Our premier biliary access technologies are now available in preloaded options.

Cook Medical has combined its premier technologies for access by preloading the new Acrobat® 2 Calibrated Tip Wire Guide in the D.A.S.H.™ and Fusion® OMNI™ Sphincterotomes. With this combination of our most advanced wire guide and sphincterotome technologies, you can benefit from greater procedural efficiency and consistent performance in the wide variety of situations you encounter every day.

Redefining ERCP access

Difficulty in cannulating the bile duct during endoscopic retrograde cholangiopancreatography (ERCP) is a risk factor for complications, which have been reported to occur in 9.8% of cases.¹ This number includes serious complications such as pancreatitis (5.4%) and haemorrhage (2.0%).¹ It has been suggested that a cannulation success rate greater than 95% and a complication rate less than 5% should be the standard for endoscopists when performing ERCP.²

Achieving such a low complication rate can be difficult, because ERCP is one of the most technically challenging procedures in endoscopy. That’s why tools that mitigate the challenges of accessing the ductal system are essential to bettering patient outcomes. The D.A.S.H. and Fusion OMNI sphincterotomes, when preloaded with the Acrobat 2 wire guide, provide the unique benefits of each device to address procedural difficulties without limiting the physician’s choice of technique.

Acrobat 2 delivers

The Acrobat 2 wire guide has a range of characteristics that endoscopists around the world told us they want in a wire guide:

• Tip flexibility—at least 35% greater tip flexibility than major competitors³
• Pushability—29% greater pushability than the original 0.035 inch diameter Acrobat⁴
• 1:1 torqueability—for precise wire guide rotation during selective cannulation and navigation of the ducts⁵
• Visualization of position and movement—the Mark V System® enables high-contrast visualization of movement and depth of insertion

For the long-wire technique

• The D.A.S.H. sphincterotome preloaded with the Acrobat 2 meets the needs of endoscopists who prefer the long-wire technique.
• The distal end of the D.A.S.H. features Cook Medical’s unique DomeTip®, which was designed with anatomy in mind for smooth access.
• The custom 3D forming stylet maintains a consistent orientation.
• The ergonomic handle provides the assistant with access to the wire guide, contrast, and cutting wire.
• The ability to inject over the wire guide gives the double-lumen D.A.S.H. triple-lumen functionality.

Go here to learn more about D.A.S.H.™ preloaded with Acrobat® 2.

For physician control

The Fusion OMNI preloaded with the Acrobat 2 meets the needs of endoscopists who prefer physician control of the wire guide.

• Like the D.A.S.H., the Fusion OMNI has DomeTip technology for smooth access.
• The custom 3D forming stylet maintains a consistent orientation.
• The solid, breakthrough channel design of this triple-lumen sphincterotome makes it possible to flush the wire guide lumen and for the endoscopist to control the wire guide.

Go here to learn more about Fusion® OMNI™ preloaded with Acrobat® 2.

Both of these preloaded Acrobat 2 options also streamline inventory, providing greater efficiency for materials management.

References
1. Freeman ML, Nelson DB, Sherman S, et al. Complications of endoscopic biliary sphincterotomy. N Engl J Med. 1996;335(13):909—918.
2. Mammen A, Haber G. Difficult biliary access: advanced cannulation and sphincterotomy technique.
Gastrointest Endosc Clin N Am. 2015;25(4):619—630.
3. Data on file at Cook Medical. Reference document number EA-RDE06032-004 Rev 1.
4. Data on file at Cook Medical. Reference document number EA-06028-01 Rev 1.
5. Data on file at Cook Medical. Reference document numbers RDE06031-06-R and RDE06031-05-R.