Taking endoscopy into new regions

Corporate Citizenship

Envisionier is dedicated to helping clinicians around the world improve the care that they provide to their patients through the delivery of innovative and high quality palmable imaging technologies. We reflect our commitment through our support of charitable medical missions in the US and around the globe. Envisionier will seek to bring high quality endoscopic imaging technologies to regions that would otherwise not have access to this technology due to remote location, poverty, or social condition.

"The Endogo is convenient in its portability and has provided me with a simple method of evaluating patients on cleft missions. The images obtained with the Endogo are excellent and allow me to obtain information that is immediately useable in determining the need and type of secondary surgery necessary for improvement of velopharyngeal function."

Alice
Operation Smile

Here's a story of a patient we found your scope useful for. I am proficient in fiberoptic intubations, but without the Endogo scope camera, I can't really teach anyone else too easily or show them what I'm doing. Right now, my wife who is family practice doctor, is doing all the anesthesia for my cases and I want her to learn. So she's been a recipient of its' benefits each time we do a fiberoptic intubation, but as you can see in the photo, my African anesthetist, Fousseyni, can now learn basic anatomy and can see what we are looking at finally. (He often wonders what we do and why we do it). The other day after intubating a patient for surgery, I listened with a stethoscope, as usual, to the lungs to be sure each side was ventilating well. After weeks of doing this at the start or each surgery, Fousseyni finally asked me, "what are you listening for all the time?" I forget what's intuitive for us is often not for them and our level of training is far beyond theirs. So, he probably wondered what the vocal cords look like 'til we used the Endogo scope last month!

This patient's name is Souleyman and he came all the way from Niger (about two counties away, 30 hours in a bus). He was in a car accident and in the passenger seat and somehow avulsed his upper lip, nose and upper anterior jaw and broke his leg. It was a 'bush taxi' where there's lots of other folks (probaby about 6-8 or more) in one car and he was the only survivor. So he came to us about 2 months ago and we stretched his lower lips up and around to make an upper lip and then we did a second stage to make his tiny mouth larger and remake his missing hemi-nose. We also fixed a broken cheekbone and fixed his tear duct. Of course, trying to get the breathing tube in (intubation) was impossible after the first surgery since his mouth was so tiny, so your camera on my scope was a God-send. Thanks! Otherwise, he'd have had to do a tracheostomy in his neck.

The last pic is from today, when he's finally done and healed, but wanted to let you know what I first got to use your scope on. Sorry it's been so long, but everything moves slow here in Africa. It's hard to be an American and work here.

Dr. Timothy S. Bartholomew
Oral Maxillofacial and Craniofacial Surgery
Koutiala Women and Kids Hospital
BP 19
Koutiala, Mali
W. Africa

Come see us at…

AAO-HNSF Annual Meeting
9-12 September, 2012
Washington, DC