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Intelligente Submukosa-Dissektion bei ESD und POEM

preciseSECT und HybridKnife®

Die dynamische Anpassung der Stromkurve macht aus preciseSECT den idealen Mode für die präzise Submukosa-Dissektion und eine ausgeprägte Blutstillung mit geringer thermischer Schädigung.

Zur Submukosa-Dissektion

“Regular injection of the target tissue has a supportive
effect and is therefore recommended. And even important
is the high impedance given by a small contact surface.
This enhances the dissecting effect.”

Priv.-Doz. Dr. med. Torsten Beyna
Leiter der Abteilung für Gastroenterologie und Interventionelle Endoskopie
EVK Düsseldorf, Deutschland

Zur Koagulation von Blutgefäßen
während der Submukosa-Dissektion

“Conversely, an effective coagulation effect can be achieved through lower impedance with the preciseSECT mode. This sealing of the vessel is achieved by applying the instrument tip to blood vessels in a more planar manner (large contact surface). This application to the vessel should be performed without any mechanical pressure with a continuous activation of 1–2 seconds (no “tapping”). The coagulated vessel can then be dissected using the preciseSECT mode.”

SCHRITT-FÜR-SCHRITT-BESCHREIBUNG

Dissektion und Koagulation

POEM mit HybridKnife® unter Anwendung von preciseSECT

Zur Blutstillung

“Pronounced hemostasis with low thermal lateral damage:preciseSECT responds very quickly and precisely to different tissue impedances by dynamically adjusting the current curve.”

Dr. med. Shaimaa Elkholy
Dozentin für innere Medizin & Hepato-Gastroenterologie
Universitätsklinikum in Kairo, Kasr Al-Ainy Fakultät für
Medizin, Kairo, Ägypten

“preciseSECT is a huge improvement for me, as it allows me to perform ESD of larger lesions without any significant bleeding. This enables large lesions to be resected in a completely blood-dry environment. Having to use a Coagrasper is the absolute exception, as preciseSECT has such a fantastic hemostatic component. For me, this is a major advance in ESD, but also in POEM.”

Prof. Karel Caca
Medical Director,
Klinikum Ludwigsburg, Germany

Anwendungsvideos

POEM mit VIO® 3 preciseSECT-Mode und Verwendung von HybridKnife® – submuköse Tunnelung

POEM with HybridKnife® and VIO® 3 using the preciseSECT mode for submucosal Tunneling

Equipment