CoinTip™ Snare

The CoinTip snare is a hot and cold snare featuring a dynamic braided wire configuration with a coined distal tip, double catheter with internal strain relief, and three distinct shapes. The snare provides deliberate and thorough cutting capabilities specifically for complex polypectomy procedures like endoscopic mucosal resections (EMR).

The CoinTip snare is the newest addition to the snare portfolio and features:

• A flattened, thin wire at the tip of the snare loop for precise hot and cold polypectomy cutting capabilities
• Double catheter that includes an internal strain relief for added support to reduce the chance of buckling during resection
• Three distinct shapes and multiple size options to help address a variety of procedural needs
• 20mm deltoid snare - Encompasses majority of lesions
• 10mm hexagonal snare - Offers stiffness and control to capture and resect polyps
• 6mm diamond snare - Provides specific placement for diminutive polyps and cleaning up resection site margins
• Maintained shape and integrity after multiple resections
• Dual indication for use with or without electrocautery

Benefits of the CoinTip snare

• Provides differentiated solution for complex polypectomies
• Allows en bloc or piecemeal resection abilities with its 20mm size
• Leverages the benefits of different wire diameters to support precise cutting
• Allows technique flexibility with dual indication for both hot and cold use

Exacto® Cold Snare

Clinically proven to achieve a significantly high rate of complete resection, the Exacto cold snare offers control and placement for a precise, clean cut. The Exacto snare supports the cold snare polypectomy technique and can be used to resect a variety of polyps in multiple sizes (small, diminutive, and large).

How the Exacto Cold Snare Works

As cold snaring becomes the standard for subcentimeter polyps and expands into the removal of larger polyps, the Exacto cold snare is leading the way with clinical data to drive changes in medical practice. The Exacto endoscopic snare has been specifically designed to optimize cold resection with a 9mm snare size. The thin wire design (0.012 inch / 0.30mm) enables a clean cut while maintaining its shape and stiffness.

Why the Exacto Cold Snare?

• Features a shield shape design that maximizes its width for control and placement during cold snare polypectomy
• Offers a stiff catheter that aids in placement, supports tissue transection, and decreases buckling
• Provides balance between stiffness and flexibility due to its thin, seven braided wire configuration
• Reduces polyp “fly away” from the resection site making it possible to collect specimens for pathology

Histoguide® wire-guided forceps

The Histoguide wire-guided forceps offers safe and effective guidewire placement of biopsy forceps into the biliary ductal system to facilitate stricture diagnosis. Lesions can be sampled via fluoroscopic imaging by utilizing these endoscopy biliary biopsy forceps over a guidewire. The radiopaque design of the Histoguide biopsy forceps allows for maintained visualization during ERCP procedures.

How the Histoguide wire-guided forceps work

The Histoguide wire-guided forceps provide access into the biliary duct. The wire-guide feature allows for effective placement and the serrated jaws help to acquire tissue during procedures.

Why the Histoguide wire-guided forceps?

• Features a wire-guide for easy access into the biliary duct and guidewire placement
• Includes standard size biopsy forceps with serrated jaws to effectively grab and acquire tissue to aid in diagnosis
• Offers a spring loaded handle to ensure endobiliary forceps remain in closed position to retain collected tissue samples

Infinity® ERCP Sampling Device

The Infinity ERCP sampling device is purpose built for collecting substantial and quality samples from strictures in the biliary duct and is specifically designed to address the inadequacies of current sampling instruments such as cytology brushes. The Infinity ERCP sampling device has been proven to deliver a diagnostic sensitivity of up to 85%.1

How the Infinity ERCP sampling device works

The Infinity ERCP sampling device is intended to be used to retrieve cytological cell samples in the gastrointestinal tract. The sampling device features stiffer bristles and softer bristles in one cytology brush to help create a defect in tissue and collect the necessary cells.

Why the Infinity ERCP sampling device?

• Features stiffer bristles to help create a defect in the tissue and softer bristles to capture abraded material
• Brush design includes spaces between bristles to help pack cells into the catheter during sampling of the bile duct
• Includes a detachable handle with “Salvage Cytology” capability
• Provides a nitinol drive wire to allow for greater pushability and resistance to kinking
• Compatible with long and short guidewires
• Available in 3mm/9FR and 2.5mm/7.5FR options

Padlock Clip® Defect Closure System

The Padlock Clip defect closure system is an endoscopic clip that facilitates full circumferential tissue closure. The over-the-scope Padlock Clip system consists of a pre-loaded, self-grasping hemostatic clip designed to encircle, lift, close, and potentiate the healing of tissue defects.

Why the Padlock Clip Defect Closure System?

The over-the-scope Padlock Clip system...

• Features an over-the-scope endoscopic clip designed to encircle, lift, close, and heal tissue defects
• Easy and intuitive assembly with deployment wire running outside the scope
• Provides an open and free instrument channel for optimal endoscope suction and utilization of through-the-scope devices
• Deploys via a "push of the thumb" one-hand actuation
• Lays flat against the tissue once deployed
• Compatible with an Overtube to assist with intubation

SmartBand® Endoscopic Mucosal Resection Kit

Specifically designed to support band endoscopic mucosal resection (EMR), the SmartBand endoscopic mucosal resection kit is indicated for EMR in the upper GI tract.

Why the SmartBand EMR Kit?

The EMR kit features:

• Three different barrel size options designed to obtain a larger tissue surface area without increasing resection depth
• A controlled depth barrel designed for more consistent tissue capture
• Dedicated SmartSnare hexagonal snare with its ultra-slim snare wire diameter and controlled rotation designed to facilitate placement around the band
• Five backloaded bands on a clear, smooth barrel to offer a wider 360-degree visualization without the obstruction of bands
• Uniquely designed bands to provide improved retention on the tissue
• Bands that are not made with natural rubber latex and offer a 24-month shelf life
• Universal connector that connects the handle to the endoscope and is compatible with multiple endoscope styles
• 10FR inner diameter handle stem that enables maximum suction capabilities
• Dedicated flush port for clearing the working channel during the procedure

Why the SmartBand EMR Kit multi-band ligation pack?

The EMR ligation pack features:

• Ability to load additional or replacement ligation bands during a procedure to reduce costs and set up time for cases that require more than five bands
• EMR ligation bands that are not made with natural rubber latex and designed to provide improved retention on the tissue

VIPER™ Hemoclip

Full indications:
The VIPER™ Hemoclip is indicated for endoscopic clip placement within the gastrointestinal tract for the purpose of:

1. Endoscopic marking
2. Hemostasis for:
• Mucosal/sub-mucosal defects <3cm
• Bleeding ulcers
• Arteries <2mm
• Polyps <1.5cm in diameter
• Diverticula in the colon
• Prophylactic clipping to reduce the risk of delayed bleeding post lesion resection
3. Anchoring to affix jejunal feeding tubes to the wall of the small bowel
4. As a supplementary method, closure of GI tract luminal perforations <20mm that can be treated conservatively

Why the VIPER™ Hemoclip?

The VIPER™ Hemoclip endoscopic clip:

• Offers a 12.5 - 14.5mm deployed length, allowing for maneuverability when deploying additional GI clips
• Can be opened/closed multiple times for positioning prior to deployment
• Allows for smooth passage through the working channel in tortuous endoscope positions
• Deploys in a single step with audible and tactile feedback