Gastroenterology & Medical Devices - UK

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Customer Purchasing Journey - Insights

Gastroenterologists, hospitals, and private gastroenterology units constantly use stains, dyes, and different equipment for medical procedures. Endoscopy is one of the most common procedures performed, and the search for minimally invasive procedures has led to the flexible endoscope becoming one of the most purchased products. Novel technologies such as i-SCAN and confocal laser endomicroscopy could lead to increased interest on these devices in the near future.

Gastroenterology Stains and Dyes Insights in the United Kingdom

  • Gastroenterologists often use dyes as well as stains for diagnostic purposes during endoscopic procedures.
  • The most commonly used dyes in gastroenterology in the United Kingdom and the world are Lugol's iodine, methylene blue, crystal violet, congo red, indigo carmine, toluidine blue, phenol red, and indocyanine green. Hospitals and gastroenterology units would have an interest in purchasing these specific dyes for their procedures.
  • These dyes and stains are usually bought in kits. While no clear preferences over brands could be seen, the top companies selling histological equipment in the United Kingdom are Abbott Laboratories, Danaher Corporation, F. Hoffman-La Roche Ltd., Immunocor, Inc, and Thermo Fisher Scientific Incs.

Gastroenterology Endoscopy Equipment Insights in the United Kingdom

  • One of the most common procedures performed in gastroenterology are endoscopies, with around 2 million taking place in the United Kingdom every year.
  • Gastroenterologists in the United Kingdom are driven by the goal of making the procedures as minimally invasive as possible. To this end, one of the most sought-after products is the flexible endoscope.
  • The main companies from which gastroenterologists, hospitals, and private units acquire these devices are Boston Scientific Corporation, Cook Medical, Richard Wolf GmbH, Medtronic PLC, and Fujifilm Holdings, making for a competitive landscape.

Novel Equipment Insights in the United Kingdom

As new research emerges regarding the use of new methods for diagnostic and therapeutic gastroendoscopic procedures, gastroenterologists and hospitals show increased interest in new devices. Two of these novel procedures are the use of confocal laser endomicroscopy and i-SCAN digital contrast.
  • United Kingdom-based researchers have explored different uses for confocal laser endomicroscopy, such as assessment of inflammatory bowel disease and identification of dysplasia in Barrett's Esophagus.
  • The identification of more uses for confocal laser could lead to increased acquisition of this equipment in the United Kingdom.
  • I-SCAN is another technique that has become more widespread in gastroenterology. Among its uses is the assessment of H. pylori infection.
  • As new uses for i-SCAN emerge, interest in this technology could increase, driving doctors, hospitals, and private units to invest in it.

Research strategy

We performed an exhaustive analysis of medical databases as well as market trends focused on medical dyes and stains used in gastroenterology in the United Kingdom. While this specific information could not be found, we provided insights on the more commonly used dyes as well as the companies that manufacture them. We were able to find the main drivers and considerations made by gastroenterologists and hospitals regarding the purchase of endoscopic equipment. Furthermore, we added two of the most novel technologies currently being studied in the United Kingdom, to provide insights on devices that could be of great interest for medical professionals of this area in the near future.
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Challenges - UK Gastroenterology Professionals

Gastroenterologists deal with health concerns that are associated with the digestive system. There are many issues that are related to the gastrointestinal tract (GI) that they treat. Some of these conditions are Irritable Bowel Disease (IBS), Ulcerative Colitis and Hepatitis C. These professionals perform different procedures that are related to the GI tract. A few worth mentioning are colonoscopies and endoscopies. For such internal procedures to be possible, special equipment is required. With the usage of such equipment, come many challenges, especially on the decision-making side of things.

Decision-making challenges

Challenge #1

  • There are different equipments associated with Gastroenterology. An example would be bite blocks, as there are many options to pick from. The supply of E-Z-Guard and the intermediate latex-free strap bite blocks, for instance, is used by US Endoscopy while the supply of BEI-ROT-01 nite blocks is used by Endo Technik. This means that gastroenterologists need to properly understand the benefits and drawbacks of the different options.
  • The different products usually have specific benefits like flexibility, cost-effectiveness and allergy-freeness, which means that the physicians will mostly have to consider the product's cost-volume-profit. The professionals have to decide whether to buy in batches, which is dependent on the demand for specific equipment.
  • Having to decide how to approach this in a manner that does not affect the practice negatively becomes an inherent challenge for UK Gastroenterology professionals.

Challenge #2

  • Another challenge that Gastroenterology professionals have faced and continue to face is how to properly decontaminate equipment.
  • Most of the equipment is used for long periods of time for cost and durability reasons and, as a result, proper care has to be taken to ensure that sterilization of equipment occurs in the right way.
  • The challenge lies in the difference in sterilization procedures that have to be taken. There is no singular procedure that works for all the equipment when it comes to decontamination.
  • A paper by the NCBI notes that there are multiple stage of decontamination that must be carried for gastrointestinal endoscopy equipment using chlorine dioxide, decontamination chambers, glutaraldehyde, and peracetic acid. As such, it is challenging to preserve the equipment due to the potential damage that some of the decontamination chemicals can cause.
  • Professionals have to decide how each piece of equipment has to be decontaminated effectively to prevent infections on reuse.

Challenge #3

  • When considering the process of decontamination, it also important to consider the experience in using the equipment. The issue lies in the training of professionals, as it is challenging to properly and continuously train nurses and other personnel to properly use equipment to reduce complaints, which have been high in the UK.