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Question: Gavriel Iddan was an electro-optical engineer


Gavriel Iddan was an electro-optical engineer at Israel’s Rafael Armament Development Authority, the Israeli authority for development of weapons and military technology. One of Iddan’s projects was to develop the “eye” of a guided missile, which leads the missile to its target. In 1981, Iddan traveled to Boston on sabbatical to work for a company that produced X-ray tubes and ultrasonic probes. While there, he befriended a gastroenterologist (a physician who focuses on digestive diseases) named Eitan Scapa. During long conversations in which each would discuss his respective field, Scapa taught Iddan about the technologies used to view the interior lining of the digestive system. Scapa pointed out that the existing technologies had a number of significant limitations, particularly with respect to viewing the small intestine. b The small intestine is the locale of a number of serious disorders. In the United States alone, approximately 19 million people suffer from disorders in the small intestine (including bleeding, Crohn’s disease, celiac disease, chronic diarrhea, irritable bowel syndrome, and small bowel cancer).c Furthermore, the nature of the small intestine makes it a difficult place to diagnose and treat such disorders. The small intestine (or “small bowel”) is about 5 to 6 meters long in a typical person and is full of twists and turns. X-rays do not enable the physician to view the lining of the intestine, and endoscopes (small cameras attached to long, thin, flexible poles) can reach only the first third of the small intestine and can be quite uncomfortable for the patient. The remaining option, surgery, is very invasive and can be impractical if the physician does not know which part of the small intestine is affected. Scapa thus urged Iddan to try to come up with a better way to view the small intestine, but at that time Iddan had no idea how to do it. Ten years later, Iddan visited the United States again, and his old friend Scapa again inquired whether there was a technological solution that would provide a better solution for viewing the small intestine. By this time, very small image sensors— charge-coupled devices (CCDs)—had been developed in the quest to build small video cameras. Iddan wondered if perhaps it would be possible to create a very small missile-like device that could travel through the intestine without a lifeline leading to the outside of the body. Like the missiles Iddan developed at Rafael, this device would have a camera “eye.” If the device were designed well, the body’s natural peristaltic action would propel the camera through the length of the intestine. When Iddan returned to Israel he began working on a way to have a very small CCD camera introduced into the digestive system and transmit images wirelessly to a receiver outside of the body. Initially unsure whether images could be transmitted through the body wall, he conducted a very rudimentary experiment with a store-bought chicken: He placed a transmitting antenna inside the chicken and a receiving antenna outside the chicken……………………

Required:
1. What factors do you think enabled Iddan, an engineer with no medical background, to pioneer the development of wireless endoscopy?
2. To what degree would you characterize given’s development of the camera pill as “science-push” versus “demand-pull”?
3. What were the advantages and disadvantages of Iddan and Meron collaborating with Dr. Swain’s team?
4. What were the advantages and disadvantages of given being owned by Medtronic?



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3.99

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