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Intelligent submucosal dissection in ESD and POEM

preciseSECT and HybridKnife®

The dynamic adjustment of the current curve makes the preciseSECT mode ideal for precise submucosal dissection and pronounced hemostasis with little thermal damage.

For submucosal dissection

“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.”

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<strong>Dr. Torsten Beyna<br /></strong>Head of Department of GI and interventional endoscopy<br />EVK Duesseldorf, Germany

For the coagulation of blood vessels
during submucosal dissection

“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.”

STEP-BY-STEP DESCRIPTIONS ON

Dissection and Coagulation

POEM with Hybridknife® using preciseSECT

For hemostasis

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


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<strong>Shaimaa Elkholy, MD<br /></strong>Lecturer for internal medicine &amp; hepato-gastroenterology <br />Cairo University Hospital, Kasr Al-Ainy Faculty of Medicine, Cairo, Egypt

“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.”

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<strong>Prof. Karel Caca<br /></strong>Medical Director,<br />Klinikum Ludwigsburg, Germany

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Application videos


POEM using VIO® 3 preciseSECT mode with HybridKnife® - submucosal Tunneling


Rectal ESD procedure using VIO® 3 preciseSECT mode with HybridKnife®


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