POLYPECTOMY, EMR AND ESD

Complete Solutions
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 OVERVIEW DIAGNOSIS TRAINING PORTAL

Driving Innovation with Unique, Forward-Thinking

Concepts and Proven Reliability, Olympus Offers
You a Total Solution.
This booklet gives you an overview of the wide range
of devices with excellent quality and features that
make a significant contribution to easy and efficient
polypectomy, EMR, and ESD. Combine Olympus’ EVIS
EXERA III video system and endoscopes with their
groundbreaking resolving power for efficient diagnosis
with the Olympus EndoTherapy products for truly
outstanding treatment performance. 12552
EndoLifter LA-201/-202

Diagnosis Training Portal

Olympus is committed to providing the most advanced technologies for endoscopic diagnosis and treatment,
assisting you in advancing patient care. As a part of this commitment, we are pleased to provide a range of
training materials – free of charge and without registration – helping you get the most from your Olympus

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endoscopic technologies.

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Learn more:
www.nbi-training.eu

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 POLYPECTOMY SNARES

SD-210 Series SD-230U-20

Thick-braided wires for excellent coagulation and Hard snare with 20 mm diameter spiral wire for strong

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control in polypectomy. grip and good coagulation. Ideal for flat colorectal polyps
Braided wire Spiral wire
when high coagulation is desired to avoid bleeding.

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SD-990 Series
Monofilament snare with very high cutting speed and
SD-240 Series
strong grip – ideal for flat colorectal polyps where little
Soft, thin-braided wires for easy maneuvering and

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coagulation is required. Available in 25 and 15 mm
improved coagulation. versions.
Soft, braided wire Monofilament wire

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Optimal Maneuverability Even in Small Lumen SD-221 Series

Standard oval-shaped snares feature excellent Crescent snares with soft, thin, and pliable braided
openings and are available in three different sizes: wire. Ideal for cap-assisted EMR. The wire fits easily

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·· SD-210 series: 25, 15, and 10 mm into the EMR cap while the thin sheath enables
·· SD-240 series: 25, 15, and 10 mm effective suction. Thin, braided wire
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·· SD-990 series: 25 and 15 mm

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Large, medium, and small diameter. SD-221 series snares are used in enteroscopy and
pediatric applications as they are ideal for 2 mm
biopsy channels.

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 EMR WITH DISTAL ATTACHMENT SINGLE-USE KITS FOR EMR

EMR Kit for Upper GI

Ready to Use
·· With the use of a transparent distal attachment,

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EMRC makes it possible to perform resections more
quickly and easily EMR Kit for upper GI

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·· Each kit consists of sterile, ready-to-use instruments:
distal attachment, spray catheter, injection needle, Sterile EndoTherapy devices
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and snare

Distal Attachments for EMRC EMR Kit for Lower GI

In order to meet the diverse requirements of Ready to Use
endoscopy, Olympus’ lineup includes a large number EMR is the ideal method for the lower digestive tract.
of different sizes of straight and oblique caps and also

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The local injection of saline produces an elevation that
large-capacity, soft-type models. is then strangulated and resected with a braided, anti- EMR Kit for lower GI
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slip electrosurgical snare for highly effective and easy-
Straight, reusable Oblique, reusable
to-perform procedures. Sterile EndoTherapy devices
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Oblique, wide, reusable Oblique, soft, wide, single-use

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 SPRAY CATHETER AND NEEDLES RETRIEVAL

PW-205V PolyGrab
Single-Use Spray Catheter Single-Use Grasping Forceps for Polyp and
Wider, more evenly distributed spraying for clear Foreign-Body Retrieval
visualization: With the PW-205V, you can spray dye, The wide-opening three-prong construction provides
saline, or another solution more evenly and over
excellent grasping capability, and the ringed tip design
a wider area than with a syringe attached to the
minimizes tissue damage.

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endoscope’s biopsy port. The catheter has a kink-
resistant design for smooth insertion.

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Single-Use Injector with Exceptional Injection NEW
Performance Polyp Trap
·S
 limmer 26G model to reduce leakage of injection – Easy and Convenient Tissue Collection
longer lifting during ESD ·· The Quick Catch Polyp Trap™ is an easy-to-use and
·H
 igh flow lumen allows injection of high viscosity cost-effective device
liquids with light force ·· The Suction Polyp Trap™ comes as a convenient
· Resilient tube sheath retains its original shape, four-chamber trap to allow multiple polyp capture
allowing the needle to be extended, even if the ·· Both polyp trap models come in a clear plastic
sheath is kinked

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construction for easy verification of collected polyps
· User-friendly handle design with a better grip,
facilitating single-handed operation
· Superior puncture performance with less resistance
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NeedleMaster

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 BIOPSY FORCEPS COMPLICATION MANAGEMENT

Single-Use Biopsy Forceps Single-Use Electrosurgical Hemostasis Forceps

Olympus offers an extensive lineup with 24 different ·· For fast and reliable hemostasis during polypectomy,
types. EndoJaw is well known all over the world for its EMR, and ESD
outstanding quality and excellent results:

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·· Cups boast a unique antislip construction.
·· Four different cup sizes for 2, 2.8, 3.2, and 3.7 mm
Wide range of biopsy forceps ·· Rotatable design allows precise targeting of
biopsy channels

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bleeding point

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·· Oval, oval with needle, alligator, and alligator with
needle – all fenestrated in order to achieve larger ·· Three different cup designs for esophageal, gastric, Left: Coagrasper for the colon; middle: Coagrasper for the esophagus; right:
Coagrasper G for gastric application
biopsies and colonic application
·· Double-step blade ensures sharp cutting performance
to retrieve clean specimens
·· Swing-jaw mechanism for positioning of the forceps
HX-400U-30
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cups at biopsy sites in tangential approaches

·· Optimal design for smooth insertion and maximal Smooth insertion into endoscope channel Single-Use Ligation Device
protection of the biopsy channel
·· The HX-400U is a preassembled, ready-to-use device
for safe, simple, and effective endoscopic ligation

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·· Convenient and effective for the prevention of
HX-400U-30 ligation device
bleeding during and after polypectomy
Single-Use Hot Biopsy Forceps
·· Nylon loop ligation keeps tissue damage to a minimum
·· Fenestrated cups for larger biopsies and tissue
resection ·· A 30 mm opening diameter enables ligation of
large polyps
·· Alligator type and oval type

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·· The FS-5U loop cutter should be used if deployment

·· For 2.8 mm biopsy channel
EndoJaw Hot
is unsatisfactory Ligation of large pedunculated polyp FS-5U loop cutter

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 COMPLICATION MANAGEMENT

Olympus provides a whole range of different clips for

efficient hemostasis that may also be used for closing
small tissue defects in the GI tract.

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Perforation closure “Zipper” approach

Single-Use Rotatable Clip-Fixing Device

· Two different clip sizes – standard and long
· Rotatable for easier targeting
· Sterile-packed and ready to use
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· Upper and lower GI lengths

· Dedicated enteroscopy clip Wide, rotatable jaw opening

Easy-to-Use, Versatile, Reusable Clip-Fixing Device

· Variety of clips to suit all applications
· Rotatable
· Sterile cartridge-housed clips
· Jaw angles of 90° and 135° available
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· Colored cartridges to easily distinguish each clip

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 ENDOSCOPIC SUBMUCOSAL DISSECTION (ESD) DIAGNOSIS PROCEDURE MANAGEMENT

Treatment with gastrointestinal endoscopy has evolved rapidly. From polypectomy to endoscopic mucosal
NICE Classification Visit the Online Diagnosis Training Portal: UCR
resection (EMR) and now to endoscopic submucosal dissection (ESD), treatment has become both more www.nbi-training.eu
Validation of a Simple Classification System for Carbon Dioxide Regulation Unit
effective and less invasive. With the remarkable ability to enable en bloc resection of larger lesions, ESD
Endoscopic Diagnosis of Small Colorectal Polyps
·· About 150 times faster than conventional air, carbon
clearly marks a major milestone in this evolution, offering an ideal substitute for open surgery. Using Narrow-Band Imaging.
dioxide’s rapid absorption properties keep abdominal
Hewett D.G., Kaltenbach T., Sano Y., Tanaka S., Saunders B.P., Ponchon T.,
Concept of ESD distension and related pain to a minimum during the

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Soetikno R., Rex D.K. Gastroenterology, 143(3): 599–607, e1, Sept. 2012;
Epub May 15, 2012. Comment in Endoscopy: 2013; 45(4): 285–288. procedure and speed up recovery afterwards
Endoscopic Prediction of Deep Submucosal ·· Easy, reliable operation
Invasive Carcinoma: Validation of the Narrow-
·· Pressure display and timer function to automate CO2
Band Imaging International Colorectal Endoscopic
(NICE) Classification. insufflation shutoff

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Hayashi N., Tanaka S., Hewett D.G., Kaltenbach T., Sano Y., Ponchon T., ·· Three controlled flow rates
Saunders B.P., Rex D.K., Soetikno R.M. Gastrointestinal Endoscopy, 78(4):
625–632, Oct. 2013; Epub Jul. 30, 2013.
ESG-100
High-Frequency Unit

Expanded Scope Portfolio Meets Highest Safety Meets Outstanding Effectiveness

·· High-power cut support for immediate spark ignition
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All Expectations for Diagnosis and Therapy
·· Fast spark monitor for automatic regulation of cutting
·· GIF-1TH190
power
New: Dualknife J with Jet Function New therapeutic gastroscope with superb HD
·· Contact-quality manager function checks the patient
image, 3.7 mm working channel, and brighter NBI
With the addition of a convenient jet capability, the plate
·· GIF-HQ190 ·· Leak-protection system for maximum safety
new and evolved DualKnife J will help you work with
Amazing image quality with Dual Focus and brighter
even greater precision and reduce the time it takes to Forced Coagulation Modes
NBI for upper GI endoscopy
perform an ESD procedure. ·· Effective precoagulation and cutting
·· CF-HQ190I/L ·· Used for stalked polyps
D ual Focus and 170° wide view enabling closer,
PulseCut Slow/Fast
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more detailed examination and observation
·· Intermittent cutting and coagulation phases

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DualKnife J with jet function GIF-1TH190
·· Controlled cutting of flat or sessile polyps
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 POLYPECTOMY, EMR AND ESD

Single-Use Oval Electrosurgical Snares

Article Name Article Number Quantity Min. Working Channel Ø Working Length Loop Ø Wire Ø

SD-210U-10 026138 10 2.8 mm 2,300 mm 10 mm 0.47 mm

SD-210U-15 026137 10 2.8 mm 2,300 mm 15 mm 0.47 mm

SD-210U-25 026136 10 2.8 mm 2,300 mm 25 mm 0.47 mm

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DualKnife J NEW Single-Use Crescent Electrosurgical Snares For Effective and Precise Hemostasis and Closure
KD-655L/Q/U
TriangleTipKnife of Tissue Defects
KD-640L Article Name Article Number Quantity Min. Working Channel Ø Working Length Loop Ø Wire Ø

SD-221L-25 025850 10 2.0 mm 1,650 mm 25 mm 0.3 mm

The new QuickClip Pro enables reliable and
DualKnife SD-221U-25 025851 10 2.0 mm 2,300 mm 25 mm 0.3 mm
easy mechanical hemostasis of upper and lower

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KD-650L/Q/U gastrointestional bleeding. It is also used for
Single-Use Oval Hard Electrosurgical Snare endoscopic closure of small mucosal and submucosal
tissue defects.
HookKnife Article Name Article Number Quantity Min. Working Channel Ø Working Length Loop Ø Wire Ø
KD-620LR/QR/UR ·· Open-and-Close Function
SD-230U-20 N4471230 10 2.8 mm 2,300 mm 20 mm 0.48 mm
Facilitates correct positioning prior to deployment
Coagrasper ·· Full Rotation
FD-411QR/UR Single-Use Oval Soft Electrosurgical Snares Provides accurate control in orienting the clip to the
target side
Article Name Article Number Quantity Min. Working Channel Ø Working Length Loop Ø Wire Ø

SD-240U-10 N3642730 10 2.8 mm 2,300 mm 10 mm 0.4 mm ·· Wide, Adjustable Opening

ITKnife nano SD-240U-15 N3642830 10 2.8 mm 2,300 mm 15 mm 0.4 mm Allows firm grasp on the right amount of tissue
Full Rotation
KD-612L/U SD-240U-25 N3642930 10 2.8 mm 2,300 mm 25 mm 0.4 mm ·· Unique Sheath Design

E0428405 · 300 · 10/15 · OEKG/PR · ED

Coagrasper
FD-410LR Enables smooth insertion and responsive handling,
Single-Use Oval Monofilament Electrosurgical Snare even in complex endoscope angulation Open-and-Close Function

Article Name Article Number Quantity Min. Working Channel Ø Working Length Loop Ø Wire Ø ·· Resilient Clip Arm
ITKnife2 SD-990-15 WA95036A 10 2.8 mm 2,300 mm 15 mm 0.3 mm Resists bending due to tough clip-arm material
KD-611L
SD-990-25 WA95038A 10 2.8 mm 2,300 mm 25 mm 0.3 mm

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·· MR Conditional
Coagrasper G Stays in position in MRI environments
FD-412LR
Specifications, design, and accessories are subject to change without any notice or obligation on the part of the manufacturer.

Postbox 10 49 08, 20034 Hamburg, Germany

www.olympus-europa.com

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