Respond conscientiously by adding new insight to
Respond conscientiously by adding new insight to the discussion below. Capsule Endoscopy An Internet of Bodies (IoB) is the connection of “the human body to a network through devices that are ingested, implanted, or connected to the body in some way and the data allows the body and device to be remotely monitored and controlled.” (Marr, 2021) There are several types of IoB devices that: connect to the home, fitness devices, wellness technology, smart hospital, and implantable or ingestible devices. It appears the future has become the present with the large number of IoB. (Klubnikin, 2022). The device I found is called the Capsule Endoscopy. The Capsule Endoscopy is a vitamin-size camera that allows a healthcare provider to take pictures of the digestive tract when a traditional Esophagogastroduodenoscopy (EGD) scope or Colonic scope is unable to visualize a portion of the digestive tract. (Mayo Clinic, 2021) A recent study that evaluates 911 patients was able to diagnose the source of obscure bleeding in 56% (506) of the patients in the small bowel, tumors, varices, ulcerations, and patients with or without lesions. (Akpunonu et al., 2022) Capsule endoscopy technology continues to evolute since its establishment in 1991 with an increase in the field of view from 140 degrees to 360 degrees and in the increase in the rate of pictures from two frames per second to 20 frames per second. (Richards & Irani, 2022) Additionally the device also can adjust the rate of the picture in relation to the speed the capsule moved through the digestive tract. Capsule endoscopy has both benefits and disadvantages to the use of the device’s technology. The benefits include verification of GI bleed, diagnosis of treated celiac disease, Crohn’s disease verification of the small bowel, and a patient with a history of polyposis (a heredity condition that causes an increase in the growth of polyps throughout the entire digestive tract). (Akpunonu et al., 2022) However, capsule endoscopy is not recommended for an initial Crohn’s disease diagnosis, as a replacement for a colonoscopy study, patients with a history of excessive diverticulum of the esophagus and colon, delayed stomach emptying, stricture in the digestive tract, or the present of implanted cardiac devices. Additionally, the most important step of the Capsule endoscopy is bowel preparation. An inadequate bowel preparation can result in a decreased visualization frpm intestinal debris, food, and air bubbles. I feel that there is a security and privacy risks because the capsule endoscopy camera turns on the moment the capsule is removed from the storage case. Since the camera turns on automatically, there is the potential for exposure of patient or healthcare member identity because depending on which way the capsule is pointed, it will result in a picture of the patient or healthcare provider. Currently, the Food and Drug Administration (FDA) has a Code of Federal Regulations for Gastroenterology and Urology Devices. (U.S. Food and Drug Administration, 2022) The FDA identifies, classifies, and determines the quality control steps to verify the device is functionally appropriate for each patient and each encounter. The data collection is at risk related to the digital format. For example, a majority of Capsule Endoscopy data is transmitted to a “reader” that is downloaded into the provided software. The information is stored on the hard drive of the computer designated for the Capsule Endoscopy, but the digital nature of the data does open the technology to the risk of data interception from the pill-cam to the “reader”, “reader” to software, and from the software to the internet. The Capsule Endoscopy risk of data interception appears to be a lower priority over the usage of the technology which allows healthcare providers to see areas on the digestive tract without the need for longer endoscopy scopes or sedation. Reference Akpunonu, B., Hummell, J., Akpunonu, J. D., & Ud Din, S. (2022). Capsule endoscopy in gastrointestinal disease: Evaluation, diagnosis, and treatment. Cleveland Clinic Journal of Medicine, 89(4), 200-211. https://doi.org/10.3949/ccjm.89a.20061Links to an external site. Klubnikin, A. (2022, September 8). What is the Internet of Bodies (IoB), and why should you care? Trending News. https://itrexgroup.com/blog/internet-of-bodies-iob-definition-benefits-examples/#:~:text=The%20Internet%20of%20Bodies%20%28IoB%29%20term%20was%20coined,exchange%20information%20over%20a%20wireless%20or%20hybrid%20network Links to an external site.. Marr, B. (2021, July 13). What Is The Internet Of Bodies? And How Is It Changing Our World? Bernard Marr. https://bernardmarr.com/what-is-the-internet-of-bodies-and-how-is-it-changing-our-world/Links to an external site. Mayo Clinic. (2021, September 18). Capsule endoscopy – Mayo Clinic. Mayo Clinic.org. https://www.mayoclinic.org/tests-procedures/capsule-endoscopy/about/pac-20393366Links to an external site. Richards, D., & Irani, M. (2022, March 9). Capsule Endoscopy: Past, Present, and Future. www.gastroendonews.com. https://www.gastroendonews.com/Review-Articles/Article/02-2022/Capsule-Endoscopy-Past-Present-and-Future/66056Links to an external site. U.S. Food and Drug Administration. (2022, July 20). CFR – Code of Federal Regulations Title 21. www.accessdata.fda.gov. https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfcfr/CFRSearch.cfm?CFRPart=876 SCIENCE HEALTH SCIENCE NURSING NSG 610
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