Waterjet-assisted TEM-ESD with ERBEJET® 2
- Adenomas, rectal, broad-based, non-muscle invasive
- T1 low risk carcinomas
- High-pressure waterjet for needle-free mucosa elevation
- Reduced risk of perforation
- Simplified elevation in difficult anatomy
- Layer-specific procedure
- Reduced risk of injury to vessels
- Targeted, precise staunching of bleeding
- Adjustable waterjet pressure
- Power dosage of the VIO technology for incisions and controlled dissection with minimal bleeding
Operation steps
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Water-jet elevation
Needleless high-pressure water-jet elevation creates a submucosal fluid cushion and lifts up the tumor-bearing mucosa. Unlike the healthy surrounding mucosa, the adenoma does not change color during elevation when using sodium chloride fluid with indigocarmine dye. This makes it easy to identify the lesion.
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Incision and dissection
The mucosa is incised at a sufficiently safe distance from the adenoma, beginning aborally. Using the swiftCOAG mode, the submucosa can be optimally dissected. The blood vessels are exposed well and temporarily compressed through elevation and can be selectively coagulated.
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Replenishment
The fluid cushion can be replenished at any time. This maintains the protective effect and distinction function over the entire course of resection.
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Coagulation
Vessels are coagulated during resection using the swiftCOAG mode. The pathologist can make an optimal histological assessment of the en-bloc resected tissue.
Recommended products
VIO 300 D incl. 4 socket modules, 1 system software, 1 power cord, 2 instruction manuals
Item No.: 10140-100