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Session:: ePosters-Mon330-M4: Other Neoplasia and Endoscopy

EP1053 - Status of Robotic and Manual Devices for Advanced Colonoscopy: Current Status, Trends, and Clinical Applications

Monday, May 11, 2026
4:46 PM - 4:51 PM ET

    ePoster Presenter(s)

  • Saleh Busbait

    Colorectal Surgery Fellow
    Henry Ford Providence Hospital
    Southfield, MI, United States

    All disclosed relationships have been reviewed and managed prior to the start of this activity. Any relevant relationships will be listed below. This individual has no financial relationships to disclose

    View ePoster

    • Author(s)

  • SA

    Shayan Assaie-Ardakany, MD

    Resident
    Henry Ford Providence Hospital
    Southfield, Michigan, United States

    Disclosure information not submitted.

  • Koby Herman, MD

    Fellow
    Henry Ford Providence Hospital
    Henry Ford Providence Hospital
    Ferndale, MI, United States

    Disclosure information not submitted.

    • Senior Author(s)

  • Jasneet S. Bhullar, MD, MS, FACS, FASCRS.

    Clinical Associate Professor of Surgery MSU/CHM, Program Director Colorectal Surgery Fellowship MSU
    Henry Ford Health
    Henry Ford- MSU Colorectal Surgery Fellowship, MI
    Rochester Hills, Michigan, United States

    All disclosed relationships have been reviewed and managed prior to the start of this activity. Any relevant relationships will be listed below. This individual has no relevant financial relationships.

    • Author(s)

  • GC

    Gautham Chitragari, MD

    Colorectal surgeon
    Cornerstone Medical Group/Henry Ford Health
    Rochester Hills, Michigan, United States

    Disclosure information not submitted.

  • VM

    Vijay k. Mittal, MD

    Hepatobiliary surgeon
    Henry Ford Providence Hospital
    southfild, Michigan, United States

    Disclosure information not submitted.

Purpose/Background: The development of colonoscopy technology aims to enhance diagnostic accuracy while speeding up procedures, improving patient comfort and address the technical limitations of standard endoscopy. The latest technological advancements include robotic and manually assistive systems which provide better navigation, real-time feedback and automated capabilities.

Methods/Interventions: This review aims to evaluate and compare the current status of manual and robotic assistive devices in colonoscopy, including their underlying mechanisms, clinical performance, and adoption status. We conducted a literature review examining commercially available and investigational devices designed to enhance colonoscope navigation, reduce patient discomfort, and automate endoluminal procedures. Devices were classified into two groups: manual assistive systems (ScopeGuide, Third Eye Retroscope, NaviAid) and robotic platforms (Endotics, NeoGuide, Invendoscope, Aer-O-Scope). Clinical performance was assessed based on cecal intubation rates (CIR), adenoma detection rates (ADR), procedural times, and complication profiles

Results/Outcomes: The manual assistive systems showed gradual improvements in loop reduction, retroflexion and positional feedback with CIR ranging from 93% to 100% and variable ADR outcomes depending on operator training and use patterns. The robotic colonoscopes showed CIRs ranging from 82% to 98% and some platforms (Endotics, Aer-O-Scope) achieved reduced patient discomfort and minimal sedation use. Several devices have received FDA and CE clearances but their adoption remains limited because of their high costs and technical complexity and insufficient large-scale validation. The NeoGuide and Invendoscope SC20 represent early-generation systems which have been discontinued and other systems face ongoing challenges with adoption. The Endoo MFE platform achieved Phase 1 human trial success by showing safe unsedated magnetic navigation which brings AI-enhanced robotic colonoscopy closer to non-contact reality. In addition, ENDOROBOTICS has recently introduced a dual-function robotic gripper (ROBOPERA-TraCloser) for endoscopic submucosal dissection (ESD), demonstrating promising results in traction and defect closure and reflecting a growing trend toward multifunctional robotic tools in therapeutic colonoscopy.

Conclusion/Discussion: The integration of robotic and manual devices in colonoscopy shows promise as they may provide better ergonomics, reduced pain and potential quality metric improvements. The clinical adoption of these devices remains limited as they are not widely available, expensive and have unclear training pathways. The future development should concentrate on real-world usability, device standardization, and head-to-head comparative trials to validate clinical value.

Advanced Colonoscopy Platform Comparison