Papillotomy with ENDO CUT I

Established as an accepted electrosurgical modality

Papillotomy with ENDO CUT I
Papillotomy with ENDO CUT I Papillotomy with ENDO CUT I Papillotomy with ENDO CUT I 		The fractionated cutting mode ENDO CUT I is characterized by alternating cutting and coagulation cycles (see detail picture 2). This makes it possible to carry out controlled cutting with sufficient hemostasis during the entire cutting process, which supports the work of the operating physician. The ENDO CUT I mode, an optional upgrade (see detail picture 1), is available for the electrosurgical VIO units, some of which can be retroactively equipped with the mode.

Indications

  • Diagnostics for cholangioscopy or pancreatoscopy
  • Opening the gall or pancreatic duct, e.g. for gall stone or for bile-duct drainage in the case of obstructions
  • Benign papillary stenosis
  • Incision of the minor duodenal papilla duodeni for pancreas divisum

Advantages of ERBE equipment

  • The fractionated cutting mode ENDO CUT I automatically ensures that cutting is slow and controlled, even though the foot switch remains continually activated; this reduces the risks associated with abrupt cutting.
  • Customized solution for the requirements of papillotomy procedures
  • Cutting intervals and voltage outcomes adapted to different types of papillotomes
  • Cutting intervals and cutting duration can be varied, depending on the individual requirements
  • Adjustable and reproducible hemostasis based on four effect settings

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Operation steps
Anatomical view during a biliary papillotomy procedure

Anatomical view during a biliary papillotomy procedure

sphincter of Oddi (blue), sphincter muscle of the choledochal duct (gray), gastroduodenal artery and branching blood vessels (orange/ red).
ENDO CUT I - cutting stage during papillotomy procedure

ENDO CUT I - cutting stage during papillotomy procedure

When cutting with a papillotome, small arcs ( yellow) are created between the cutting wire of the papillotome and the tissue. In the cutting mode ENDO CUT I, the cutting stage is automatically regulated through the recognition of spark formation.
ENDO CUT I - coagulation during cutting in a papillotomy procedure

ENDO CUT I - coagulation during cutting in a papillotomy procedure

The coagulation cycle prepares the tissue for the next cutting cycle to ensure various levels of hemostasis prior to any subsequent cut. The intensity of the coagulation, the so-called coagulation effect, can be modified with ENDO CUT I using four different settings.