EndoRotor® Features

Determine your resection limits – instead of your instruments imposing their limitations on you. The EndoRotor® allows you to simultaneously dissect, resect and collect tissue. This 3-in-1 endoscopic interventional tool provides features that complement today’s GI toolkit.
  • Endoluminal preservation – EndoRotor enables muscle/serosa sparing repeatable alternative to full thickness excision of scarred lesions and avoiding surgery
  • Cold resection technique eliminates potential thermal injury to surrounding tissues while preserving histology
  • Used clinically to facilitate EMR lateral margins and tissue bridges
  • Facilitate resection of sessile/flat lesions by suctioning and cutting in one step
  • Potential to replace multiple instruments and eliminate instrument exchange time

Above left: EndoRotor Console on Pole. Above right: Close-up of EndoRotor Console

 

The EndoRotor® product overview sheet provides a range of information including: product features, FAQs, a colon procedure before and after example, pathology reports, and several physician testimonials.


Endoluminal Surgery

How do you preserve your patients lumen?

Direct Endoscopic Necrosectomy

Solutions where drainage is not enough?

Figure 1 Before
(10cm x 7cm x 6cm collection 50%) debridement

Figure 2 After
one debridement session

 
 

EndoRotor® DEN Microdebrider

The Multi-tool you didn’t know you had.

The first and only dedicated instrument for transluminal endoscopic debridement of infected pancreatic necrosectomy.
  • Reduced need for endoscope mobilization in and out oft he collection
  • Debride and extract necrosis in a single step in any area accessible to the endoscope
  • Steerable cutter window rotates 360º to optimize access even in challenging anatomy such as deep and narrow cavities
  • EDual-serrated debrider and high flow-rate suction combine performance with precision and control
EndoRotor® Endo Luminal Applications
  • New Indications: The first and only instrument for removal of retained gastric clots and localizing bleeds. Extensive colon and esophagus experience (300 + procedures).
  • Colon: Non-thermal resection of scarred lesions/margins

The EndoRotor® product overview sheet provides a range of information including: product features, FAQs, and necrosectomy before and after.


Advancement in Endoscopic Tools


FAQ’s

How does the EndoRotor work? . . .

The EndoRotor is an endoluminal surgical tool for debriding tissue not amenable to conventional instrument resection. Tissue is aspirated into the catheter and cut simultaneously. Aspirated tissue is available for histopathologic analysis.

How does the EndoRotor help me? What are the advantages over how I perform resection today? . . .

The incidence of incomplete resection during EMR is well documented throughout clinical literature. Because of combined suction and rotation, the instrument allows the user to remove residual tissue without the need to lift, including post-EMR scarred lesions and lateral margins in primary resections. The EndoRotor is a versatile tool that is not limited by tissue morphology. More recently the EndoRotor presents a safe and effective tool in the removal of pancreatic/extra pancreatic necrosis and adherent gastric clots.

What about pathological specimens? . . .

The EndoRotor has FDA clearance for use by gastroenterologists to resect and remove residual tissue from the peripheral margins following Endoscopic Mucosal Resection (EMR). Procedures completed by physicians globally routinely involve specimens evaluated by pathologists without challenge.

What about margins? . . .

In a recent series (Emmanuel et al.) following wide field EMR, physicians used magnification chromoendoscopy in to confirm negative margins. Using the EndoRotor to resect the margins, pathology revealed a 13% residual tissue in the margins and base previously shown as negative by magnification chromoendoscopy. There were no recurrences at follow up. 1

What about perforation or bleeding? . . .

The EndoRotor has been in use globally since 2016. Prophylactic epinephrine helps to mitigate bleeding risk. Perforation risk is within the standards of reported literature.

Where can I use the device? . . .

The EndoRotor CE mark includes the removal of diseased alimentary tract mucosa/submucosa and for transgastric Direct Endoscopic Necrosectomy (DEN) for the treatment of walled-off pancreatic necrosis.

Are there any studies being done? . . .

The EndoRotor is currently under investigation for the removal of walled-off pancreatic necrosis during direct endoscopic necrosectomy, post EMR scarred polyps in the colon and for refractory Barrett’s mucosa. View Completed Clinical Trials.