We use cookies to understand how you use our site and to improve your experience. This includes personalizing content and advertising. To learn more, click here. By continuing to use our site, you accept our use of cookies. Cookie Policy.

Features Partner Sites Information LinkXpress
Sign In
Advertise with Us

Download Mobile App




Flexible Debrider Removes Necrotic Pancreatic Tissue

By HospiMedica International staff writers
Posted on 06 Jan 2021
Print article
Image: The EndoRotor running through an endoscope’s working channel (Photo courtesy of Interscope)
Image: The EndoRotor running through an endoscope’s working channel (Photo courtesy of Interscope)
An innovative direct endoscopic necrosectomy (DEN) system provides a minimally invasive option for resection and aspiration of walled-off pancreatic necrosis.

The Interscope (Northbridge, MA, USA) EndoRotor System includes a power console, foot control, specimen trap, and a single-use catheter. During the DEN procedure, the user first creates a lumen using a metallic stent or cystogastrostomy between the stomach and the necrotic cavity in the pancreas; the portal accommodates a standard endoscope. The EndoRotor is then inserted into the working channel of the endoscope to simultaneously resect and aspirate the necrotic material from the walled-off pancreatic collection under direct endoscopic visualization.

An average of two procedures is required to complete necrosectomy. Studies have shown an average of 85% reduction in the amount of necrotic tissue using the system, with half of the subjects having 98.5% clearance of their necrotic tissue. The EndoRotor System should not be used in patients with known or suspected pancreatic cancer, documented pseudoaneurysm, intervening gastric varices, or unavoidable blood vessels within the access tract, and should only be used following other procedures to drain the walled-off pancreatic necrosis (WOPN).

“Physicians now have a dedicated solution to treat this severe and potentially lethal condition. The EndoRotor has shown to be a welcomed improvement in safety and effectiveness that will enhance patient care and allow interventionalists to continue saving lives,” said Jeffery Ryan, CEO of Interscope. “We are proud of this achievement as we begin the commercial launch of the first and only dedicated system for direct endoscopic necrosectomy.”

“Currently, in order to remove dead tissue from a patient's necrotic pancreatic cavity, health care providers need to perform invasive surgery or use other endoscopic tools not specifically indicated to treat this condition,” said Charles Viviano, MD, PhD, of the FDA Center for Devices and Radiological Health (CDRH). “This device has shown its potential to provide a minimally invasive way to remove harmful necrotic pancreatic tissue in patients with WOPN, which occurs in about 15 percent of patients with severe pancreatitis.”

Pancreatitis occurs when digestive enzymes and inflammation cause cellular damage or tissue death. Necrotizing pancreatitis occurs when part of the pancreas dies because of inflammation or injury. After several weeks, the area of necrosis may form a cavity, turning into a WOPN. While WOPN is routinely managed with endoscopic ultrasound guided drainage procedures, approximately 30% of patients with the condition become infected, resulting in lengthy hospitalization, multiple endoscopic procedures, conversion to surgery, and potentially death.

Related Links:
Interscope

Gold Member
Disposable Protective Suit For Medical Use
Disposable Protective Suit For Medical Use
Gold Member
Real-Time Diagnostics Onscreen Viewer
GEMweb Live
Silver Member
Wireless Mobile ECG Recorder
NR-1207-3/NR-1207-E
New
Electrosurgical Unit
es 120

Print article

Channels

Critical Care

view channel
Image: Researchers have developed an advanced shear-thinning hydrogel for aneurysm repair (Photo courtesy of TIBI)

New Hydrogel Features Enhanced Capabilities for Treating Aneurysms and Halting Progression

Aneurysms can develop in blood vessels in different body areas, often as a result of atherosclerosis, infections, inflammatory diseases, and other risk factors. These conditions lead to chronic inflammation,... Read more

Patient Care

view channel
Image: The newly-launched solution can transform operating room scheduling and boost utilization rates (Photo courtesy of Fujitsu)

Surgical Capacity Optimization Solution Helps Hospitals Boost OR Utilization

An innovative solution has the capability to transform surgical capacity utilization by targeting the root cause of surgical block time inefficiencies. Fujitsu Limited’s (Tokyo, Japan) Surgical Capacity... Read more

Health IT

view channel
Image: First ever institution-specific model provides significant performance advantage over current population-derived models (Photo courtesy of Mount Sinai)

Machine Learning Model Improves Mortality Risk Prediction for Cardiac Surgery Patients

Machine learning algorithms have been deployed to create predictive models in various medical fields, with some demonstrating improved outcomes compared to their standard-of-care counterparts.... Read more

Point of Care

view channel
Image: The new eye-safe laser technology can diagnose traumatic brain injury (Photo courtesy of 123RF)

Novel Diagnostic Hand-Held Device Detects Known Biomarkers for Traumatic Brain Injury

The growing need for prompt and efficient diagnosis of traumatic brain injury (TBI), a major cause of mortality globally, has spurred the development of innovative diagnostic technologies.... Read more
Copyright © 2000-2024 Globetech Media. All rights reserved.