Gastroenterology Endoscopy Tools and Accessories - A Visual Catalog for Trainees and Young Gastroenterologists Biopsy Forceps: • BIOPSY FORCEPS - To obtain biopsy Retrieval Devices: • RAT TOOTH GRASPING FORCEP - For retrieval of foreign objects • ALLIGATOR GRASPING FORCEP - For retrieval of foreign objects; with wider grasp • 3-PRONG GRASPING FORCEP - For retrieval of large polyp or foreign objects • RETRIEVAL NET - For retrieval of large polyp or foreign objects Hemostatic Tools/Devices: • HEMOCLIP - For mechanical hemostasis, closure of mucosal defects, marking or anchoring • INJECTION NEEDLE - For sclerotherapy for hemostasis; also used for submucosal injection to lift lesion prior to EMR/ESD • HEMOSTATIC FORCEPS - Targeted coagulation for hemostasis at the precise site of bleeding • HEATER PROBE - For thermal coagulation via heated tip and pressure application • BIPOLAR COAGULATION PROBE - Bipolar spiral tip provides coagulation at any angle • ARGON PLASMA COAGULATION - Monopolar, noncontact probe which emits ionized argon gas for hemostasis • SINGLE-USE LIGATION DEVICE - For polyp ligation prior to polypectomy; prevents post-polypectomy bleeding • OVER-THE-SCOPE CLIP - Clipping device that provides a strong tissue grasp and compression • HEMOSTATIC SPRAY - Inorganic powder administered endoscopically which promotes hemostasis • BAND LIGATOR - For endoscopic ligation of esophageal varices and anorectal hemorrhoids • SUTURING DEVICE - For correction of defects such as fistula, Gl bleeding, perforation or tears using sutures • SENGSTAKEN BLAKEMORE TUBE - Device used for tamponade of bleeding esophageal varices (3 ports) • MINNESOTA TUBE - Device used for tamponade of bleeding esophageal varices (4 ports to allow aspiration of both gastric and esophageal contents) Polypectomy, EMR, ESD: • POLYPECTOMY SNARE - For polyp removal via cold or hot resection • ESD KNIFE - For lateral incision and submucosal dissection of large lesions • DISTAL CAP - To improve visualization and maintain constant distance while resecting large surface areas • MUCOSAL TATTOO - For marking and identifying lesions along the Gl tract • LIFTING AGENT - Injected in the submucosal layer to lift lesions and create a plane for dissection prior to EMR/ESD • POLYP TRAP - Tissue container for easier colonoscopy specimen retrieval • ENDOCUFF - Device attached to distal end of colonoscope designed to maintain and maximize viewable mucosa Stricture Management: • ACHALASIA BALLOON - For dilation of esophageal strictures; specifically indicated for patients with achalasia • ESOPHAGEAL BALLOON DILATOR - For dilation of esophageal strictures • SAVARY GILLIARD DILATOR - For dilation of esophageal strictures • ESOPHAGEAL/ DUODENAL/COLONIC STENT - To expand and open obstructed sections of the GI tract; often used for palliative treatment ERCP Tools/Devices: • PEG TUBE - For percutaneous endoscopic placement to provide enteral nutrition for patients requiring nutritional support • OVERTUBE - Used to prevent aspiration or mucosal laceration in upper Gl endoscopy • RADIOFREQUENCY ABLATION DEVICE - Attached to the end of an which delivers radiofrequency energy or heat to cause tissue death • SPHINCTEROTOME - For cutting the papilla and to assist in cannulation • GUIDEWIRE - Facilitates access to both biliary and pancreatic ducts, maintain cannulation, and allow passage of instruments in ERCP • STONE EXTRACTION BALLOON - Facilitates stone extraction via sweeping of the biliary tract with an inflated balloon • BILIARY BALLOON DILATOR - For biliary dilatation and sphincteroplasty • STONE EXTRACTION BASKET - For retrieval of stones in the bile duct or pancreatic duct • MECHANICAL LITHOTRIPTOR - For mechanical crushing of stones within the duct • SOEHENDRA LITHOTRIPTOR - For mechanical crushing of stones in the bile duct when other methods of endoscopic removal have failed • SOEHENDRA STENT RETRIEVER - Used for endoscopic removal of stents from the biliary and pancreatic ducts • CYTOLOGY BRUSHES - For collection of biliary specimen and detection of malignant neoplasms within the duct • BILIARY METALLIC STENTS - Flexible metallic tube to keep the bile duct open, which has been blocked or partially blocked • BILIARY AND PANCREATIC PLASTIC STENTS - Flexible plastic tube to keep the bile duct open, which has been blocked or partially blocked • METAL BALL TIP CANNULA - Used to aid in difficult cannulation of the ductal system • CANNULA FOR ENTEROSCOPY-ASSISTED ERCP - Used for cannulating the papilla in enteroscopy-assisted ERCP • CHOLANGIO-SCOPE - Enables direct visualization of the pancreatic and bile duct EUS Accessories: • EUS FNB DEVICE - Device used for EUS-guided fine needle biopsy of suspicious lesions • EUS BALLOON - Used to provide dearer views in EUS procedures GI Endoscopes: • ESOPHAGO-GASTRO-DUODENOSCOPE - Diagnostic, therapeutic (single, double channel), ultra-thin • ENTEROSCOPE - Diagnostic, therapeutic (single, double channel), ultra-thin, motorized spiral • COLONOSCOPE - Diagnostic, therapeutic, pediatric, variable stiffness • ENDOSCOPIC ULTRASOUND - Radial scanning, linear array • DUODENOSCOPE - Side-viewing to visualize ampulla; elevator to move accessories • CAPSULE ENDOSCOPY - Tiny wireless camera that takes pictures as it passes through the Gl tract Dr. Enrik Aguila @enrrikke #Gastroenterology #Endoscopy #Tools #colonoscopy #accessories #EGD #colonoscopy #devices #eus #ercp
