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July 2nd, 2020

New portal pressure measurement device coming to EU physicians

Limerick, Ireland– Cook Medical recently received a CE mark to market a new device, the EchoTip® InsightPortosystemic Pressure Gradient, in the European Union. The EchoTip Insight is an endoscopic ultrasound device that allows endoscopists to measure portal pressure. Cook Medical is organising formalised training for the device. The EchoTip Insight currently has limited release pending completion of a physician training session, which Cook will begin to offer in Q3 2020.

Using the novel EchoTip Insight, endoscopists can support a new procedure to perform direct measurement of the portal and hepatic venous pressures under endoscopic ultrasound (EUS) guidance. This allows physicians to obtain direct pressure measurements of the portal veins and the hepatic veins in order to allow physicians to diagnose portal hypertension.1 For added simplicity, EchoTip Insight offers physicians the opportunity to perform an alternative, less invasive procedure that can be coupled with a routine oesophagogastroduodenoscopy (OGD) examination to help evaluate suspected liver diseases.2

Conclusions from a recent human pilot study indicate that the technique of endoscopic ultrasound portal pressure gradient measuring (EUS-PPGM) using a 25-gauge needle and compact manometer setup is feasible.3 This finding may represent a promising advance for procuring valuable information in the management of patients with liver disease.

“We are very pleased to receive this authorisation to market EchoTip Insight,” said Barry Slowey, president of Cook Medical’s Endoscopy specialty. “As we work to improve the lives of patients with portal hypertension, we are committed to innovating the best technologies. Physicians and patients will have one more tool in their toolbelt to better understand a patient’s treatment options.”

For more information about EchoTip Insight and other endoscopy products, visit

About Cook Medical
Since 1963, Cook Medical has been inventing, manufacturing, and delivering a unique portfolio of medical devices to healthcare systems around the world. We work closely with physicians to develop technologies that improve patients’ lives. Because we remain family owned, we have the freedom to focus on what we care about: our patients, our employees, and our communities. Find out more at, and for the latest news, follow us on Twitter, Facebook and LinkedIn.

1. Samarasena JB, Chang KJ. Endoscopic ultrasound-guided portal pressure measurement and interventions. Clin Endosc. 2018;51(3):222–228.

2. Trikudanathan G, Pannala R, Bhutani MS, et al. EUS-guided portal vein interventions. Gastrointest Endosc. 2017;85(5):883–888.

3. Huang JY, Samarasena JB, Tsujino T, et al. EUS-guided portal pressure gradient measurement with a simple novel device: a human pilot study. Gastrointest Endosc. 2017;85(5):996–1001.