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Haemostasis Stricture Management Biliary Access and Therapy Endohepatology Endoscopic Ultrasound Training and Education

Tools designed to support your biliary procedures from access to therapy.


We understand that accessing the ductal system can be one of the most difficult aspects of your procedures. We know, too, that wire guide tip flexibility is one of the keys to achieving access. So, we’ve carefully considered what we’ve learned from serving the needs of interventional radiologists during the last 50 years and applied that expertise specifically for endoscopic retrograde cholangiopancreatography (ERCP). The result? The Acrobat® 2 Calibrated Tip Wire Guide —one of the most flexible tipped wire guides on the market.¹ (See it in action in the clinical case video below.)

Our premier biliary access technologies are available in preloaded options.

Cook Medical has now 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.

The D.A.S.H. and Fusion OMNI both feature DomeTip® technology for smooth access and custom 3D forming stylet which maintains a consistent orientation.

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1. Data on file at Cook Medical. Reference document number EA-RDE06032-004 Rev 1.

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    Therapeutic solutions after gaining access

    When treating patients who are suffering from biliary obstruction, you strive to give them the best possible outcomes, and we strive to give you more device options. To that end, we introduced Zilver 635® Biliary Self-Expanding Stents with longer lengths and a redesigned delivery system with improved pushability. The Zilver 635 is available in 4, 6, 8, 10, and 12 cm lengths. The self-expanding stent features non-foreshortening nitinol, a push-pull delivery system, and a 6 Fr catheter.

    And our Evolution® Biliary Controlled-Release Stents are available in 4, 6, 8, and 10 cm lengths. Woven with a single nitinol wire with a platinum core, the Evolution biliary stent is designed to provide uniform radial force, optimal flexibility, and conformability. Delivered via an 8.5 Fr catheter with kink-resistant Flexor® technology, the Evolution biliary stent combines flexibility for navigating tortuous anatomy and pushability for traversing tight strictures.

    See our biliary tools in action

    Visit our ERCP channel

    Visit our ERCP channel

    Including clinical cases and device deployment animation, the Cook Medical Endoscopy channel on YouTube features several ERCP-related videos.

    ERCP YouTube

    Biliary access case report

    Biliary access case report

    An ERCP showed a 3 cm stricture of the right hepatic duct with marked dilation of the intrahepatic ducts, and a total occlusion of the left hepatic duct. Deep biliary cannulation was achieved followed by stenting.

    SEE DETAILS

    Evolution biliary study results

    Evolution biliary study results

    Read up on the Evolution biliary stent system’s clinical performance characteristics.

    Learn More

    Thank You for Your Interest in Cook Medical's Products

    The product information on this website is intended only for physicians and healthcare professionals licensed in the European Union (except France), the United Kingdom, Switzerland, Norway, Iceland, Turkey, and Liechtenstein. If you are located in another global region, please click on the regional flag at the very top of the webpage and choose your region from the drop-down options.

    If your region is not listed, visit our How to Order section for more information.

    Information provided on this site is not intended to be professional medical advice. Product Instructions for Use (IFU) should be consulted before use of any product.

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