Choose your Region

Are you sure you want to proceed?

You will be leaving the Cook Medical website that you were viewing and going to a Cook Medical website for another region or country. Not all products are approved in all regulatory jurisdictions. The product information on these websites is intended only for licensed physicians and healthcare professionals.


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:

For the long-wire technique

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.

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.

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.

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.