EQUIPMENT GUIDE

In the US, endoscopy equipment represents a significant capital expense for tower systems, scopes, and ongoing repairs. From our experience in deploying and servicing endoscopy systems, we've identified a few key takeaways. The sweet spot for value lies with either an Olympus CV 160 or CV 180 processor. Older models are not worth maintaining due to inefficiency, and the newer CV 190, while advanced, incurs tremendous costs for both the tower system and the scopes. Using a CV 180 processor, for instance, allows compatibility with lower version scopes, which is useful when only the scopes are available.

 

At Giving Tree, we've developed a unique system that enables easy procedural recording for resident learners and allows remote broadcasting of the processor live feed. This feature enables supporting missionary doctors in the US to observe and provide guidance and teaching, even from across the world.

Our second recommendation is the Pentax EP K 1000 or E PKI systems. These processors are relatively lower in cost, both for the scopes and the processor. However, despite the lower initial cost, if long-term maintenance becomes burdensome, switching to Olympus might be more cost-effective due to the availability of parts and easier in-house servicing.

 

The longevity of these systems in overseas mission hospitals depends significantly on how well the staff cleans and processes the scopes. In some austere conditions, physicians have managed to keep their equipment operational for nearly a decade with meticulous cleaning. Conversely, other mission hospitals experience frequent breakdowns. With careful manual hand processing, it is possible to extend the lifespan of the scopes. Therefore, we always include a training course and reference videos on how to properly process the scopes.

The CV 190 is the most common endoscopy system in the US today. However, for most mission hospitals, the cost of including CV 190 scopes is prohibitive. The scopes alone can range from $8,000 to $16,000 each, compared to replacement scopes for a CV 180 system at about a third of the cost. Additionally, the processors themselves can be double or triple the price of the CV 180.

 

By carefully selecting the right equipment and providing proper training, we aim to ensure the longevity and effectiveness of endoscopy systems in mission hospitals, balancing cost and performance for the best outcomes.