Use of Accessory Device AmplifEYE During Average Risk Screening Colonoscopy to Increase Adenoma Detection Rate

Inclusion Criteria: * All adult patients greater than or at 50 years of age who are referred for average risk screening colonoscopy. Exclusion Criteria: * Any pregnant patient * Patient's that are unable to provide consent for themselves * Any patient undergoing diagnostic colonoscopy (IBD, rectal bleeding, recent change in bowel habits, etc.) * Any patient undergoing surveillance (prior history of polyps or colorectal cancer) * Any patient undergoing high risk screening colonoscopy (family history of colon cancer in first degree family member \<65 years of age, or co-existing conditions that pre-dispose to colon cancer such as polyposis syndromes, PSC or IBD) * Prior history of any cancer * Current or past immunosuppression (due to either infection or medications) * Coagulation disorder OR use of anti-coagulation or anti-platelet therapy other than aspirin within 5-7 days of procedure * Colonic strictures * suspected intestinal obstruction or colonic pseudo-obstruction * history of colon resection * active infection * active inflammation (including diverticulitis)