical feasibility and ergonomic evaluation - Report - MDSpire

A novel bimanual endoluminal robotic platform compatible with standard gastroscopes for endoscopic submucosal dissection: preclinical feasibility and ergonomic evaluation

  • By

  • Yung Lee

  • Ji Seok Park

  • Stephen Firkins

  • Sera Satoi

  • Vikash Fnu

  • Kyungran Justina Cho

  • Amit Bhatt

  • July 1, 2026

  • 0 min

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Clinical Report: An Innovative Bimanual Robotic System for Endoluminal Use

Overview

This study evaluates a novel endoluminal robotic platform designed to enhance endoscopic submucosal dissection (ESD) by providing bimanual articulation and counter-traction.

Background

Endoscopic submucosal dissection (ESD) is a critical technique for treating early gastrointestinal neoplasms, offering improved resection rates compared to traditional methods. However, its adoption is hindered by technical challenges and a steep learning curve, particularly in Western practices. The development of robotic systems aims to address these limitations by enhancing dexterity and ergonomics during ESD.

Data Highlights

No numerical data was provided in the source material.

Key Findings

  • The robotic platform allows for true bimanual coordination during ESD, improving tissue stabilization.
  • Operators can perform procedures while seated, enhancing ergonomic posture and precision.
  • The system includes a bipolar electrocautery knife and a grasper for effective dissection and traction.
  • Robotic assistance may reduce operator workload compared to conventional techniques.
  • The platform is designed to be compatible with standard gastroscopes, promoting scalability and clinical adoption.

Clinical Implications

The introduction of this robotic system may help reduce the technical barriers associated with ESD.

Conclusion

The novel robotic platform shows potential in enhancing the feasibility and safety of ESD.

Related Resources & Content

  1. Agilis Robotics, Surgical Endoscopy, 2023 -- An Innovative Bimanual Robotic System for Endoluminal Use
  2. Techniques in Coloproctology, 2024 -- Innovating Surgical Techniques: Utilizing Endorobotic Submucosal Dissection to Improve Patient Outcomes
  3. Surgical Endoscopy, 2023 -- A Universal Actuation Mechanism for Flexible Endoscopic Devices
  4. 2024 ESGE Guidelines -- Polypectomy/EMR Update
  5. 2025 ESGE/EHMSG/ESP Guidelines -- ESD for Superficial Gastric Lesions
  6. ASGE Guidelines, 2023 -- Endoscopic Submucosal Dissection for Early Esophageal and Gastric Cancers
  7. Creation of a Human-Machine Interface Tailored for Robot-Assisted Surgery in Laparoscopic Procedures
  8. 24045 1..30
  9. 25053 504..554
  10. American Society for Gastrointestinal Endoscopy guideline on endoscopic submucosal dissection for the management of early esophageal and gastric cancers: summary and recommendations
  11. Endoscopic submucosal dissection versus endoscopic mucosal resection for colorectal laterally spreading tumors (> 20 mm): a systematic review and meta-analysis | Techniques in Coloproctology | Springer Nature Link
  12. Local recurrence rates of horizontal margin-positive en bloc endoscopic submucosal dissection of colorectal neoplasia: a meta-analysis - ScienceDirect
  13. Outcomes of endoscopic submucosal dissection for superficial esophageal squamous neoplasms: a multicenter North American experience - Gastrointestinal Endoscopy
  14. 3415 1..10
  15. Hemoclip–suture–rubber band traction improves efficiency of colonic ESD: a randomized controlled trial | Techniques in Coloproctology | Springer Nature Link
  16. Prospective single-arm trial on feasibility and safety of an endoscopic robotic system for colonic endoscopic submucosal dissection - PMC

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