AU2021222045B2

AU2021222045B2 - Endoscopy band with visual indicator to assist placement

Info

Publication number: AU2021222045B2
Application number: AU2021222045A
Authority: AU
Inventors: James Hathorn
Original assignee: Colowrap LLC
Current assignee: Colowrap LLC
Priority date: 2020-02-19
Filing date: 2021-02-19
Publication date: 2025-09-25
Anticipated expiration: 2041-02-19
Also published as: AU2021222045A1; EP4106685A4; JP2023516915A; WO2021168335A1; EP4106685A1; JP7717081B2

Abstract

An endoscopy support apparatus that includes a primary wrap sized for placement around a subject's lower abdomen. At least one elastic strap extends from the primary wrap and is configured to extend across at least a portion of the primary wrap and to fasten to a third portion of the primary wrap to adjust the amount of pressure applied by the endoscopy support apparatus. The endoscopy support apparatus includes at least one visual indicator provided on the primary wrap or the at least one elastic strap that indicates placement of the endoscopy support apparatus relative to the subject or adjustment of the at least one elastic strap.

Description

Jan 2025

ENDOSCOPY BAND ENDOSCOPY BAND WITH WITH VISUAL VISUAL INDICATOR INDICATOR TOTO ASSISTPLACEMENT ASSIST PLACEMENT CROSS REFERENCETO CROSS REFERENCE TORELATED RELATED APPLICATIONS APPLICATIONS

[0001] ThisThis application claims the benefit of U.S. Provisional Application SerialSerial No. 2021222045 24

[0001] application claims the benefit of U.S. Provisional Application No.

62/978,797, entitled “Endoscopy 62/978,797, entitled BandWith "Endoscopy Band WithVisual VisualIndicator Indicatortoto Assist Assist Placement" Placement” and filed on February 19, 2020, the contents of which are expressly incorporated by and filed on February 19, 2020, the contents of which are expressly incorporated by 2021222045

reference herein in their entirety. reference herein in their entirety.

BACKGROUND BACKGROUND

[0002]

[0002] A A colonoscopy is an examination of the large intestine or colon through the use of a colonoscopy is an examination of the large intestine or colon through the use of a

colonoscope. A colonoscope is a flexible, tube-like inspection device having a camera colonoscope. A colonoscope is a flexible, tube-like inspection device having a camera

at at its its end. end. Colonoscopies Colonoscopies areare performed performed for afor a variety variety of medical of medical reasons reasons includingincluding

detection ofinflamed detection of inflamed tissue, tissue, ulcers, ulcers, abnormal abnormal growthsgrowths or and or polyps, polyps, and colorectal colorectal

cancer. Colonoscopy cancer. Colonoscopy is increasingly is increasingly used used as as a screening a screening tool tocolorectal tool to detect detect colorectal cancer. cancer.

[0003]

[0003] During aa colonoscopy, During colonoscopy,a acolonoscope colonoscopeisisinserted inserted into into aa patient's patient's rectum rectum and and then then

advanced to the advanced to the beginning beginning of of the the colon colon (an (an area area known asthe known as the cecum) cecum)ininorder ordertoto examine thelining examine the liningofofthe thelarge largeintestine. intestine. The efficiencyand The efficiency andaccuracy accuracyof of thisprocedure this procedure is is largely largely dependent onthe dependent on theease easewith withwhich which thethe colonoscope colonoscope can can be be advanced. advanced. During During

the procedure, the procedure, the the colon colonmay may become become over-distended over-distended or flopped or flopped in unnatural in unnatural

directions creating loops that hinder the advancement of the colonoscope and resulting directions creating loops that hinder the advancement of the colonoscope and resulting

in patient in patient discomfort, discomfort, longer longer examination examinationtimes, times,and andpotentially potentiallyinaccurate inaccurateoror incomplete screenings. incomplete screenings.

[0004]

[0004] Currently, thedifficulty Currently, the difficultyininadvancing advancingthe the scope scope is addressed is addressed by the by the application application of of manualpressure manual pressurebybya technician a technicianto to manually manually support support the the patient's patient's colon. colon. The The

application of application of manual pressure isis time-consuming manual pressure time-consumingandand varies varies depending depending on on the the particular technician’s strength, technique, endurance, and training. In order to apply particular technician's strength, technique, endurance, and training. In order to apply

differential pressure, the technician may roll the patient from the left side to a supine differential pressure, the technician may roll the patient from the left side to a supine

or to a prone position, which can be a difficult task with a sedated patient. The or to a prone position, which can be a difficult task with a sedated patient. The

application of manual pressure and movement of the patient in order to support the application of manual pressure and movement of the patient in order to support the

patient’s colon and advance the colonoscope during the procedure places a physical patient's colon and advance the colonoscope during the procedure places a physical

toll on the technician. toll on the technician.

Jan 2025

SUMMARY SUMMARY

[0005]

[0005] In aspect In an an aspect of of thethe disclosure,a amethod disclosure, methodandand apparatusforforapplying apparatus applyingpressure pressuretoto the the abdomen abdomen ofofa a patientisisprovided patient providedto toease ease thethe passage passage of endoscope of an an endoscope during during

2021222045 24 procedures used procedures used to to examine the bowels examine the including colonoscopy, bowels including sigmoidoscopy, and colonoscopy, sigmoidoscopy, and enteroscopy. Aspectspresented enteroscopy. Aspects presented herein herein exert exert both both broad, broad, uniform uniform lower abdominal lower abdominal

pressure as well as additional, location-specific pressure upon the sigmoid colon for pressure as well as additional, location-specific pressure upon the sigmoid colon for 2021222045

the purposes of preventing and reducing intestinal looping, eliminating the need for the purposes of preventing and reducing intestinal looping, eliminating the need for

the application the application of of manual manual pressure, pressure, improving improving patient patient safety, safety, comfort, comfort, and and satisfaction, and satisfaction, preventing musculoskeletal and preventing musculoskeletalinjury injuryto to endoscopy endoscopy healthcare healthcare

providers. providers.

[0006]

[0006] Aspects include Aspects include aaprimary primarywrap wrap sized sized forfor placement placement around around a subject’s a subject's lowerlower

abdomenand abdomen andatatleast leastone onesecondary secondarystrap strapextending extendingfrom from thethe primary primary wrap wrap and and configured to extend across at least a portion of the primary wrap and to fasten to a configured to extend across at least a portion of the primary wrap and to fasten to a

third portion of the primary wrap to adjust the amount of pressure applied by the third portion of the primary wrap to adjust the amount of pressure applied by the

endoscopy support apparatus. A visual guide is provided on the primary wrap and/or endoscopy support apparatus. A visual guide is provided on the primary wrap and/or

the at least one secondary strap to provide visual assistance to the technician in the at least one secondary strap to provide visual assistance to the technician in

properly placing properly placing the the device device on on aa patient patient and adjusting focused and adjusting focused support using the support using the secondary strap. secondary strap.

[0007]

[0007] According According to a to a first first aspect, aspect, there there is provided is provided an endoscopy an endoscopy support support apparatus, apparatus,

comprising a primary wrap comprising a band of elastic material sized for placement comprising a primary wrap comprising a band of elastic material sized for placement

around a lower abdomen of a subject, a closing mechanism provided at an end of the around a lower abdomen of a subject, a closing mechanism provided at an end of the

primary wrap primary wraptotosecure securethe theprimary primarywrap wrap around around an abdomen an abdomen ofsubject of the the subject by by removably attaching the end of the primary wrap to a second portion of the primary removably attaching the end of the primary wrap to a second portion of the primary

wrap, at least one elastic strap having a first end fixed to the primary wrap and a wrap, at least one elastic strap having a first end fixed to the primary wrap and a

second endcomprising second end comprising a coupling a coupling mechanism mechanism for removably for removably coupling coupling the secondthe endsecond end

to the primary wrap, wherein the at least one elastic strap is configured to extend in a to the primary wrap, wherein the at least one elastic strap is configured to extend in a

left left to to right rightdirection direction across across a a front front abdomen portion abdomen portion of of thethe primary primary wrapwrap in order in order to to exert an additional targeted force to a portion of the abdomen of the subject, and at exert an additional targeted force to a portion of the abdomen of the subject, and at

least least one visualindicator one visual indicatorprovided provided on the on the at least at least one one elastic elastic strapstrap that that indicates indicates a a direction of adjustment of the at least one elastic strap for targeted compression, direction of adjustment of the at least one elastic strap for targeted compression,

wherein the at least one visual indicator includes a sigmoid text label and a first arrow wherein the at least one visual indicator includes a sigmoid text label and a first arrow

indicating indicating aa first first direction direction to to apply apply the the targeted compression targeted compression to to a sigmoid a sigmoid region, region, and and

aa transverse text label transverse text label and anda asecond second arrow arrow indicating indicating a second a second direction direction to apply to apply the the

2 targeted compression to a transverse colon region, the first direction being different targeted compression to a transverse colon region, the first direction being different than the second direction. than the second direction. 2021222045 24 Jan

[0008]

[0008] According to a second aspect, there is provided a method for applying pressure to an According to a second aspect, there is provided a method for applying pressure to an

abdomen abdomen of of a patient a patient to to apply apply constant constant pressure pressure and support and support to the to the abdomen abdomen during during advancement ofan advancement of an endoscope endoscopeduring duringananendoscopy, endoscopy,comprising comprisingwrapping wrappinga aprimary primary wrap about wrap aboutthe the abdomen abdomenof of thethe patientbetween patient between a hiplevel a hip leveland andumbilicus umbilicus of of the the 2021222045

patient, securing the primary wrap by attaching a first end of the primary wrap to a patient, securing the primary wrap by attaching a first end of the primary wrap to a

second portion of second portion of the the primary primarywrap wrapafter afterwrapping wrappingthethe primary primary wrap wrap about about the the

abdomen abdomen ofofthe thepatient, patient, and adjusting compression and adjusting applied to compression applied to the the abdomen abdomen ofofthe the patient by pulling at least one strap extending from the primary wrap across at least a patient by pulling at least one strap extending from the primary wrap across at least a

portion of the primary wrap and to fasten the at least one strap to a third portion of the portion of the primary wrap and to fasten the at least one strap to a third portion of the

primary wrap, using at least one visual indicator provided on the at least one strap to primary wrap, using at least one visual indicator provided on the at least one strap to

adjust adjust the the compression applied compression applied by by thethe at at leastone least one strap,wherein strap, whereinthethe at at leastone least one visual visual

indicator includesaasigmoid indicator includes sigmoid textlabel text labelandand a firstarrow a first arrow indicating indicating a firstdirection a first direction to to

apply targetedcompression apply targeted compression to a to a sigmoid sigmoid region,region, and a transverse and a transverse text text label andlabel a and a second arrow second arrow indicating indicating a second a second direction direction to apply to apply the targeted the targeted compression compression to a to a transverse colon region, the first direction being different than the second direction. transverse colon region, the first direction being different than the second direction.

[0009]

[0009] Additional advantages and novel features of aspects of the present invention will be Additional advantages and novel features of aspects of the present invention will be

set set forth forth in in part partin inthe thedescription description that thatfollows, follows, and and in in part part will willbecome more become more apparent apparent

to those skilled in the art upon examination of the following or upon learning by to those skilled in the art upon examination of the following or upon learning by

practice thereof. practice thereof.

BRIEF DESCRIPTION BRIEF DESCRIPTION OF OF THE THE DRAWINGS DRAWINGS

[0010]

[0010] FIG. 1A FIG. 1Aisisa aschematic schematicview view of of a colon a colon withwith an endoscope an endoscope (also (also known known as a as a colonoscope forcolonoscopy colonoscope for colonoscopy procedures) procedures) partially partially inserted inserted therein. therein.

[0011]

[0011] FIG. 1B is a schematic view of a colon in which a sigmoid loop has developed due to FIG. 1B is a schematic view of a colon in which a sigmoid loop has developed due to

an attempt to advance the endoscope against an unsupported colon wall; an attempt to advance the endoscope against an unsupported colon wall;

[0012]

[0012] FIG. 1C is a schematic view of a colon showing the application of manual pressure to FIG. 1C is a schematic view of a colon showing the application of manual pressure to

the colon to facilitate insertion of an endoscope. the colon to facilitate insertion of an endoscope.

[0013]

[0013] FIG. FIG. 2 2isisanan illustrationofofan an illustration unfastened unfastened endoscopy endoscopy bandwith band device device with an elastic an elastic

secondary strap capable of retaining tension and exerting directed force to the colon, secondary strap capable of retaining tension and exerting directed force to the colon,

including thesigmoid, including the sigmoid, traverse, traverse, and and cecalcecal regions, regions, stretched stretched and fastened and fastened to the to the primary wrap. primary wrap. 3

[0014]

[0014] FIG. 3 is a perspective view of the endoscopy band device depicted in Fig. 2 as it FIG. 3 is a perspective view of the endoscopy band device depicted in Fig. 2 as it

appears when applied to a patient, in accordance with aspects of the present invention. appears when applied to a patient, in accordance with aspects of the present invention.

[0015] FIG. FIG. 44 illustrates illustrates a amethod of use use of of an an endoscopy endoscopyband banddevice device with an an elastic 2021222045 24 Jan

[0015] method of with elastic

secondary strap capable secondary strap capable ofof retaining retaining tension tension and andexerting exerting directed directed force force for for an an endoscopyprocedure. endoscopy procedure.

[0016]

[0016] FIG. 55 is FIG. is an an illustration illustration of of aa portion portion of of an an endoscopy bandshowing endoscopy band showing a tapered a tapered 2021222045

secondary strap. secondary strap.

[0017]

[0017] FIG. FIG. 66 illustrates illustrates aa portion portion of of an an endoscopy band endoscopy band including including visual visual guides guides for for adjusting adjusting

directional force with directional force withthe thesecondary secondary strap. strap.

[0018]

[0018] FIG. FIG. 77 illustrates illustrates an an interior interiorofofan an endoscopy band including endoscopy band includingvisual visual guides guidesfor for placement of the band on a patient. placement of the band on a patient.

[0019]

[0019] FIG. FIG. 88illustrates illustrates ananendoscopy endoscopybandband having having multiple multiple secondary secondary straps straps with with visual visual

guides for adjusting guides for adjustingdirectional directionalforce forcewith withthethesecondary secondary straps. straps.

[0020]

[0020] FIG. 9 is a flowchart of an example method of use of an endoscopy band as described FIG. 9 is a flowchart of an example method of use of an endoscopy band as described

herein. herein.

[0021]

[0021] FIG. 10 illustrates an endoscopy band having multiple secondary straps with visual FIG. 10 illustrates an endoscopy band having multiple secondary straps with visual

guides for adjusting directional force with the secondary straps. guides for adjusting directional force with the secondary straps.

[0022]

[0022] FIG. 11 illustrates an endoscopy band having multiple secondary straps with visual FIG. 11 illustrates an endoscopy band having multiple secondary straps with visual

[0023]

[0023] FIG. 12 illustrates an endoscopy band having multiple secondary straps with visual FIG. 12 illustrates an endoscopy band having multiple secondary straps with visual

DETAILED DESCRIPTION DETAILED DESCRIPTION

[0024]

[0024] The detailed description set forth below in connection with the appended drawings is The detailed description set forth below in connection with the appended drawings is

intended asaa description intended as descriptionofofvarious variousconfigurations configurationsandand is is notnot intended intended to to represent represent the the

only configurations in which the concepts described herein may be practiced. The only configurations in which the concepts described herein may be practiced. The

detailed description includes specific details for the purpose of providing a thorough detailed description includes specific details for the purpose of providing a thorough

understanding of various concepts. However, it will be apparent to those skilled in understanding of various concepts. However, it will be apparent to those skilled in

the art that these concepts may be practiced without these specific details. the art that these concepts may be practiced without these specific details.

[0025]

[0025] Aspects presented herein comprise a primary abdominal wrap that is secured around Aspects presented herein comprise a primary abdominal wrap that is secured around

the lower abdomen of the patient and a secondary strap that provides directed force the lower abdomen of the patient and a secondary strap that provides directed force

and support to the sigmoid colon. When the device is securely fastened, the secondary and support to the sigmoid colon. When the device is securely fastened, the secondary

strap may be adjusted to serve as a focused support or ‘splint’ for the sigmoid colon. strap may be adjusted to serve as a focused support or 'splint' for the sigmoid colon.

4

The apparatus further includes visual guides or indicators that provide visual reference The apparatus further includes visual guides or indicators that provide visual reference

marks and guidance for placing the apparatus on a patient and/or for adjusting directed marks and guidance for placing the apparatus on a patient and/or for adjusting directed

force usingthe thesecondary secondary strap. 2021222045 24 Jan

force using strap.

[0026]

[0026] FIGs. 1A-1C, FIGs. 1A-1C,illustrate illustrate aa sequence sequenceofofsteps stepsofofa colonoscopy. a colonoscopy. In FIG. In FIG. 1A, a1A, a colonoscope 2 isinserted colonoscope 2 is insertedinto intothe thepatient's patient’srectum rectumandand advanced advanced forward forward through through the the length of length of the the colon. As the colon. As the operator operator passes passes the the colonoscope through the colonoscope through the sigmoid sigmoid 2021222045

region of region of the the colon colon 4, 4,the thecolonoscope colonoscopemay may become impingedand become impinged andcause causedistention distention and looping of the anatomy, as shown in FIG. 1B. The distention causes discomfort and looping of the anatomy, as shown in FIG. 1B. The distention causes discomfort

to the patient and increases the time required for the colonoscopy. In order to reduce to the patient and increases the time required for the colonoscopy. In order to reduce

the distended or looped area, a technician may apply manual pressure to abdomen of the distended or looped area, a technician may apply manual pressure to abdomen of

the patient. Among other examples, the technician may be a nurse, assistant, or other the patient. Among other examples, the technician may be a nurse, assistant, or other

staff member. staff Forexample, member. For example, thethe pressuremaymay pressure be applied be applied bynurse by a a nurse or surgical or surgical

assistant assistant as as shown shown ininFIG. FIG.1C.1C.

[0027]

[0027] The application of manual pressure is time-consuming and places a physical toll on The application of manual pressure is time-consuming and places a physical toll on

the technician. The effectiveness of the manual pressure varies depending on the the technician. The effectiveness of the manual pressure varies depending on the

particular technician’s strength, technique, endurance, and training. In order to apply particular technician's strength, technique, endurance, and training. In order to apply

or to aa prone or to proneposition, position,which which can can be a be a difficult difficult task awith task with a sedated sedated patient. patient. The The application of manual pressure and movement of the patient in order to support the application of manual pressure and movement of the patient in order to support the

patient’s colon and advance the colonoscope during the procedure places may even patient's colon and advance the colonoscope during the procedure places may even

lead to injury lead to injury of of the the technician. technician.

[0028]

[0028] Many patients undergo colonoscopy while placed in the left lateral decubitus position Many patients undergo colonoscopy while placed in the left lateral decubitus position

on the stretcher or operating table. Additional information about the use of such on the stretcher or operating table. Additional information about the use of such

manual pressure can be found in Prechel JA, Hucke R. Safe and effective abdominal manual pressure can be found in Prechel JA, Hucke R. Safe and effective abdominal

pressure during pressure colonoscopy: forearm during colonoscopy: forearmversus versusopen openhand hand technique.Gastroenterol technique. Gastroenterol Nurs 2009;32:27-30; quiz 31-2, the entire contents of which are incorporated herein Nurs 2009;32:27-30; quiz 31-2, the entire contents of which are incorporated herein

by reference. In applying manual pressure, the technician may reach over the patient by reference. In applying manual pressure, the technician may reach over the patient

from theopposite from the opposite side side of the of the table table and and to deploy to deploy pressure pressure by their by placing placing their hands hands

against the against the patient's patient’s sigmoid sigmoid colon colonandand then then leaning leaning backwards, backwards, usingusing their their bodyweight for leverage to exert force. While these methods are generally effective bodyweight for leverage to exert force. While these methods are generally effective

at generating pressure, they have also been identified as a causative factor for the high at generating pressure, they have also been identified as a causative factor for the high

rate of rate of work-related work-related injuries injuries among amongendoscopy endoscopy nurses nurses and staff. and staff. Physicians Physicians

performing colonoscopy suffer work-related musculoskeletal injury at a particularly performing colonoscopy suffer work-related musculoskeletal injury at a particularly

high-rate as high-rate as well. Themost well. The mostfrequent frequentsite site ofof physician physician injury injury is is the the right right upper upper extremity which experiences peak torque forces when while operators are attempting extremity which experiences peak torque forces when while operators are attempting to advance the scope through (a looping) sigmoid colon. Additional details can be to advance the scope through (a looping) sigmoid colon. Additional details can be found in in Spanarkel Spanarkel M, M, Hathorn JP. Looping DuringColonoscopy: Colonoscopy:A AMajor, Major,Implied Implied 2021222045 24 Jan found Hathorn JP. Looping During

Cause of Injury Cause of Injury Among Endoscopy Among Endoscopy Healthcare Healthcare Providers Providers andand a Proposed a Proposed Solution, Solution,

2013, the entire contents of which are incorporated herein by reference. 2013, the entire contents of which are incorporated herein by reference.

[0029]

[0029] Aspects described herein may similarly be applied for other endoscopic procedures Aspects described herein may similarly be applied for other endoscopic procedures 2021222045

such as sigmoidoscopy and retrograde enteroscopy procedures. Sigmoidoscopy is an such as sigmoidoscopy and retrograde enteroscopy procedures. Sigmoidoscopy is an

examination of only the lower part of the colon, from the anus to the descending colon. examination of only the lower part of the colon, from the anus to the descending colon.

An endoscope An endoscopeis isinserted insertedinto intothe thelower lower part part of of thethe colon. colon. Enteroscopy Enteroscopy is is an an examination of examination of the the small small bowel. bowel.During Duringretrograde retrogradeenteroscopy, enteroscopy,ananendoscope endoscopeis is

inserted in the inserted in the anus anusand andpassed passed through through the colon the colon andcecum and the the cecum and intoand the into smallthe small

bowel. Successfully bowel. Successfully navigating navigatingthe theloop-prone loop-pronesigmoid sigmoid region region is necessary is necessary to to complete both sigmoidoscopy and retrograde enteroscopy and thus aspects described complete both sigmoidoscopy and retrograde enteroscopy and thus aspects described

herein can herein can bebeused usedto to help help facilitatecolonoscopy, facilitate colonoscopy, sigmoidoscopy, sigmoidoscopy, retrograde retrograde

enteroscopy, and other endoscopic procedures. enteroscopy, and other endoscopic procedures.

[0030]

[0030] FIG. 2 illustrates an example device including a primary elongated band or wrap 10 FIG. 2 illustrates an example device including a primary elongated band or wrap 10

of sufficient length of sufficient lengthfor forplacement placement around around aa patient's patient’s lower abdomen.A Aclosing lower abdomen. closing mechanism 12 may be provided at the end of the primary band to secure the device mechanism 12 may be provided at the end of the primary band to secure the device

around the around the patient patient so so that that it it provides provides the the desired desired amount of broad amount of broadsupport supportand and compression. A handle 14 may be sewn onto the exterior of one or both ends of the compression. A handle 14 may be sewn onto the exterior of one or both ends of the

primary wrap to assist in fastening and closure. FIG. 5 illustrates a portion of an primary wrap to assist in fastening and closure. FIG. 5 illustrates a portion of an

example wrap 10 having handles 502 provided at an end of the wrap 10. The handles example wrap 10 having handles 502 provided at an end of the wrap 10. The handles

maybebeused may usedbybythe thetechnician techniciantotostretch stretch the the wrap andapply wrap and applya adesired desired degree degreeofof compression when compression when fastening fastening the primary the primary wrap wrap 10 10 around around the patient. the patient.

[0031]

[0031] The primary The primary wrap wrap1010may may have have a circumferentiallength a circumferential lengthbetween betweenapproximately approximately1515 and 75 and 75 inches inches in in order order to to accommodate varyingabdominal accommodate varying abdominal girthsininpatients. girths patients. The The width of the primary wrap 10 may be between 6 and 10 inches, although variations width of the primary wrap 10 may be between 6 and 10 inches, although variations

having widths of between 3 and 20 inches may be used depending on the size of the having widths of between 3 and 20 inches may be used depending on the size of the

patient and to accommodate special circumstances such as an abdominal hernia or a patient and to accommodate special circumstances such as an abdominal hernia or a

large pannus. For example, the primary wrap may be configured to have a width that large pannus. For example, the primary wrap may be configured to have a width that

allows it to be fastened around the patient’s lower abdomen with the upper edge of allows it to be fastened around the patient's lower abdomen with the upper edge of

the wrap just below the umbilicus, or near the umbilicus, and the bottom edge of the the wrap just below the umbilicus, or near the umbilicus, and the bottom edge of the

wrap along or close to the pubic line. The width of the primary wrap may be selected wrap along or close to the pubic line. The width of the primary wrap may be selected

so as not to be so large that the upper edge conceals the umbilicus and additional areas so as not to be so large that the upper edge conceals the umbilicus and additional areas

6 of of the the abdomen abovethe abdomen above theumbilicus. umbilicus.This Thisconfiguration configuration may maybebemade made in in order order to to avoid pressure avoid pressure on on the the diaphragm diaphragmororstomach, stomach,as aspressure pressureonon thethe diaphragm diaphragm and and stomach during duringcolonoscopy colonoscopy cancan increase the the riskrisk of oxygen deprivation and 2021222045 24 Jan stomach increase of oxygen deprivation and aspiration events, respectively, due to the fact that the patient is generally sedated aspiration events, respectively, due to the fact that the patient is generally sedated during the during the procedure. procedure. The The primary primarywrap wrap1010 maymay comprise, comprise, entirely entirely or or in in part,a part, a flexible, bio-compatible flexible, bio-compatible foam, foam, rubber, rubber, neoprene, neoprene, polyester, polyester, nylon, nylon, non-woven or non-woven or 2021222045 woven fabric, mesh fabric, synthetic fabric, microfiber fabric, silicon or vinyl plastic, woven fabric, mesh fabric, synthetic fabric, microfiber fabric, silicon or vinyl plastic, or or any othermaterials any other materialsgenerally generallyknown known toused to be be used in medical in medical fabrics fabrics and goods. and goods. The The primary wrap primary wrap1010may maybebe composed composed of both of both elastic elastic and and inelasticmaterials. inelastic materials. InIn one one example, the primary wrap 10 may comprise multiple layers laminated together. For example, the primary wrap 10 may comprise multiple layers laminated together. For example, the example, the primary primary wrap wrap1010may may comprise comprise a neoprene a neoprene layer layer andand an an outer outer fabric fabric layer laminated on the neoprene layer. The fabric layer may enable the secondary layer laminated on the neoprene layer. The fabric layer may enable the secondary strap to be strap to be removably removably fastened fastened along along the length the length of theof the primary primary wrap andwrap and may also may also enable visualindicators enable visual indicatorstotobebeprinted printedonon the the fabric,such fabric, such as as a nylon a nylon looploop fabric. fabric. The The primary wrap may also comprise an inner layer laminated on the neoprene. The inner primary wrap may also comprise an inner layer laminated on the neoprene. The inner layer may comprise a fabric or other material that is selected for skin sensitivity. For layer may comprise a fabric or other material that is selected for skin sensitivity. For example, the inner layer may comprise a fabric or other material that is latex free, example, the inner layer may comprise a fabric or other material that is latex free, biocompatible, and/or skin sensitive. The inner layer may be the layer that is applied biocompatible, and/or skin sensitive. The inner layer may be the layer that is applied against the skin against the skin of of the thepatient. patient. InInsome some aspects, aspects, thethe primary primary wrapwrap may comprise may comprise 3D 3D spacer fabrics, which may provide compression, elasticity, cushioning, breathability, spacer fabrics, which may provide compression, elasticity, cushioning, breathability, air permeability, thermal insulation, temperature regulation, flexibility with resistance air permeability, thermal insulation, temperature regulation, flexibility with resistance to bending/rolling, good draping, adjustable vapor transport, good aging qualities, to bending/rolling, good draping, adjustable vapor transport, good aging qualities, surface andwash surface and wash resistance, resistance, sterilization sterilization capabilities, capabilities, and diverse and diverse surfacesurface design design capabilities. A 3D spacer fabric may comprise a manufactured textile structure in capabilities. A 3D spacer fabric may comprise a manufactured textile structure in which two fabric layers are connected by a layer of pile threads, which may be referred which two fabric layers are connected by a layer of pile threads, which may be referred to as pile yarns. to as pile yarns.

[0032]

[0032] The primary wrap may comprise two or more sections that vary in material type. In The primary wrap may comprise two or more sections that vary in material type. In

one example, a first set of one or more sections may be composed of a flexible, elastic one example, a first set of one or more sections may be composed of a flexible, elastic

or semi-elastic, medium-thickness, latex-free neoprene with thin polyester or nylon or semi-elastic, medium-thickness, latex-free neoprene with thin polyester or nylon

glued to its glued to its interior interior and and exterior exterior sides. sides. Among others,this Among others, thismaterial materialmaymay be capable be capable of of

providing broad, firm, yet comfortable support to the patient’s abdominal region. providing broad, firm, yet comfortable support to the patient's abdominal region.

Another set of one or more sections of the primary wrap 10 may comprise a relatively Another set of one or more sections of the primary wrap 10 may comprise a relatively

inelastic material, such as a woven fabric. The inelastic section may be provided at inelastic material, such as a woven fabric. The inelastic section may be provided at

the location into which or under which an insert is placed. Upon deployment of the the location into which or under which an insert is placed. Upon deployment of the

Jan 2025

device, the inelastic device, the inelastic section sectionmay maybe be positioned positioned in the in the patient’s patient's lower lower left left abdominal abdominal

quadrant, overthe quadrant, over thesigmoid sigmoid region. region.

[0033]

[0033] For the primary wrap to provide appropriate general compression and support, it may For the primary wrap to provide appropriate general compression and support, it may

2021222045 24 be important be important that that the the wrap wrap remain flat against remain flat againstthe thebody body when fastened around when fastened the around the

abdomen. This is notable because certain materials and designs have a tendency to abdomen. This is notable because certain materials and designs have a tendency to

roll-up when stretched or wrapped around the abdomen, particularly when the device roll-up when stretched or wrapped around the abdomen, particularly when the device 2021222045

is is being appliedtotopatients being applied patientswith witha alarge large pannus. pannus. To prevent To prevent roll-up roll-up from occurring, from occurring,

aspects of aspects the invention of the invention may mayinclude includereinforcements reinforcementstotoensure ensurethat thatthe theprimary primary abdominal wrap remains flat against the body when used in patients of varying body abdominal wrap remains flat against the body when used in patients of varying body

sizes. sizes. This This may may bebeaccomplished accomplished by application by the the application of serge of serge stitching stitching alongalong the edges the edges

of the primary abdominal band. of the primary abdominal band.

[0034]

[0034] The primary The primarywrap wrapmaymay alsoalso accommodate accommodate an insert an insert or attachment or attachment that provides that provides

specific supporttotoone specific support oneorormore more areas areas of of thethe colon colon including including the sigmoid, the sigmoid, transverse, transverse,

and cecal regions as well as the splenic and hepatic flexures. When the device is and cecal regions as well as the splenic and hepatic flexures. When the device is

securely fastened,the securely fastened, thesecondary secondary strap, strap, thethe insert,ororboth, insert, both, may may be pushed, be pushed, pulled, pulled, or or otherwise pressedinto otherwise pressed intothethebody body in ainmanner a manner that that serves serves to support to support or ‘splint’ or 'splint' one orone or

more areas of the colon including the sigmoid, transverse, and cecal regions as well more areas of the colon including the sigmoid, transverse, and cecal regions as well

as the splenic and hepatic flexures. Aspects described herein may be designed to as the splenic and hepatic flexures. Aspects described herein may be designed to

provide broad lower abdominal support, and additional direct force to one or more provide broad lower abdominal support, and additional direct force to one or more

areas of the areas of the colon colonincluding includingthethesigmoid, sigmoid, transverse, transverse, and and cecal cecal regions regions as well as well as the as the

splenic andhepatic splenic and hepaticflexures flexuresofofa apatient patientundergoing undergoing colonoscopy. colonoscopy.

[0035]

[0035] The primary The primary wrap wrap10 10 may maybebeplaced placedaround aroundthe the patient's patient’s lower lowerabdomen abdomen and and secured secured

using a closing mechanism 12 consisting of a strip of VELCRO® or hook material 13 using a closing mechanism 12 consisting of a strip of VELCRO® or hook material 13

placed on the interior of the wrap 10 close to the location of the handle 14 on the placed on the interior of the wrap 10 close to the location of the handle 14 on the

opposite side. This hook strip 13 may be fastened to the exterior side of the opposite opposite side. This hook strip 13 may be fastened to the exterior side of the opposite

end of the primary wrap 10. end of the primary wrap 10.

[0036]

[0036] The edges of the hook strip 13 might not extend to the edges of the primary wrap 10. The edges of the hook strip 13 might not extend to the edges of the primary wrap 10.

This construction This construction may be designed may be designedtoto minimize minimizethe thechance chancethat thatthe thehook hookstrip strip 13 13 comes into contact with the patient’s skin, or with the gloves of the nurse or assistant comes into contact with the patient's skin, or with the gloves of the nurse or assistant

deploying the device, as there is a small but known risk of VELCRO®, or a hook and deploying the device, as there is a small but known risk of VELCRO®, or a hook and

pile material, being capable of tearing medical gloves. pile material, being capable of tearing medical gloves.

[0037]

[0037] An additional feature designed to reduce the likelihood of patient and provider contact An additional feature designed to reduce the likelihood of patient and provider contact

with the hook material. In aspects incorporating this feature, prior to the device being with the hook material. In aspects incorporating this feature, prior to the device being

packaged, a thin layer of material may be applied to hook strips that are incorporated packaged, a thin layer of material may be applied to hook strips that are incorporated into the device. into the device. This Thislayer layermay may comprise, comprise, e.g.,e.g., paper, paper, plastic, plastic, fabric, fabric, silicon, silicon, or any or any other biocompatible other biocompatible material material typically typically used used in healthcare in healthcare products. products. Additionally, Additionally, the the layer may be lightly adhered to the hook strips so that it remains in place – until it is 2021222045 24 Jan layer may be lightly adhered to the hook strips so that it remains in place - until it is easily removed and disposed of by the end user just prior to the device’s application easily removed and disposed of by the end user just prior to the device's application on the patient. This feature may be helpful in use of a secondary strap 72, because it on the patient. This feature may be helpful in use of a secondary strap 72, because it may be helpful for the secondary strap 72 to remain unfastened until the primary wrap may be helpful for the secondary strap 72 to remain unfastened until the primary wrap 2021222045

10 is fastened 10 is andproperly fastened and properlypositioned. positioned. Having Having a layer a layer covering covering the strip the hook hook 75 strip on 75 on

the secondary strap 72 helps to ensure that the secondary strap will not be accidentally the secondary strap 72 helps to ensure that the secondary strap will not be accidentally

fastened while the user is securing the primary wrap 10 around the patient’s abdomen. fastened while the user is securing the primary wrap 10 around the patient's abdomen.

[0038]

[0038] The addition of one or more appendages on the exterior of the primary wrap facilitates The addition of one or more appendages on the exterior of the primary wrap facilitates

the application of additional directed force, e.g., without requiring adjustment of the the application of additional directed force, e.g., without requiring adjustment of the

primary wrap. The appendages may comprise one, or multiple, straps attached on one primary wrap. The appendages may comprise one, or multiple, straps attached on one

side to the edge or edges of non-elastic section. FIGs. 2-4 illustrate an example with side to the edge or edges of non-elastic section. FIGs. 2-4 illustrate an example with

a single secondary strap. FIG. 8 illustrates an example having multiple secondary a single secondary strap. FIG. 8 illustrates an example having multiple secondary

straps 72a, straps 72a, 72b. 72b. OnOn thethe unattached unattached endend of of these these straps,there straps, theremay maybebe a closing a closing

mechanism, e.g., 74a, 74b. The closing mechanism may include a handle or loop near mechanism, e.g., 74a, 74b. The closing mechanism may include a handle or loop near

the end of the strap, that may provide greater ease to a technician, or added security, the end of the strap, that may provide greater ease to a technician, or added security,

in pulling the elastic strap to apply targeted, additional compression. The straps 72a, in pulling the elastic strap to apply targeted, additional compression. The straps 72a,

72b may 72b may be be pulled pulled horizontally horizontally along along the exterior the exterior of primary of the the primary wrap, wrap, and fastened and fastened

using the closing mechanism securely enough to maintain tension. The one or more using the closing mechanism securely enough to maintain tension. The one or more

straps may comprise an elastic material that is configured to be stretched and fastened straps may comprise an elastic material that is configured to be stretched and fastened

to the primary wrap in order to apply targeted compression through elastic contraction to the primary wrap in order to apply targeted compression through elastic contraction

of the of the material. material. The Theamount amountof of targetedcompression targeted compression may may be adjusted be adjusted through through

adjustment adjustment ofofthe theposition positionatatwhich which theremovable the removable end end is coupled is coupled to primary to the the primary wrap, wrap,

such as through a Velcro fastener. In some examples, the straps may be secured to an such as through a Velcro fastener. In some examples, the straps may be secured to an

inelastic section of the primary wrap, and the tension generated by fastening these inelastic section of the primary wrap, and the tension generated by fastening these

straps may cause additional compression of the inelastic section and/or an insert straps may cause additional compression of the inelastic section and/or an insert

toward the body of the patient. toward the body of the patient.

[0039]

[0039] As depicted in FIG. 4, the secondary strap 72 may allow nurses and technicians to As depicted in FIG. 4, the secondary strap 72 may allow nurses and technicians to

easily adjust and readjust the force on a particular region of the patient’s abdomen, easily adjust and readjust the force on a particular region of the patient's abdomen,

such as the such as the sigmoid sigmoidcolon colonand/or and/orthe thetransverse transverse colon, colon, from fromthe thelocation locationininthe the procedure or operating room that these staff members typically occupy, relative to procedure or operating room that these staff members typically occupy, relative to

howpatients how patients are are often often positioned positionedduring duringan anendoscopy endoscopy procedure. Theendoscopy procedure. The endoscopy compression device compression device described described herein herein additionally additionally eliminates eliminates the for the need need fornurse the the nurse or or 9

2021222045 24 Jan 2025

assistant to provide assistant to providemanual manual abdominal abdominal compression, compression, thereby thereby reducing reducing their risk their of risk of musculoskeletal injury. musculoskeletal injury. Additional, Additional,manual manual compression compression may be applied may be applied along along with with

compression from the device. The device is designed to be quickly and easily removed compression from the device. The device is designed to be quickly and easily removed

should the need arise. should the need arise.

[0040]

[0040] The secondary strap 72 may be coupled, e.g., sewn, to a portion of the wrap that is The secondary strap 72 may be coupled, e.g., sewn, to a portion of the wrap that is

configured forplacement configured for placement over over a leftside a left sideofofthethepatient's patient’slower lower abdomen. abdomen. The portion The portion 2021222045

of of the the secondary strap7272that secondary strap thatisis coupled coupledtotothe theprimary primary wrap wrap may may be referred be referred to astothe as the secured endand secured end andmaymay be non-removably be non-removably coupledcoupled to the such to the strap, strap, as such sewn as or sewn formedor formed

as an extension of the primary wrap material. The strap can be configured to be pulled as an extension of the primary wrap material. The strap can be configured to be pulled

from left to from left to right, right, e.g., e.g.,totostretch stretchacross acrossthe thelower lower abdomen and/orleft abdomen and/or left lower lower abdominal quadrant from the left side of the patient’s body towards right side of the abdominal quadrant from the left side of the patient's body towards right side of the

patient’s body. This placement of the secondary strap 72 may enable the compression patient's body. This placement of the secondary strap 72 may enable the compression

to be easily adjusted as the patient lies on their left side during the procedure. As the to be easily adjusted as the patient lies on their left side during the procedure. As the

strap pulls strap pulls from from left left to toright rightacross acrossthe thelower lowerabdomen, additional leverage abdomen, additional leverage and and

compression may be generated by the patient’s body when the strap is in place. As compression may be generated by the patient's body when the strap is in place. As

the strap the strap stretches stretches from left to from left to right right cross cross the the patient’s patient'sabdomen, the level abdomen, the level of of compression generated compression generated by the by the device device can can easily easily be adjusted be adjusted during during the procedure, the procedure, e.g., e.g.,

while the patient is lying on their left side. while the patient is lying on their left side.

[0041]

[0041] In some aspects, the secured end of the strap 72 may be connected to the wrap 10 in In some aspects, the secured end of the strap 72 may be connected to the wrap 10 in

aa manner thatthe manner that thesecured securedendend of of thethe strap strap is is under under thethe patient patient during during a procedure. a procedure.

[0042]

[0042] As illustrated in FIGs. 2-4, the device may include a primary wrap 10, with a closing As illustrated in FIGs. 2-4, the device may include a primary wrap 10, with a closing

mechanism12, mechanism 12,and andatatleast least one onehandle handle1414totoassist assist in in fastening fastening the theprimary primary wrap wrap

around the patient’s lower abdomen. The device may also include a secondary strap around the patient's lower abdomen. The device may also include a secondary strap

72 attachedtotothe 72 attached theexterior exteriorside side7878ofofthe theprimary primary wrap wrap 10, 10, withwith a closing a closing mechanism mechanism

74 that allows 74 that the strap, allows the strap, e.g., e.g.,to tobe befastened fastened to to the theexterior exteriorside side78 78 of ofthe theprimary primary wrap wrap

10. In an 10. In anaspect, aspect,the theclosing closingmechanism mechanism74 of74 ofsecondary the the secondary strap strap 72 may 72 may comprise comprise

aa hook hookstrip strip7575onon thethe inside inside of of thethe secondary secondary strapstrap 72 is 72 that that is capable capable of fastening of fastening

anywhere alongthe anywhere along the exterior exterior side side 78 78 of of the the primary primary wrap 10. In wrap 10. In this this example, the example, the

exterior side 78 exterior side 78 of of the the primary primarywrap wrap 10 10 may may comprise comprise a hook-compatible a hook-compatible material material to to which the hook strip 75 can be fastened and remain fastened while the secondary strap which the hook strip 75 can be fastened and remain fastened while the secondary strap

is is stretched stretched and and under tension.The under tension. Thesecondary secondary strap strap 72 72 maymay be constructed be constructed of anof an elastic elastic

or semi-elastic or semi-elastic material material that that isis capable capableofofretaining retainingtension tensionwhen when stretched stretched

horizontally and fastened to the exterior side 78 of the primary wrap 10 using the horizontally and fastened to the exterior side 78 of the primary wrap 10 using the

closing mechanism closing 74. The mechanism 74. Thesecondary secondarystrap strap72 72may maycomprise comprise thesame the same or or different different

10

2021222045 24 Jan 2025

materials than the materials comprised in the primary wrap 10. The secondary strap materials than the materials comprised in the primary wrap 10. The secondary strap

72 maycomprise 72 may comprise one one or more or more layers layers of materials. of materials. In anIn an example, example, the secondary the secondary strap strap 72 maycomprise 72 may compriseananelastic elastic strap strap the the entire entire length lengthof ofwhich which equals equals approximately approximately

twice the intended length of the secondary strap 72. As illustrated, the secondary strap twice the intended length of the secondary strap 72. As illustrated, the secondary strap

may taper along a length of the strap 72. In the example in FIGs. 2-4, the elastic strap may taper along a length of the strap 72. In the example in FIGs. 2-4, the elastic strap

may be doubled-over, and both ends may be sewn to the exterior 78 of the primary may be doubled-over, and both ends may be sewn to the exterior 78 of the primary 2021222045

wrap 10 along the same vertical line 73, creating the horizontal ‘V’ appearance of the wrap 10 along the same vertical line 73, creating the horizontal 'V' appearance of the

secondary strap secondary strap 72. 72. Doubling-over the material Doubling-over the material composing the secondary composing the secondary strap strap can can

serve to increase serve to increase the the breadth breadth and force generated and force generated by by the the secondary secondarystrap, strap, while while preventing the incurrence of additional materials costs that would be associated with preventing the incurrence of additional materials costs that would be associated with

using a taller, single-layered strap instead. The midpoint of the secondary strap may using a taller, single-layered strap instead. The midpoint of the secondary strap may

be positioned approximately over the patient’s lower left quadrant once it is stretched be positioned approximately over the patient's lower left quadrant once it is stretched

and fastened. In other examples, such as shown in FIGs. 5, 6, and 8, the secondary and fastened. In other examples, such as shown in FIGs. 5, 6, and 8, the secondary

strap strap 72 maybebea aunitary 72 may unitarypiece piece having having at least at least oneone tapering tapering edge. edge.

[0043]

[0043] FIG. 66 illustrates FIG. illustrates ananexample example in in which which aa visual visual guide guide 60 60 may be provided may be providedononthe the secondary strap7272totoassist secondary strap assistadjustment adjustmentofof thetargeted the targetedcompression compression or splinting or splinting by the by the

secondary strap. A first indicator 62 may indicate the direction in which the secondary secondary strap. A first indicator 62 may indicate the direction in which the secondary

strap strap may be pulled may be pulled to to apply apply focused focusedcompression compressionononthethetransverse transversecolon. colon.TheThe indicator 62 may indicator 62 mayinclude include an an image, image, suchsuch as anasarrow, an arrow, showing showing the direction the direction in which in which

the secondary strap 72 is to be stretched, pulled, or moved in order to apply focused the secondary strap 72 is to be stretched, pulled, or moved in order to apply focused

pressure on the transverse colon. The indicator 62 may include text that identifies the pressure on the transverse colon. The indicator 62 may include text that identifies the

area of compression area of compression or that or that provides provides additional additional assistance assistance in applying in applying the focused the focused

pressure. In FIG. 6, the indicator 62 includes an arrow and the text “transverse” that pressure. In FIG. 6, the indicator 62 includes an arrow and the text "transverse" that

indicates in a simple manner to the technician the way in which the secondary strap indicates in a simple manner to the technician the way in which the secondary strap

is is to to stretched stretched across the abdomen across the abdomen of of thethe patient patient andand secured secured to primary to the the primary wrap 10 wrap 10

in in order to apply order to applyfocused focused pressure pressure to the to the transverse transverse colon. colon. More More than than one one indicator indicator

may be provided. For example, FIG. 6 illustrates a second indicator 64 indicating a may be provided. For example, FIG. 6 illustrates a second indicator 64 indicating a

different different direction directionininwhich which the the secondary secondary strap strap may be pulled may be pulled to to apply apply focused focused compression to the compression to the sigmoid sigmoid colon. colon. The Theindicator indicator 64 64may mayinclude includeananimage imageand/or and/or text, similar to the indicator 62. The indicators 62 and 64 in FIG. 6 is merely an text, similar to the indicator 62. The indicators 62 and 64 in FIG. 6 is merely an

example to illustrate the concept, and other images or text description may also be example to illustrate the concept, and other images or text description may also be

used. Although used. Althoughspecific specific examples exampleshave havebeen beenprovided providedfor forindicators indicators 62 62 and 64 for and 64 for adjustment adjustment ofof targeted targeted compression compression or splinting or splinting of theof the transverse transverse colonthe colon and/or and/or the sigmoid color, indicator(s) sigmoid color, indicator(s) may be provided may be providedthat that provide providea avisual visual image imageand/or and/or 11 description that assist in placing the secondary strap 72 to apply compression for other description that assist in placing the secondary strap 72 to apply compression for other areas involved in an endoscopy procedure, such as the splenic flexure, the hepatic areas involved in an endoscopy procedure, such as the splenic flexure, the hepatic flexure, etc. 2021222045 24 Jan flexure, etc.

[0044]

[0044] As described above, multiple secondary straps may be provided on the device. FIG. As described above, multiple secondary straps may be provided on the device. FIG.

88 illustrates illustrates an an example example onon which which the the indicators indicators 62 64 62 and andare64provided are provided on different on different

secondary straps. secondary straps. For For example, example,the thedevice devicemay mayinclude includetwotwo secondary secondary straps,asas straps, 2021222045

shown in FIG. 8. A first elastic strap 72 b may extend in the left to right direction from shown in FIG. 8. A first elastic strap 72 b may extend in the left to right direction from

the primary wrap for application of targeted compression to a first abdominal region the primary wrap for application of targeted compression to a first abdominal region

(e.g., (e.g., aa sigmoid region)ofofthe sigmoid region) thesubject. subject.A second A second elastic elastic strapstrap may extend may extend from the from the

primary wrap extending in the left to right direction for the application of targeted primary wrap extending in the left to right direction for the application of targeted

compression to compression to aa second secondabdominal abdominalregion regionofofthe thesubject. subject. The Theprimary primarywrap wrapmaymay include an upper edge for placement relative to an umbilical line of the subject (e.g., include an upper edge for placement relative to an umbilical line of the subject (e.g.,

such as shown at 172) and a lower edge for placement below the umbilical line of the such as shown at 172) and a lower edge for placement below the umbilical line of the

subject. The first elastic strap and the second elastic strap may extend from the subject. The first elastic strap and the second elastic strap may extend from the

primary wrap at a same position along the length of the primary wrap. For example, primary wrap at a same position along the length of the primary wrap. For example,

the two the two secondary straps may secondary straps be sewn may be sewn(or (or otherwise otherwise fastened fastened or or extending) extending) from from a a

same positionalong same position along a length a length of of thestrap. the strap.TheThe firststrap first strapmay may be be positioned positioned below below the the

second strap along a width of the primary wrap. For example, as shown in FIG. 8, the second strap along a width of the primary wrap. For example, as shown in FIG. 8, the

first first elastic elasticstrap strapmay may extend froma afirst extend from firstposition positionalong alonga awidth width of of thethe primary primary wrapwrap

and the second elastic strap may extend from a second position along the width of the and the second elastic strap may extend from a second position along the width of the

primary wrap, primary wrap, the the second secondposition positionbeing beingcloser closertotothe theupper upperedge edgethan than thethe first first

position. The use of multiple secondary straps enables a user to simultaneously apply position. The use of multiple secondary straps enables a user to simultaneously apply

targeted compression of different abdominal areas, e.g., different regions of a colon targeted compression of different abdominal areas, e.g., different regions of a colon

(such as the (such as the sigmoid sigmoid and/or and/or transverse transverse regions) regions) during during an an endoscopy endoscopyprocedure. procedure. Similarly, havingmultiple Similarly, having multiple secondary secondary straps straps enables enables an adjustment an adjustment of the targeted of the targeted

compression for compression for one one abdominal abdominalregion regionwhile whileretaining retaining the the targeted targeted compression of compression of

the other the other abdominal abdominalregion. region.ForFor example, example, the technician the technician may apply may apply targeted targeted

compression using the first and second strap. During an endoscopy procedure, the compression using the first and second strap. During an endoscopy procedure, the

technician may adjust the first strap without removing or readjusting the second strap. technician may adjust the first strap without removing or readjusting the second strap.

[0045]

[0045] FIG. 7 illustrates an example in which a visual guide or indication may be provided FIG. 7 illustrates an example in which a visual guide or indication may be provided

on the primary wrap 10 to assist in placement of the primary wrap on the patient. FIG. on the primary wrap 10 to assist in placement of the primary wrap on the patient. FIG.

77 illustrates illustratesaaportion portionof ofthe theprimary primary wrap 10ononaaside wrap 10 sidethat that is is configured for placement configured for placement against the patient, e.g., which may be referred to as an interior side of the wrap 10. against the patient, e.g., which may be referred to as an interior side of the wrap 10.

In FIG. 7, a first indicator 172 provides a visual indication to the technician that the In FIG. 7, a first indicator 172 provides a visual indication to the technician that the

12

2021222045 24 Jan 2025

correct placement correct placement of of the the device, device, to assist to assist with with an endoscopy an endoscopy procedure, procedure, includes includes

aligning the upper edge of the primary wrap 10 with an umbilical line of the patient. aligning the upper edge of the primary wrap 10 with an umbilical line of the patient.

The indicator 172 may include an image, such as one or more arrows that show the The indicator 172 may include an image, such as one or more arrows that show the

edge of the wrap 10 to be aligned with the umbilical line of the patient and/or may edge of the wrap 10 to be aligned with the umbilical line of the patient and/or may

include text describing the alignment to the technician. For example, in FIG. 7, the include text describing the alignment to the technician. For example, in FIG. 7, the

text indicates “Align upper edge with umbilical line.” The example indicator 172 in text indicates "Align upper edge with umbilical line." The example indicator 172 in 2021222045

FIG. 77 is FIG. is merely merely ananexample exampleto to illustrate the illustrate the concept, concept, and and other other images imagesorortext text description mayalso description may alsobebe used used to to provide provide guidance guidance aboutabout the placement the placement of the primary of the primary

wrap relative to the patient. FIG. 7 also illustrates an indicator 174 that provides wrap relative to the patient. FIG. 7 also illustrates an indicator 174 that provides

guidance for placement of the primary wrap 10 on the patient so that the secondary guidance for placement of the primary wrap 10 on the patient so that the secondary

strap is in strap is in aaposition positiontotoprovide provide the the targeted targeted compression compression to the colon, to the sigmoid sigmoid colon, transverse colon, etc. The indicator 174 may include an image, such as one or more transverse colon, etc. The indicator 174 may include an image, such as one or more

arrows thatshow arrows that showthetheportion portion of of the the wrap wrap 10 10 to aligned to be be aligned withwith a left a left hip hip of the of the patient patient

and/or may include text describing the alignment to the technician. For example, in and/or may include text describing the alignment to the technician. For example, in

FIG. 7, the text indicates “Green line on left hip.” The visual indicator may be used FIG. 7, the text indicates "Green line on left hip." The visual indicator may be used

in combination with a visual indication of the end of the secondary strap 172 that is in combination with a visual indication of the end of the secondary strap 172 that is

fixed to the fixed to the opposite side of opposite side of the the primary wrap10. primary wrap 10.AsAs illustratedininFIG. illustrated FIG.7,7,the thestitching stitching 176 that fixes 176 that fixes the the end end of of the the secondary strapmay secondary strap mayuseuse a a contrasting contrasting color color to to theprimary the primary wrap 10 so that the stitching provides a visual reference for the placement of that wrap 10 so that the stitching provides a visual reference for the placement of that

section ofthe section of theprimary primary wrapwrap relative relative toleft to the the hip leftofhip theof the patient. patient. The example The example

indicator 174ininFIG. indicator 174 FIG. 7 merely 7 is is merely an example an example to illustrate to illustrate the concept, the concept, and otherand other

images images orortext textdescription descriptionmay may also also be be used used to provide to provide guidance guidance about about the placement the placement

of the primary wrap relative to the patient. of the primary wrap relative to the patient.

[0046]

[0046] Mechanismsforforindicating Mechanisms indicatingstretch stretch and andcompression, compression,such such as as those those described described in in connection, may connection, beprovided may be providedsosothat that the the device device includes includes aa mechanism mechanismtotovisually visually indicate the magnitude indicate the magnitudeof of force force being being applied, applied, such such as theasmark the 80 mark 80 labeled labeled "Logo" “Logo”

which stretches and deforms when the secondary strap 72 is stretched and fastened. which stretches and deforms when the secondary strap 72 is stretched and fastened.

With this With this mechanism, mechanism,users usersmay may compare compare the the deformed deformed mark awith mark with a picture picture or or illustration included in the product instructions or packaging to determine that the illustration included in the product instructions or packaging to determine that the

device has been applied correctly. device has been applied correctly.

[0047]

[0047] FIG. 10 illustrates an additional view of a device 1000 including a primary wrap and FIG. 10 illustrates an additional view of a device 1000 including a primary wrap and

two elastic two elastic secondary straps 72a secondary straps 72a and and72b. 72b.FIG. FIG. 10 illustratesthat 10 illustrates thateach eachofofthethe secondary straps secondary straps 72a 72a and and 72b mayhave 72b may havea atapered taperedshape shapeand andmay may includea adouble include double elastic elastic layer, layer, folded overdesign, folded over design,similar similartotothethesingle single strap strap 72 72 illustrated illustrated in in FIG. FIG. 4. 4.

13

Alternatively, thetwo Alternatively, the twoelastic elasticsecondary secondary straps straps 72 72 and and 72bhave 72b may maya have singlea elastic single elastic layer design, such as illustrated for the single strap in FIG. 5. FIG. 10 illustrates an layer design, such as illustrated for the single strap in FIG. 5. FIG. 10 illustrates an

example in which whicheach eachelastic elasticstrap strap72a 72aand and72b72b maymay include visual indicators 2021222045 24 Jan

example in include visual indicators

showing and/or describing a direction of stretching to apply compression to multiple showing and/or describing a direction of stretching to apply compression to multiple

abdominal areas of a patient, similar to the example for the single strap shown in FIG. abdominal areas of a patient, similar to the example for the single strap shown in FIG.

6. For 6. Forexample, example,the thefirst first strap strap 72a mayinclude 72a may includea afirst first indicator indicator 62a 62a showing showing aa 2021222045

direction to apply targeted compression to a transverse colon region and a second direction to apply targeted compression to a transverse colon region and a second

indicator 64ashowing indicator 64a showing a direction a direction to apply to apply targeted targeted compression compression to a sigmoid to a sigmoid colon colon region. Similarly, the second strap 72b may include a first indicator 62b showing a region. Similarly, the second strap 72b may include a first indicator 62b showing a

indicator 64bshowing indicator 64b showing a direction a direction to apply to apply targeted targeted compression compression to a sigmoid to a sigmoid colon colon region. FIG. region. FIG.1010also alsoillustrates illustrates stitching stitching 1004a 1004a and and1004b, 1004b,which which indicates indicates a a placement for a Velcro fastener at the movable end of the two straps 72a, 72b. The placement for a Velcro fastener at the movable end of the two straps 72a, 72b. The

closing mechanism 74a, 74b may correspond to a handle that enables the technician closing mechanism 74a, 74b may correspond to a handle that enables the technician

to stretch and fasten the elastic straps 72a, 72b more easily. In some aspects, a Velcro to stretch and fasten the elastic straps 72a, 72b more easily. In some aspects, a Velcro

fastener maybebeprovided fastener may providedat at an an interiorside interior sideofofthe theedge edge 1008 1008 of the of the primary primary wrap, wrap, and and

may be configured to an exterior side of opposite end 1010 of the primary wrap. Thus, may be configured to an exterior side of opposite end 1010 of the primary wrap. Thus,

the end 1010 may be wrapped under the end 1008 in order to fasten the primary wrap. the end 1010 may be wrapped under the end 1008 in order to fasten the primary wrap.

The handles 502 may be provided on a portion of the primary wrap that is closer to The handles 502 may be provided on a portion of the primary wrap that is closer to

the end 1010, and may be used by a technician to pull the end 1010 further underneath the end 1010, and may be used by a technician to pull the end 1010 further underneath

the end 1008 in order to apply a higher level of primary compression through the the end 1008 in order to apply a higher level of primary compression through the

elastic compression of the primary wrap 10. A visual indicator 1002 may indicate an elastic compression of the primary wrap 10. A visual indicator 1002 may indicate an

upper edge of the wrap to assist the direction of placement against the abdomen of a upper edge of the wrap to assist the direction of placement against the abdomen of a

patient. patient.

[0048]

[0048] FIG. 11 shows an interior view 1100 of a primary wrap 10, e.g., a side of the primary FIG. 11 shows an interior view 1100 of a primary wrap 10, e.g., a side of the primary

wrap that is configured for placement against the patient. In addition to the visual wrap that is configured for placement against the patient. In addition to the visual

indicator indicator 1002, 1002, the the primary wrap1010may primary wrap may furtherinclude further includea visual a visualindicator indicatorthat that indicates indicates aa lower lowerororbottom bottomside/edge side/edge of of thethe wrap. wrap. The The top/bottom top/bottom indicators indicators may be may be

helpful to avoid applying the primary wrap in the opposite direction. If the bottom helpful to avoid applying the primary wrap in the opposite direction. If the bottom

edge is applied above the top edge, the secondary straps 72a, 72b will extend in the edge is applied above the top edge, the secondary straps 72a, 72b will extend in the

opposite direction and may not provide the targeted compression to the appropriate opposite direction and may not provide the targeted compression to the appropriate

areas of the patient’s abdomen. Additionally, a visual indicator 1104 may be provided areas of the patient's abdomen. Additionally, a visual indicator 1104 may be provided

to indicate correct placement along a width of the primary band. The example in FIG. to indicate correct placement along a width of the primary band. The example in FIG.

11 providesa aline 11 provides lineasasa visual a visual indicator indicator withwith respect respect to patient's to the the patient’s left hip. left hip. The The 14 indicator may further include one or more arrows and text. Although the example in indicator may further include one or more arrows and text. Although the example in

FIG. 11 uses a green line, the concepts may be applied for an indicator of a different FIG. 11 uses a green line, the concepts may be applied for an indicator of a different

color, a dashed dashedline, line,aadouble double line,a avisual visual marker thatthat is different thanthan a line, etc.etc. 2021222045 24 Jan

color, a line, marker is different a line,

The visual indicator may help a technician to properly place the primary wrap to the The visual indicator may help a technician to properly place the primary wrap to the

patient so that the secondary straps are in the appropriate location to apply targeted patient so that the secondary straps are in the appropriate location to apply targeted

compression to particular areas of the abdomen, such as to a sigmoid colon region or compression to particular areas of the abdomen, such as to a sigmoid colon region or 2021222045

to a transverse colon region. FIG. 12 illustrates an exterior view 1200 of a portion of to a transverse colon region. FIG. 12 illustrates an exterior view 1200 of a portion of

the primary the wrap and primary wrap andshows showsthat thata avisual visual indicator indicator 1202 maybebeprovided 1202 may providedonon the the

exterior of the wrap. In FIG. 12, the visual indicator 1202 assists the technician in exterior of the wrap. In FIG. 12, the visual indicator 1202 assists the technician in

placing the primary wrap having the upper edge near the umbilical line. The visual placing the primary wrap having the upper edge near the umbilical line. The visual

indicator maybebeplaced indicator may placed to to lineupup line with with a front a front abdominal abdominal region region ofprimary of the the primary wrap wrap

when the wrap is properly placed (e.g., following the visual indicators on the interior when the wrap is properly placed (e.g., following the visual indicators on the interior

of of the the primary wrap)andand primary wrap) maymay enable enable a technician a technician to view to view the alignment the alignment of the visual of the visual

indicator, e.g., relative indicator, e.g., relative to to the the patient’s patient's navel, beforeororatatthe navel, before thetime timeof offastening fastening the the

closure of the closure of the primary primarywrap. wrap. FIG.FIG. 12 also 12 also illustrates illustrates thatthat the the straps straps 72a,72a, 72b 72b may be may be

coupled to the primary wrap at a same position along a length of the primary wrap 10. coupled to the primary wrap at a same position along a length of the primary wrap 10.

For example, FIG. 12 illustrates stitching 1204 attaching the fixed end of the straps For example, FIG. 12 illustrates stitching 1204 attaching the fixed end of the straps

72a, 72btotothe 72a, 72b theprimary primarywrap wrap 10.10.

[0049]

[0049] In some examples, one vertical side of the secondary strap may be fixed to the primary In some examples, one vertical side of the secondary strap may be fixed to the primary

wrap, and wrap, and the the other other side side may be removably may be removablyfastened fastenedtoto the the primary primary wrap, wrap,such suchasas through a Velcro closure. In other examples, the secondary strap 72 may be fully through a Velcro closure. In other examples, the secondary strap 72 may be fully

detachable from detachable from the the primary primary wrap, wrap, andhave and may mayfastening have fastening mechanisms mechanisms at both ends at both ends

that allow the strap to be secured the exterior side of the primary wrap. The secondary that allow the strap to be secured the exterior side of the primary wrap. The secondary

strap strap in in this thisaspect aspect may beeither may be either re-usable re-usableor or disposable, disposable,and andmay maybe be capable capable of being of being

stretched and stretched and maintaining maintainingtension, tension,orormaymay use another use another mechanism mechanism to exertto exert compressive force,when compressive force, when it is it is secured secured to the to the primary primary band.band. The strap The strap in example in this this example might not wrap fully around the patient but instead may be stretched directly about might not wrap fully around the patient but instead may be stretched directly about

the location on the patient’s body where force is desired. The strap may be equipped the location on the patient's body where force is desired. The strap may be equipped

with fastening mechanisms on each end, e.g., to allow the strap to adhere directly to with fastening mechanisms on each end, e.g., to allow the strap to adhere directly to

the patient’s body. the patient's body.

[0050]

[0050] Improving patient Improving patient comfort comfort and and reducing reducing complications, complications, both both during during and andfollowing following endoscopic procedures is very important. Aspects presented herein reduce patient endoscopic procedures is very important. Aspects presented herein reduce patient

discomfort and discomfort and complications complications by byhelping helpingtotoprevent preventand andreduce reducesigmoid sigmoidlooping, looping, which can be a primary cause of patient pain and discomfort. which can be a primary cause of patient pain and discomfort.

15

Jan 2025

[0051]

[0051] Patients Patients often often become become cold cold or uncomfortably or uncomfortably chilled chilled once change once they they change into into the the garments such asas hospital garments such hospital gowns gownstypically typically worn wornwhile whileundergoing undergoingan an endoscopic endoscopic

procedure. Many patients request and are provided with blankets, and some facilities procedure. Many patients request and are provided with blankets, and some facilities

2021222045 24 provide electric heated blankets, or blankets that have been previously warmed. The provide electric heated blankets, or blankets that have been previously warmed. The

heated blankets provide physical warmth, but also they tend to relax the patient and heated blankets provide physical warmth, but also they tend to relax the patient and

relieve anxiety relieve anxiety or ordiscomfort discomfortthe thepatient patientmay maybe be experiencing. experiencing. Aspects Aspects presented presented 2021222045

herein may also help the patient to feel warm and comfortable during the procedure. herein may also help the patient to feel warm and comfortable during the procedure.

[0052]

[0052] The device The device illustrated illustrated in in FIGs. FIGs. 10-12 mayinclude 10-12 may includeany anyofofthe theadditional additionalaspects aspects described inconnection described in connection with with FIGs. FIGs. 1-8.1-8.

[0053]

[0053] FIG. 9 illustrates aspects of a method for applying pressure and support to a patient’s FIG. 9 illustrates aspects of a method for applying pressure and support to a patient's

abdomen duringadvancement abdomen during advancementofof ananendoscope endoscope duringananendoscopy during endoscopy typeprocedure. type procedure.

[0054]

[0054] At 902, the method includes wrapping a primary wrap about the abdomen of a patient At 902, the method includes wrapping a primary wrap about the abdomen of a patient

between the hips and umbilicus of the patient, such as described in connection with between the hips and umbilicus of the patient, such as described in connection with

FIGs. 2-4. The primary wrap may include any of the aspects described in connection FIGs. 2-4. The primary wrap may include any of the aspects described in connection

with FIGs. 1-8 and/or 10-12. with FIGs. 1-8 and/or 10-12.

[0055]

[0055] At 904, the method includes securing the primary wrap by attaching a first end of At 904, the method includes securing the primary wrap by attaching a first end of

the primary wrap to a second portion of the primary wrap after wrapping the primary the primary wrap to a second portion of the primary wrap after wrapping the primary

wrap about the abdomen of the patient. wrap about the abdomen of the patient.

[0056]

[0056] At 906, the method includes adjusting compression applied to the abdomen of the At 906, the method includes adjusting compression applied to the abdomen of the

patient by pulling at least one strap extending from the primary wrap across at least a patient by pulling at least one strap extending from the primary wrap across at least a

portion of the primary wrap and to fasten the strap to at least a third portion of the portion of the primary wrap and to fasten the strap to at least a third portion of the

primary wrap, such as illustrated in FIG. 4. The at least one strap may include any of primary wrap, such as illustrated in FIG. 4. The at least one strap may include any of

the aspects the aspects described described in in connection connection with with FIGs. FIGs. 1-8 1-8 and/or and/or 10-12. Theamount 10-12. The amountof of compression applied to the abdomen of the patient may be adjusted by pulling a strap compression applied to the abdomen of the patient may be adjusted by pulling a strap

extending from the primary wrap across at least a portion of the primary wrap at 906 extending from the primary wrap across at least a portion of the primary wrap at 906

and fastening the strap to the primary wrap. The strap may be coupled to a portion of and fastening the strap to the primary wrap. The strap may be coupled to a portion of

the primary wrap that is configured for placement over a left side of the subject’s the primary wrap that is configured for placement over a left side of the subject's

lower abdomen. lower abdomen. ThisThis allows allows the patient’s the patient's ownweight own body body to weight to be leveraged be leveraged in order in order

to adjust the compression provided by the strap. The strap may be configured to be to adjust the compression provided by the strap. The strap may be configured to be

pulled in a direction toward a right side of the subject’s lower abdomen to adjust the pulled in a direction toward a right side of the subject's lower abdomen to adjust the

amountof amount of pressure pressure applied applied by by the the endoscopy support apparatus. endoscopy support A combination apparatus. A combinationofof visual indicators may enable correct placement of the device on a patient and may visual indicators may enable correct placement of the device on a patient and may

assist in applying targeted compression through adjustment of the at least one strap. assist in applying targeted compression through adjustment of the at least one strap.

16

Jan 2025

The atat least The least one one visual visual indicator indicator may mayinclude includeanyany of of thethe aspects aspects described described in in connection with FIGs. 1-8 and/or 10-12. connection with FIGs. 1-8 and/or 10-12.

[0057]

[0057] The primary wrap is placed relative to the abdomen of the patient and/or the strap is The primary wrap is placed relative to the abdomen of the patient and/or the strap is

2021222045 24 extended using extended using at at least least oneone visual visual indicator. indicator. The The at least at least one visual one visual indicator indicator may may include include aa visual visualindication indicationofofa adirection directionofofstretching stretchingthetheatatleast leastone oneelastic elasticband bandto to

apply the additional apply the additional targeted targeted force force to to aa sigmoid region ofof the sigmoid region thesubject, subject, such such asas 2021222045

described in connection with the examples in FIGs. 6 and 8. The visual indication described in connection with the examples in FIGs. 6 and 8. The visual indication

may include an arrow illustrating the direction and/or text indicating the sigmoid may include an arrow illustrating the direction and/or text indicating the sigmoid

region. Thus, at 906, the method may include using the visual indication to adjust the region. Thus, at 906, the method may include using the visual indication to adjust the

strap to apply targeted force to the sigmoid colon of the subject. strap to apply targeted force to the sigmoid colon of the subject.

[0058]

[0058] The at least one visual indicator may include a visual indication of a direction of The at least one visual indicator may include a visual indication of a direction of

stretching the at least one elastic band to apply the additional targeted force to a stretching the at least one elastic band to apply the additional targeted force to a

traverse colon region of the subject, such as described in connection with the examples traverse colon region of the subject, such as described in connection with the examples

in FIGs. 6 and 8. The visual indication may include an arrow illustrating the direction in FIGs. 6 and 8. The visual indication may include an arrow illustrating the direction

and/or text and/or text indicating indicatingthe thetransverse colon transverse region. colon region.Thus, Thus,atat906, 906,the method the methodmay may

include using the visual indication to adjust the strap to apply targeted force to the include using the visual indication to adjust the strap to apply targeted force to the

transverse colon of the subject. transverse colon of the subject.

[0059]

[0059] The at least one visual indicator may include a visual indication on the primary wrap The at least one visual indicator may include a visual indication on the primary wrap

indicating placement indicating placement ofof theprimary the primary wrap wrap relative relative to the to the abdomen abdomen of theof the subject, subject, such such

as described in connection with FIG. 7. Thus, at 902, the method may include using as described in connection with FIG. 7. Thus, at 902, the method may include using

the visual indication to place the primary wrap relative to the abdomen of the subject. the visual indication to place the primary wrap relative to the abdomen of the subject.

[0060]

[0060] The visual indication may indicate that an edge extending the length of the primary The visual indication may indicate that an edge extending the length of the primary

wrap is to be placed at an umbilical line of the subject, such as described in connection wrap is to be placed at an umbilical line of the subject, such as described in connection

with FIG. 7. The visual indication may include an arrow indicating the edge of the with FIG. 7. The visual indication may include an arrow indicating the edge of the

wrap and/or text indicating describing that the edge is for placement at an umbilical wrap and/or text indicating describing that the edge is for placement at an umbilical

line of the subject. Thus, at 902, the method may include using the visual indication line of the subject. Thus, at 902, the method may include using the visual indication

to place an edge of the primary wrap relative aligned with the umbilical line of the to place an edge of the primary wrap relative aligned with the umbilical line of the

subject. subject.

[0061]

[0061] The at least one visual indicator may include a visual indication on the primary wrap The at least one visual indicator may include a visual indication on the primary wrap

indicating placement indicating placement of of thethe primary primary wrapwrap relative relative to a to a left left hip hip of the of the subject, subject, suchsuch as as

described in connection with FIG. 7. For example, the visual indication may indicate described in connection with FIG. 7. For example, the visual indication may indicate

an alignment of the fixed end of the secondary strap with the left hip of the subject. an alignment of the fixed end of the secondary strap with the left hip of the subject.

The visual indication may include an arrow indicating the fixed end of the secondary The visual indication may include an arrow indicating the fixed end of the secondary

strap, contrasting stitching that fixes the fixed end of the secondary strap to the strap, contrasting stitching that fixes the fixed end of the secondary strap to the

17

Jan 2025

primary wrap, and/or text indicating describing that the placement relative to the left primary wrap, and/or text indicating describing that the placement relative to the left

hip of the subject. Thus, at 902, the method may include using the visual indication hip of the subject. Thus, at 902, the method may include using the visual indication

to place an edge of the primary wrap relative to the left hip of the subject. to place an edge of the primary wrap relative to the left hip of the subject.

2021222045 24

[0062]

[0062] At 906, the compression may be adjusted for multiple target locations through the At 906, the compression may be adjusted for multiple target locations through the

adjustment adjustment ofofmore more than than oneone strap. strap. ForFor example, example, as described as described in connection in connection with FIG. with FIG.

8, the user 8, the user may may adjust adjust compression compression at a abdominal at a first first abdominal region region by by stretching stretching and and 2021222045

fastening fastening aafirst first elastic elastic strap strapand andmaymay adjust adjust compression compression at a abdominal at a second second abdominal region by stretching and fastening a second elastic strap. The multiple elastic straps region by stretching and fastening a second elastic strap. The multiple elastic straps

may include visual indicators indicating a direction of stretching to apply targeted may include visual indicators indicating a direction of stretching to apply targeted

compression to different compression to different regions regions of of aa colon, colon, e.g., e.g., to to aa sigmoid region and/or sigmoid region and/or aa transverse region. The use of multiple secondary straps enables simultaneous targeted transverse region. The use of multiple secondary straps enables simultaneous targeted

compression compression of of different different abdominal abdominal areas, areas, e.g., e.g., different different regions regions of aof a colon colon during during an an endoscopyprocedure. endoscopy procedure.

[0063]

[0063] To additionally enhance patient comfort, certain aspects of the invention are designed To additionally enhance patient comfort, certain aspects of the invention are designed

to be single-use, and to remain fastened in place on the patient during the procedure to be single-use, and to remain fastened in place on the patient during the procedure

and/or and/or following following the the procedure. procedure. For For example, example, maintaining maintaining the the compression applied compression applied

by the by the device device during during the the withdrawal phase of withdrawal phase of the the procedure procedure and and while whileimaging imagingisis performed may performed mayhelp helpimprove improvethe thedetection detection of of adenoma. Thedevice adenoma. The device may maybebemaintain maintain on the on the patient patientto toreduce reducethe thecommon post-procedure complications common post-procedure complications of of bloating bloating and and

abdominal pain caused by bloating. Otherwise known as gaseous distention, bloating abdominal pain caused by bloating. Otherwise known as gaseous distention, bloating

occurs followingendoscopy occurs following endoscopy procedures procedures because because physicians physicians often often use use compressed compressed air air or carbon dioxide to insufflate parts of the bowel that are difficult to see and examine. or carbon dioxide to insufflate parts of the bowel that are difficult to see and examine.

The gas opens up the area to allow for a more complete visualization, enhancing the The gas opens up the area to allow for a more complete visualization, enhancing the

efficacy of the procedure. However, the gas also remains in the patient until it is either efficacy of the procedure. However, the gas also remains in the patient until it is either

absorbed or expelled. Expulsion is the primary gas removal mechanism as absorption absorbed or expelled. Expulsion is the primary gas removal mechanism as absorption

is aa very is very inefficient inefficient process. process. Gaseous Gaseousdistention distentionisisa aprimary primary post-procedure post-procedure

complication and a afrequent complication and frequentcomplaint complaintfrom from patients.However patients. However whenwhen the wrap the wrap

described herein remains described herein remainsininplace place after after thethe procedure, procedure, the the lower lower abdominal abdominal

compression generated compression generatedbybythe thedevice deviceallows allowsthe thebowel bowel to to more more rapidly rapidly evacuate evacuate

trapped by directing excess gas towards the rectum. As a result, the severity and trapped by directing excess gas towards the rectum. As a result, the severity and

duration of post-procedure bloating and associated abdominal pain may be reduced. duration of post-procedure bloating and associated abdominal pain may be reduced.

[0064]

[0064] The contents The contents of of each each of ofU.S. U.S.Application ApplicationNo. No.15/256,019, 15/256,019,entitled entitled“METHOD AND "METHOD AND

APPARATUSFOR APPARATUS FORENHANCED ENHANCED VISUALIZATION VISUALIZATION DURING DURING ENDOSCOPY,” ENDOSCOPY," and filed and filed on onSeptember September 2, 2016; 2, 2016; U.S. U.S. Application Application No. 13/344,715, No. 13/344,715, entitledentitled

18

Jan 2025

“METHOD AND APPARATUS FOR TENSILE COLONOSCOPY "METHOD AND APPARATUS FOR TENSILE COLONOSCOPY COMPRESSION,” COMPRESSION," and filed and filed on January on January 6, 2012; 6, 2012; U.S.U.S. Application Application No. No. 14/575,860, 14/575,860,

entitled “ENDOSCOPY entitled "ENDOSCOPY BAND WITHSIGMOID BAND WITH SIGMOIDSUPPORT SUPPORT APPARATUS,” APPARATUS," and and

2021222045 24 filed filed on on December 18,2014; December 18, 2014;U.S. U.S.Provisional ProvisionalApplication ApplicationSerial Serial No. No. 61/917,469, 61/917,469, entitled “COLONOSCOPY entitled BAND "COLONOSCOPY BAND WITH WITH SIGMOID SIGMOID SPLINT” SPLINT" and filed and filed on on December18, December 18,2013; 2013;U.S. U.S. ProvisionalApplication Provisional Application SerialNo. Serial No. 61/944,658 61/944,658 entitled entitled 2021222045

“ENDOSCOPY "ENDOSCOPY BAND BAND WITH WITH SIGMOID SIGMOID SUPPORT SUPPORT APPARATUS” APPARATUS" and filed and filed on on February 26, February 26,2014; 2014; U.S.U.S. Provisional Provisional Application Application No. 62/214,747, No. 62/214,747, entitled entitled “IMPROVED "IMPROVED BOWELBOWEL STABILITY STABILITY AND AND ENHANCED ENHANCED VISUALIZATION VISUALIZATION DURING DURING ENDOSCOPY” ENDOSCOPY" andonfiled and filed on September September 4, 2015, 4, 2015, are expressly are expressly incorporated incorporated

by reference herein in their entirety. by reference herein in their entirety.

[0065]

[0065] Example Example aspects aspects of the of the present present inventionhave invention havenow nowbeen beendescribed describedinin accordance accordance with with the above the above advantages. advantages.It It will will be be appreciated appreciated that that these these examples examples are merely are merely

illustrative illustrative of of aspects of the aspects of the present presentinvention. invention.ManyMany variations variations and modifications and modifications

will be apparent to those skilled in the art. will be apparent to those skilled in the art.

[0066]

[0066] It is understood that the specific order or hierarchy of steps in the processes disclosed It is understood that the specific order or hierarchy of steps in the processes disclosed

is is an illustration of an illustration of exemplary exemplary approaches. approaches. Based Based upon upon design design preferences, preferences, it is it is understood that understood that the the specific specific order order or or hierarchy hierarchy of of steps stepsininthe theprocesses processesmay may be be

rearranged. Further, rearranged. Further, some steps may some steps be combined may be combinedororomitted. omitted.TheThe accompanying accompanying

method claims present elements of the various steps in a sample order, and are not method claims present elements of the various steps in a sample order, and are not

meant to be limited to the specific order or hierarchy presented. meant to be limited to the specific order or hierarchy presented.

[0067]

[0067] The previous description is provided to enable any person skilled in the art to practice The previous description is provided to enable any person skilled in the art to practice

the various aspects described herein. Various modifications to these aspects will be the various aspects described herein. Various modifications to these aspects will be

readily apparent to those skilled in the art, and the generic principles defined herein readily apparent to those skilled in the art, and the generic principles defined herein

may be applied to other aspects. Thus, the claims are not intended to be limited to the may be applied to other aspects. Thus, the claims are not intended to be limited to the

aspects shown herein, but is to be accorded the full scope consistent with the language aspects shown herein, but is to be accorded the full scope consistent with the language

claims, whereinreference claims, wherein reference to to an an element element in the in the singular singular is not is not intended intended to mean to mean "one “one

and only and only one" one” unless unless specifically specifically so so stated, stated,but butrather “one rather "oneorormore.” more." The word The word

“exemplary” is "exemplary" is used used herein herein to to mean mean "serving “serving as as ananexample, example,instance, instance, or or illustration.” Any aspect described herein as “exemplary” is not necessarily to be illustration." Any aspect described herein as "exemplary" is not necessarily to be

construed as preferred or advantageous over other aspects.” Unless specifically stated construed as preferred or advantageous over other aspects." Unless specifically stated

otherwise, theterm otherwise, the term"some" “some” refers refers to to oneone or or more. more. Combinations Combinations such assuch as “atone "at least least one of A, of B, or A, B, or C,” C," “at "at least leastone one of ofA, A, B, B, and and C,” C," and and “A, "A, B, C, or B, C, or any combination any combination

thereof” include any combination of A, B, and/or C, and may include multiples of A, thereof" include any combination of A, B, and/or C, and may include multiples of A,

19

Jan 2025

multiples of B, or multiples of C. Specifically, combinations such as “at least one of multiples of B, or multiples of C. Specifically, combinations such as "at least one of

A, B, or C,” “at least one of A, B, and C,” and “A, B, C, or any combination thereof” A, B, or C," "at least one of A, B, and C," and "A, B, C, or any combination thereof"

may be A only, B only, C only, A and B, A and C, B and C, or A and B and C, where may be A only, B only, C only, A and B, A and C, B and C, or A and B and C, where

2021222045 24 any such combinations any such maycontain combinations may contain one oneor or more moremember memberoror members members of of A, A, B, B, or or C.C.

All structural and functional equivalents to the elements of the various aspects All structural and functional equivalents to the elements of the various aspects

described throughout described throughout thisdisclosure this disclosure thatare that areknown known or later or later come come to known to be be known to those to those 2021222045

of ordinaryskill of ordinary skillininthe theart artare areexpressly expressly incorporated incorporated herein herein by reference by reference and are and are

intended intended to to be be encompassed bythe encompassed by theclaims. claims. Moreover, Moreover,nothing nothing disclosedherein disclosed hereinisis intended to be intended to be dedicated dedicated to to the the public public regardless regardless of of whether whethersuch suchdisclosure disclosureisis explicitly explicitly recited recited in in the the claims. Noclaim claims. No claim element element is be is to to construed be construed as a as a means means plus plus

function unlessthe function unless theelement elementis is expressly expressly recited recited using using thethe phrase phrase “means "means for." for.”

20

Claims

Jan 2025

CLAIMS CLAIMS 1. 1. An endoscopy An endoscopysupport supportapparatus, apparatus, comprising: comprising:

aa primary wrap primary wrap comprising comprising a band a band of elastic of elastic material material sizedsized for placement for placement around around

aa lower lowerabdomen abdomenof aof a subject; 2021222045 24

subject;

aa closing mechanism closing mechanism provided provided at anatend an of endtheofprimary the primary wrap wrap to to secure secure the the primary wrap around an abdomen of the subject by removably attaching the end of the primary wrap around an abdomen of the subject by removably attaching the end of the 2021222045

primary wrap to a second portion of the primary wrap; primary wrap to a second portion of the primary wrap;

at at least least one one elastic elastic strap strap having having aa first first end end fixed fixed to to the the primary wrapandand primary wrap a a

second end comprising second end comprising aa coupling coupling mechanism for removably mechanism for removablycoupling couplingthe the second second end end to to the primary wrap, wherein the at least one elastic strap is configured to extend in a left the primary wrap, wherein the at least one elastic strap is configured to extend in a left

to right direction across a front abdomen portion of the primary wrap in order to exert to right direction across a front abdomen portion of the primary wrap in order to exert

an additionaltargeted an additional targetedforce forcetotoaaportion portionofofthe theabdomen abdomen of the of the subject; subject; and and

at least one visual indicator provided on the at least one elastic strap that at least one visual indicator provided on the at least one elastic strap that

indicates indicates aa direction direction of of adjustment adjustmentofofthe theatatleast leastone oneelastic elasticstrap strapfor for targeted targeted compression, wherein compression, wherein the the at least at least oneone visual visual indicator indicator includes: includes:

a sigmoid text label and a first arrow indicating a first direction to apply a sigmoid text label and a first arrow indicating a first direction to apply

the targeted compression to a sigmoid region; and the targeted compression to a sigmoid region; and

a transverse text label and a second arrow indicating a second direction to a transverse text label and a second arrow indicating a second direction to

apply the targeted compression to a transverse colon region, the first direction apply the targeted compression to a transverse colon region, the first direction

being different than the second direction. being different than the second direction.
2. 2. The endoscopy support apparatus of claim 1, wherein the sigmoid text label, the The endoscopy support apparatus of claim 1, wherein the sigmoid text label, the

first arrow, the transverse text label, and the second arrow are on a single elastic strap. first arrow, the transverse text label, and the second arrow are on a single elastic strap.
3. 3. The endoscopy support apparatus of claim 1, wherein the at least one elastic The endoscopy support apparatus of claim 1, wherein the at least one elastic

strap strap comprises: comprises:

a first elastic strap extending in the left to right direction from the primary wrap a first elastic strap extending in the left to right direction from the primary wrap

for for application of the application of the targeted targetedcompression compressionto to thethe sigmoid sigmoid region region of subject of the the subject and and

including the sigmoid text label and the first arrow indicating the first direction to apply including the sigmoid text label and the first arrow indicating the first direction to apply

the targeted compression to the sigmoid region; and the targeted compression to the sigmoid region; and

21

Jan 2025

aa second elastic strap second elastic strap extending extendingfrom from thethe primary primary wrapwrap extending extending in the in thetoleft to left

right direction for the application of the targeted compression to the transverse colon right direction for the application of the targeted compression to the transverse colon

region of the subject and including the transverse text label and the second arrow region of the subject and including the transverse text label and the second arrow

2021222045 24 indicating the second direction to apply the targeted compression to the transverse colon indicating the second direction to apply the targeted compression to the transverse colon

region. region. 2021222045
4. 4. The endoscopy support apparatus of claim 3, wherein the primary wrap The endoscopy support apparatus of claim 3, wherein the primary wrap

comprises: comprises:

an upperedge an upper edgeforforthe theplacement placement relative relative to an to an umbilical umbilical lineline of the of the subject; subject; and and

a lower edge for the placement below the umbilical line of the subject, a lower edge for the placement below the umbilical line of the subject,

wherein the first elastic strap and the second elastic strap extend from the wherein the first elastic strap and the second elastic strap extend from the

primary wrap at a same position along a length of the primary wrap, and primary wrap at a same position along a length of the primary wrap, and

wherein the first elastic strap extends from a first position along a width of the wherein the first elastic strap extends from a first position along a width of the

primary wrap and the second elastic strap extends from a second position along the primary wrap and the second elastic strap extends from a second position along the

width of the primary wrap, the second position being closer to the upper edge than the width of the primary wrap, the second position being closer to the upper edge than the

first first position. position.
5. 5. The endoscopy support apparatus of claim 1, wherein the at least one visual The endoscopy support apparatus of claim 1, wherein the at least one visual

indicator includesaafirst indicator includes first visual visual indication onthe indication on theprimary primarywrap wrap indicating indicating the the placement placement

of of the the primary wrap primary wrap relativetotoa ahip relative hipofofthe thesubject, subject,the thefirst first visual visual indication indicationincluding includinga a line and a first text label. line and a first text label.
6. 6. The endoscopy support apparatus of claim 5, wherein the first visual indication The endoscopy support apparatus of claim 5, wherein the first visual indication

is is provided onaafirst provided on first side side of of the the primary wrap primary wrap and and indicates indicates an an alignment alignment of hip of the the of hip of the subject with the first end of the at least one elastic strap that is fixed on a second side the subject with the first end of the at least one elastic strap that is fixed on a second side

of of the the primary wrap. primary wrap.
7. 7. The endoscopy support apparatus of claim 6, wherein the at least one visual The endoscopy support apparatus of claim 6, wherein the at least one visual

indicator includesaasecond indicator includes secondvisual visualindication indication on on thethe primary primary wrapwrap indicating indicating the the

placement of the primary wrap relative to the abdomen of the subject. placement of the primary wrap relative to the abdomen of the subject.

22

Jan 2025
8. 8. The endoscopy support apparatus of claim 7, wherein the second visual The endoscopy support apparatus of claim 7, wherein the second visual

indication includessecond indication includes second textandand text an an arrow arrow visually visually showing showing a usera an user anextending edge edge extending aa length of the length of the primary primarywrap wrap that that is is totobebe placed placed at at anan umbilical umbilical line line of of thethe subject. subject.

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9. 9. The endoscopy support apparatus of claim 8, The endoscopy support apparatus of claim 8,

wherein the visual indication includes an arrow indicating the edge of the wherein the visual indication includes an arrow indicating the edge of the 2021222045

primary wrap. primary wrap.
10. 10. The endoscopy support apparatus of claim 6, wherein the visual indication The endoscopy support apparatus of claim 6, wherein the visual indication

includes an arrow indicating the first end of the at least one elastic strap. includes an arrow indicating the first end of the at least one elastic strap.
11. 11. TheThe endoscopy endoscopy support support apparatus apparatus of claim of claim 6, 6, wherein wherein theline the line includes includes contrasting stitching contrasting stitching that that fixesfixes the end the first firstof end ofleast the at the at oneleast one elastic elastic strap to thestrap to the primary primary

wrap. wrap.
12. 12. The endoscopy support apparatus of claim 1, wherein the at least one visual The endoscopy support apparatus of claim 1, wherein the at least one visual

indicator includes: indicator includes:

aa first firstvisual visualindication indication on on a a first firstside sideof ofthe theprimary primary wrap includingfirst wrap including first text text and and aa third third arrow visuallyshowing arrow visually showing a user a user oneone edge edge extending extending a length a length of theofprimary the primary wrap wrap

that is to be placed at an umbilical line of the subject, and that is to be placed at an umbilical line of the subject, and

a second visual indication on the first side of the primary wrap and including a second visual indication on the first side of the primary wrap and including

second text and a line indicating an alignment of a hip of the subject with the first end of second text and a line indicating an alignment of a hip of the subject with the first end of

the at least one elastic strap that is fixed on a second side of the primary wrap. the at least one elastic strap that is fixed on a second side of the primary wrap.
13. 13. A method A method for for applying applying pressure pressure to to anan abdomen abdomen of of a patienttoto apply a patient apply constant constant pressure and support to the abdomen during advancement of an endoscope during an pressure and support to the abdomen during advancement of an endoscope during an

endoscopy, comprising: endoscopy, comprising:

wrapping a primary wrap about the abdomen of the patient between a hip level wrapping a primary wrap about the abdomen of the patient between a hip level

and umbilicusofofthethepatient; and umbilicus patient;

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securing the primary wrap by attaching a first end of the primary wrap to a securing the primary wrap by attaching a first end of the primary wrap to a

second portionofofthe second portion theprimary primary wrap wrap after after wrapping wrapping the primary the primary wrapthe wrap about about the abdomen abdomen

of the patient; and of the patient; and

2021222045 24 adjusting compression applied to the abdomen of the patient by pulling at least adjusting compression applied to the abdomen of the patient by pulling at least

one strap extending one strap extendingfrom from thethe primary primary wrapwrap across across at least at least a portion a portion ofprimary of the the primary wrap wrap

and to fasten the at least one strap to a third portion of the primary wrap, and to fasten the at least one strap to a third portion of the primary wrap, 2021222045

using at least one visual indicator provided on the at least one strap to adjust the using at least one visual indicator provided on the at least one strap to adjust the

compression applied by the at least one strap, wherein the at least one visual indicator compression applied by the at least one strap, wherein the at least one visual indicator

includes: includes:

a sigmoid text label and a first arrow indicating a first direction to apply targeted a sigmoid text label and a first arrow indicating a first direction to apply targeted

compression to a sigmoid region; and compression to a sigmoid region; and

aa transverse text label transverse text label and andaa second secondarrow arrow indicating indicating a second a second direction direction to apply to apply

the targeted compression to a transverse colon region, the first direction being different the targeted compression to a transverse colon region, the first direction being different

than the second direction. than the second direction.
14. 14. TheThe method method of claim of claim 13, 13, furthercomprising: further comprising: using a first visual indication provided on the primary wrap to place the primary using a first visual indication provided on the primary wrap to place the primary

wrap relative to the abdomen of the patient, wherein the first visual indication on the wrap relative to the abdomen of the patient, wherein the first visual indication on the

primary wrap indicates a placement of the primary wrap relative to a hip of the patient, primary wrap indicates a placement of the primary wrap relative to a hip of the patient,

the first visual indication including a line and a first text label. the first visual indication including a line and a first text label.
15. 15. TheThe method method of claim of claim 13, 13, furthercomprising: further comprising: using a second visual indication provided on the primary wrap to place the using a second visual indication provided on the primary wrap to place the

primary wrap relative to the abdomen of the patient, wherein the second visual primary wrap relative to the abdomen of the patient, wherein the second visual

indication indicates a placement of the primary wrap relative to the abdomen of the indication indicates a placement of the primary wrap relative to the abdomen of the

patient. patient.
16. 16. TheThe method method of claim of claim 15, 15, wherein wherein thethe second second visualindication visual indicationincludes includes second second text and an arrow visually showing a user an edge extending a length of the primary text and an arrow visually showing a user an edge extending a length of the primary

wrap that is to be placed at an umbilical line of the patient. wrap that is to be placed at an umbilical line of the patient.

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