Spyglasstmds

Manufactured by Boston Scientific

Sourced in United States

The SpyGlass™ DS is a lab equipment product that provides direct visualization of the biliary and pancreatic ducts. The device enables endoscopic procedures by delivering high-definition images and videos to assist healthcare professionals in diagnosis and treatment.

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Lab products found in correlation

Ei 580bt, by Fujifilm (1 mentions)

2 protocols using spyglasstmds

Endoscopic Techniques for Post-Surgical Bile Duct Access

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Prophylactic antibiotics were administered in 18 cases treated after February 2019. A duodenoscope (TJF-Q290V or JF-260V; Olympus Medical Science Corporation, Tokyo, Japan) was used for patients with normal anatomy, and a double-balloon endoscope (EI-580BT; FUJI FILM Corporation, Tokyo, Japan) or colonoscope (CF-HQ290ZI; Olympus Medical Science Corporation, Tokyo, Japan) was used for patients with postoperative anatomy. When necessary, scopes were changed during the procedure.
Endoscopic sphincterotomy (EST) was performed for transpapillary procedures; endoscopic papillary balloon dilation (EPBD) or EPLBD was added in post-EST patients when necessary. For patients who underwent hepatico-jejunostomy, balloon dilation was performed if stenosis of the anastomosis was observed.
If there was stenosis in the bile duct, balloon dilation or stenting was performed. Stone removal was initiated with fluoroscopic guidance using a basket or balloon catheter and then switched to POCS with a SpyGlass^TMDS (Boston Scientific Corporation, Marlborough, MA, USA) as needed. Two hours after the start of the procedure, a decision was made whether to stop or continue treatment.

Sakamoto Y., Takeda Y., Seki Y., Kawahara S., Shimosaka T., Hamamoto W., Koda H., Yamashita T., Onoyama T., Matsumoto K., Yashima K, & Isomoto H. (2022). The Usefulness of Peroral Cholangioscopy for Intrahepatic Stones. Journal of Clinical Medicine, 11(21), 6425.

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Endoscopic Retrograde Cholangiopancreatography (ERCP) for Complex Biliary Stones

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ERCP was undertaken predominantly with benzodiazepine and opioid sedation. General anesthesia was used when per-oral cholangioscopy (POC) (SpyGlass^TMDS, Boston Scientific, MA, United States) was performed.
ERCP was performed using side-viewing endoscopes (TJF-240; Olympus Optical Corporation, Tokyo, Japan). Standard wire guided EST was performed for native papilla. Stone extraction was attempted with extractor balloon catheter (Extractor^TM Pro RX, 2 lumen extraction balloon, Boston Scientific, Cork, Ireland and/or Multi-3V Plus^TM, three lumen extraction balloon, Olympus Medical systems, Tokyo, Japan) and/or wire guided retrieval basket (Trapezoid^TM, Boston Scientific Limited, Ireland).
Where stone retrieval was unsuccessful with standard techniques, EPLBD (CRE^TM Wire guided, Boston Scientific, Cork, Ireland) was performed for stone extraction. The balloon was inflated until disappearance of the waist (Figure 1). For complex and large stones, POC supplemented with electrohydraulic lithotripsy (EHL) (Nortech Autolith, Intracorporeal Electrohydraulic Lithotripter, Northgate Technologies INC, IL, United States) was used for stone extraction. Duct clearance was confirmed with an occlusion cholangiogram. Stone number, size and bile duct diameter were assessed with calibrated hospital radiology software tools on captured fluoroscopic images for accurate precision.

Aujla U.I., Ladep N., Dwyer L., Hood S., Stern N, & Sturgess R. (2017). Endoscopic papillary large balloon dilatation with sphincterotomy is safe and effective for biliary stone removal independent of timing and size of sphincterotomy. World Journal of Gastroenterology, 23(48), 8597-8604.

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