FOCUS ON APPLICATIONS
Endoscopic Submucosal Dissection (ESD) - fast, safe and easy with the HybridKnife.
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The primary application area for the HybridKnife is endoscopic submucosal dissection. To perform the 4 working steps – marking, elevation, incision/dissection and coagulation – no change of instruments is necessary. Read more... |
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Curative solution In contrast to EMR or the snare technique, the HybridKnife permits R0 resection. This allows patients with pathological tissue abnormality to be completely cured. The risk of recurrence is significantly reduced. |
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Easier working conditions The HybridKnife eases the workload of the assisting staff. The footswitch activated ERBEJET 2 does away with the need to laboriously push down the injection needle. The assisting staff can carry out other tasks in the operating room. |
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Selective operation The waterjet of the ERBEJET 2 offers a high selectivity during operations. The injected liquid automatically accumulates in the desired layer (in this case, the submucosa). |
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Flexible re-elevation The creation of a fluid cushion with the ERBEJET 2 allows the cushion to be re-elevated at any time without changing instruments. This allows the operating physician to concentrate more on the operation and to operate without stress. In addition, the liquid container has a greater volume than conventional injections. |
Scientific publications
Fernandez-Esparrach G., Matthes E., Maurice D., Enderle M.D., Thompson C.C., Carr-Locke D.; A Novel Device for Endoscopic Submucosal Dissection That Combines Water-Jet Submucosal Hydrodissection and Elevation with Electrocautery. Gastrointestinal Endoscopy 2008; 67(5): AB141.
Kähler et al.; Combination of Water-Jet Dissection and Needle-Knife as a HybridKnife Simplifies Endoscopic Submucosal Dissection. Surgical Endoscopy 2009, 23: pg. 1531-1535.
Neuhaus H, Wirths K, Schenk M, Enderle MD, Schumacher B.; Randomized controlled study of endoscopic mucosal resection (EMR) versus endoscopic submucosal dissection with a water-jet HybridKnife (ESDH) of esophageal lesions in a porcine model. Gastrointestinal Endoscopy 2009, Vol. 70, No. 1: pg. 112-120.
Yahagi N., Neuhaus H., Schumacher B., Neugebauer A., Kaehler G.F., Schenk M., Fischer K., Fujishiro M., Enderle M.D.; Comparison of Standard Endoscopic Submucosal Dissection (ESD) Versus an Optimized ESD Technique for Colon: An animal study. Endoscopy 2009, 41:340-5.
Fernandez-Esparrach G., Matthes E., Maurice D., Enderle M.D., Thompson C.C., Carr-Locke D.; A Novel Device for Endoscopic Submucosal Dissection That Combines Water-Jet Submucosal Hydrodissection and Elevation with Electrocautery. Gastrointestinal Endoscopy 2008; 67(5): AB141.
Kähler et al.; Combination of Water-Jet Dissection and Needle-Knife as a HybridKnife Simplifies Endoscopic Submucosal Dissection. Surgical Endoscopy 2009, 23: pg. 1531-1535.
Neuhaus H, Wirths K, Schenk M, Enderle MD, Schumacher B.; Randomized controlled study of endoscopic mucosal resection (EMR) versus endoscopic submucosal dissection with a water-jet HybridKnife (ESDH) of esophageal lesions in a porcine model. Gastrointestinal Endoscopy 2009, Vol. 70, No. 1: pg. 112-120.
Yahagi N., Neuhaus H., Schumacher B., Neugebauer A., Kaehler G.F., Schenk M., Fischer K., Fujishiro M., Enderle M.D.; Comparison of Standard Endoscopic Submucosal Dissection (ESD) Versus an Optimized ESD Technique for Colon: An animal study. Endoscopy 2009, 41:340-5.