ERCP

RX Biliary System™

	Boston Scientific develops less invasive devices for pancreaticobiliary intervention including endoscopic procedures for: Stone management Stricture management The RX Biliary System™ was designed to help increase procedural speed and efficiency by enabling a short device exchange.
	The RX Biliary System is a comprehensive system used in diagnostic and therapeutic ERCP procedures. The system includes a guidewire locking device, an RX compatible biliary catheter, and a short 260cm guidewire. There is also an extensive line of devices for stone and stricture management including cannulating sphincterotomes, dilation balloons, biliary stents, and biliary retrieval baskets.

Advantages of Using a Short-Wire System

A shorter exchange system is designed to offer a number of potential advantages to the physician versus a traditional system: Physician controlled guidewire cannulation Simpler handling and wire management during therapeutic intervention Faster device exchange

Advanced ERCP Technology: SpyGlass® Direct Visualization System

Conventional ERCP uses a two-dimensional fluoroscopic imaging system. To overcome some of the imaging limitations of non-direct visualization with fluoroscopy, the SpyGlass Direct Visualization System was developed to allow direct optical visualization intraductally. This single-use imaging catheter directs a 6,000 pixel fiber optic probe into a desired location under direct visualization. The SpyGlass Direct Visualization System also offers controlled tip deflection capability in all four quadrants, a dedicated 1.2 mm therapeutic working channel and also offers two dedicated irrigation ports designed to optimize the image and provide lavage.

Unlike conventional choledochoscopes, the SpyGlass Direct Visualization System is designed to provide single operator control of both scopes. This eliminates the need for a second physician to drive the second scope. Now with a single-use system, a single user may:

• Drive both the duodenoscope and the SpyGlass Direct Visualization System
• Identify stones and strictures under direct visualization with 4-way steering
• Maintain a dedicated working channel and irrigation path
• Take optically-guided biopsies with SpyBite® Biopsy Forceps
• Fragment stones in the bile duct using an EHL probe*

* Data on file, Boston Scientific. The SpyGlass System has been shown to be compatible with the Northgate® 1.9Fr Biliary Probe and the Northgate Autolith® Intracorporeal Electrohydraulic Lithotripsy iEHL Generator to break up stones in the bile duct.

Northgate and Autolith are trademarks of Northgate Technologies, Inc.