Channel Title: Cook Medical Endoscopy Channel Channel Description: Since 1963 Cook Medical has worked closely with physicians to develop technologies that eliminate the need for open surgery. Today we are combining medical devices, biologic materials and cellular therapies to help the world's healthcare systems deliver better outcomes more efficiently. We have always remained family owned so that we have the freedom to focus on what we care about: patients, our employees and our communities. Find out more at www.cookmedical.com, and for the latest news, follow us on Twitter, Facebook and LinkedIn. Cook Medical Endoscopy Division Founded on Cook Medical’s core values in 1983, the Endoscopy division creates products that help treat diseases throughout the gastrointestinal tract. The division employs a global workforce that produces a full line of products that help physicians around the world efficiently care for their patients. <video> Overview of Biliary Strictures Description: Dr. David Diehl explains biliary strictures and discusses distal, hilum strictures, and malignant vs. benign strictures and how to approach them. Dr. David Diehl was a paid consultant for Cook Medical at the time this video was made. </video> <video> What Stent Should You Use? Plastic and Metal Biliary Stents Description: Dr. David Diehl gives an overview of what kind of stent to use and for what indication, with specific assessment between plastic and metal stents. Dr. David Diehl was a paid consultant for Cook Medical at the time this video was made. This video features the following products: Cotton-Leung® Biliary Stent INSTRUCTIONS FOR USE (IFU): https://ifu.cookmedical.com/data/IFU_PDF/IFU0045-7.PDF MORE INFO: https://www.cookmedical.com/products/esc_clso_webds/ INTENDED USE: This device is used to drain obstructed biliary ducts. Solus® Double Pigtail Stent with Introducer INSTRUCTIONS FOR USE (IFU): https://ifu.cookmedical.com//data/IFU_PDF/IFU0100-1.PDF MORE INFO: https://www.cookmedical.com/products/esc_zss_webds/ INTENDED USE: This device is used to drain obstructed biliary ducts. Zilver 635® Biliary Self-Expanding Stent INSTRUCTIONS FOR USE (IFU): https://ifu.cookmedical.com//data/IFU_PDF/IFU0065-4.PDF MORE INFO: https://www.cookmedical.com/products/esc_zilbs635/ INTENDED USE: This device is used in palliation of malignant neoplasms in the biliary tree. </video> <video> Imaging Modalities Used In ERCP Description: Dr. David Diehl details imaging modalities used in ERCP, endoscopic ultrasound and fluoroscopy. Dr. David Diehl was a paid consultant for Cook Medical at the time this video was made. This video features the following products: Acrobat® 2 Calibrated Tip Wire Guide INSTRUCTIONS FOR USE (IFU): https://ifu.cookmedical.com/data/IFU_PDF/10250_0619.PDF MORE INFO: https://www.cookmedical.com/products/a1499dc4-8c99-4bd3-979d-b215c8acfb44/ INTENDED USE: This device is used to assist in cannulation of the biliary and pancreatic ducts and to aid in bridging difficult strictures during ERCP. Fusion® OMNI™ Sphincterotome with DomeTip® INSTRUCTIONS FOR USE (IFU): https://ifu.cookmedical.com/data/IFU_PDF/10668_0819.PDF MORE INFO: https://www.cookmedical.com/products/esc_fomnitome_webds/ INTENDED USE: This device is used for cannulation of the ductal system and for sphincterotomy. If preloaded, also aids in bridging difficult strictures during ERCP. </video> <video> ERCP Access Considerations: Needle Knife Sphincterotomy Description: Dr. David Diehl outlines the scenarios where a needle knife may be required during ERCP. Dr. David Diehl was a paid consultant for Cook Medical at the time this video was made. This video features the following products: Fusion® OMNI™ Sphincterotome with DomeTip® INSTRUCTIONS FOR USE (IFU): https://www.cookmedical.com/data/IFU_PDF/10668_0819.PDF MORE INFO: https://www.cookmedical.com/products/esc_fomnitome_webds/ INTENDED USE: This device is used for cannulation of the ductal system and for sphincterotomy. If preloaded, also aids in bridging difficult strictures during ERCP. Acrobat® 2 Calibrated Tip Wire Guide INSTRUCTIONS FOR USE (IFU): https://ifu.cookmedical.com/data/IFU_PDF/10250_0619.PDF MORE INFO: https://www.cookmedical.com/products/db2f8816-3757-45bd-ac40-756429f58f06/ INTENDED USE: This device is used to assist in cannulation of the biliary and pancreatic ducts and to aid in bridging difficult strictures during ERCP. Zimmon® Pancreatic Stent with No Ductal Flap INSTRUCTIONS FOR USE (IFU): https://ifu.cookmedical.com/data/IFU_PDF/IFU0055-4.PDF MORE INFO: https://www.cookmedical.com/products/esc_spsos_webds/ INTENDED USE: This device is used to drain obstructed pancreatic ducts. Fusion® Wire Guide Locking Device INSTRUCTIONS FOR USE (IFU): https://ifu.cookmedical.com/data/IFU_PDF/18601_0719.PDF MORE INFO: https://www.cookmedical.com/products/esc_fswl_webds/ INTENDED USE: This device is an accessory to be used with endoscopic biliary devices to lock the wire guide(s) in place during ERCP procedures. </video> <video> Biliary Stents: Selection & Sizing Considerations Description: Dr. David Diehl discusses when to use plastic vs metal stents. Appropriate length and diameter of the stent to use in specific indications. Dr. David Diehl was a paid consultant for Cook Medical at the time this video was made. This video features the following products: Acrobat® 2 Calibrated Tip Wire Guide INSTRUCTIONS FOR USE (IFU): https://ifu.cookmedical.com/data/IFU_PDF/10250_0619.PDF MORE INFO: https://www.cookmedical.com/products/a1499dc4-8c99-4bd3-979d-b215c8acfb44/ INTENDED USE: This device is used to assist in cannulation of the biliary and pancreatic ducts and to aid in bridging difficult strictures during ERCP. Zilver 635® Biliary Self-Expanding Stent INSTRUCTIONS FOR USE (IFU): https://ifu.cookmedical.com/data/IFU_PDF/IFU0065-4.PDF MORE INFO: https://www.cookmedical.com/products/esc_zilbs635/ INTENDED USE: This device is used in palliation of malignant neoplasms in the biliary tree. </video> <video> Role of EUS in Combination with ERCP Description: Dr. David Diehl demonstrates screening with EUS in advance of ERCP. Dr. David Diehl was a paid consultant for Cook Medical at the time this video was made. </video> <video> Occlusion Cholangiogram During ERCP Description: Occlusion cholangiogram during endoscopic retrograde cholangiopancreatography with a balloon dilation catheter. Dr. David Diehl was a paid consultant for Cook Medical at the time this video was made. This video features the following products: Fusion® OMNI™ Sphincterotome with DomeTip® INSTRUCTIONS FOR USE (IFU): https://ifu.cookmedical.com/data/IFU_PDF/10668_0819.PDF MORE INFO: https://www.cookmedical.com/products/esc_fomnitome_webds/ INTENDED USE: This device is used for cannulation of the ductal system and for sphincterotomy. If preloaded, also aids in bridging difficult strictures during ERCP. Acrobat® 2 Calibrated Tip Wire Guide INSTRUCTIONS FOR USE (IFU): https://ifu.cookmedical.com/data/IFU_PDF/10250_0619.PDF MORE INFO: https://www.cookmedical.com/products/db2f8816-3757-45bd-ac40-756429f58f06/ INTENDED USE: This device is used to assist in cannulation of the biliary and pancreatic ducts and to aid in bridging difficult strictures during ERCP. </video> <video> ERCP Stone Retrieval Considerations Description: Dr. David Diehl explains extraction baskets and extraction balloons for biliary stone management. Dr. David Diehl was a paid consultant for Cook Medical at the time this video was made. This video features the following products: Fusion® Wire Guide Locking Device INSTRUCTIONS FOR USE (IFU): https://ifu.cookmedical.com/data/IFU_PDF/18601_0719.PDF MORE INFO: https://www.cookmedical.com/products/esc_fswl_webds/ INTENDED USE: This device is an accessory to be used with endoscopic biliary devices to lock the wire guide(s) in place during ERCP procedures. Fusion® Quattro® Extraction Balloon INSTRUCTIONS FOR USE (IFU): https://ifu.cookmedical.com/data/IFU_PDF/10768_0121.PDF MORE INFO: https://www.cookmedical.com/products/esc_fsqeb_webds/ INTENDED USE: This device is used for endoscopic removal of stones in the biliary system and for contrast injection. Acrobat® 2 Calibrated Tip Wire Guide INSTRUCTIONS FOR USE (IFU): https://ifu.cookmedical.com/data/IFU_PDF/10250_0619.PDF MORE INFO: https://www.cookmedical.com/products/db2f8816-3757-45bd-ac40-756429f58f06/ INTENDED USE: This device is used to assist in cannulation of the biliary and pancreatic ducts and to aid in bridging difficult strictures during ERCP. Zimmon® Pancreatic Stent with No Ductal Flap INSTRUCTIONS FOR USE (IFU): https://ifu.cookmedical.com/data/IFU_PDF/IFU0055-4.PDF MORE INFO: https://www.cookmedical.com/products/esc_spsos_webds/ INTENDED USE: This device is used to drain obstructed pancreatic ducts. </video> <video> Biliary Ductal Access Techniques for ERCP Description: Dr. David Diehl outlines the various techniques used in papillary access. Dr. David Diehl was a paid consultant for Cook Medical at the time this video was made. This video features the following products: Fusion® OMNI™ Sphincterotome with DomeTip® INSTRUCTIONS FOR USE (IFU): https://www.cookmedical.com/data/IFU_PDF/10668_0819.PDF MORE INFO: https://www.cookmedical.com/products/esc_fomnitome_webds/ INTENDED USE: This device is used for cannulation of the ductal system and for sphincterotomy. If preloaded, also aids in bridging difficult strictures during ERCP. Acrobat® 2 Calibrated Tip Wire Guide INSTRUCTIONS FOR USE (IFU): https://ifu.cookmedical.com/data/IFU_PDF/10250_0619.PDF MORE INFO: https://www.cookmedical.com/products/db2f8816-3757-45bd-ac40-756429f58f06/ INTENDED USE: This device is used to assist in cannulation of the biliary and pancreatic ducts and to aid in bridging difficult strictures during ERCP. Fusion® Wire Guide Locking Device INSTRUCTIONS FOR USE (IFU): https://ifu.cookmedical.com/data/IFU_PDF/18601_0719.PDF MORE INFO: https://www.cookmedical.com/products/esc_fswl_webds/ INTENDED USE: This device is an accessory to be used with endoscopic biliary devices to lock the wire guide(s) in place during ERCP procedures. </video> <video> ERCP Fluoroscopy Video Review Description: Dr. David Diehl highlights anatomical landmarks during ERCP. Dr. David Diehl was a paid consultant for Cook Medical at the time this video was made. This video features the following products: Acrobat® 2 Calibrated Tip Wire Guide INSTRUCTIONS FOR USE (IFU): https://ifu.cookmedical.com/data/IFU_PDF/10250_0619.PDF MORE INFO: https://www.cookmedical.com/products/a1499dc4-8c99-4bd3-979d-b215c8acfb44/ INTENDED USE: This device is used to assist in cannulation of the biliary and pancreatic ducts and to aid in bridging difficult strictures during ERCP. Fusion® OMNI™ Sphincterotome with DomeTip® INSTRUCTIONS FOR USE (IFU): https://ifu.cookmedical.com/data/IFU_PDF/10668_0819.PDF MORE INFO: https://www.cookmedical.com/products/esc_fomnitome_webds/ INTENDED USE: This device is used for cannulation of the ductal system and for sphincterotomy. If preloaded, also aids in bridging difficult strictures during ERCP. </video> <video> ERCP and Indication for Use Description: Dr. David Diehl defines ECRP and outlines patient indications for use. Dr. David Diehl was a paid consultant for Cook Medical at the time this video was made. </video> <video> ERCP Patient Positioning Description: Dr. David Diehl discusses patient positioning considerations for ERCP procedures. Dr. David Diehl was a paid consultant for Cook Medical at the time this video was made. </video> <video> Pancreaticobiliary System Overview Description: Dr. David Diehl outlines anatomy from an endoscopic imaging perspective. Dr. David Diehl was a paid consultant for Cook Medical at the time this video was made. This video features the following products: Acrobat® 2 Calibrated Tip Wire Guide INSTRUCTIONS FOR USE (IFU): https://ifu.cookmedical.com/data/IFU_PDF/10250_0619.PDF MORE INFO: https://www.cookmedical.com/products/a1499dc4-8c99-4bd3-979d-b215c8acfb44/ INTENDED USE: This device is used to assist in cannulation of the biliary and pancreatic ducts and to aid in bridging difficult strictures during ERCP. Fusion® OMNI™ Sphincterotome with DomeTip® INSTRUCTIONS FOR USE (IFU): https://ifu.cookmedical.com/data/IFU_PDF/10668_0819.PDF MORE INFO: https://www.cookmedical.com/products/esc_fomnitome_webds/ INTENDED USE: This device is used for cannulation of the ductal system and for sphincterotomy. If preloaded, also aids in bridging difficult strictures during ERCP. </video> <video> SnapLoc™ Wire Guide Locking Device Animation Description: SnapLoc™ Wire Guide Locking Device INSTRUCTIONS FOR USE (IFU): https://ifu.cookmedical.com/data/IFU_PDF/10901_0422.PDF MORE INFO: https://www.cookmedical.com/products/ca4ca06c-4976-408c-b5b7-267579c8a8a7/ CAUTION: U.S. federal law restricts this device to sale by or on the order of a physician (or a properly licensed practitioner). Please read all instructions before using this device. DEVICE DESCRIPTION The SnapLoc wire guide locking device is an accessory device that attaches to the endoscope accessory channel to lock the wire guide in place during ERCP procedures. The device is designed to be compatible with Olympus®, Pentax®, and/or FujiFilm® endoscopes. Performance Characteristics For optimal performance, utilize device with non-fully hydrophilic coated .025” and .035” Cook wire guides. This device can accept up to 11.5 Fr Cook catheters. Patient Population The device is indicated for adult use only. Contact with Body Tissue The device has indirect patient contact. Operating Principle The device attaches onto the endoscope accessory channel. The device resists motion of the wire guide so other endoscopic accessory devices can be passed to the area of interest. Intended User Use of this device is restricted to a trained healthcare professional. INTENDED USE This device is an accessory to be used with endoscopic biliary and pancreatic devices to lock the wire guide(s) in place and to prevent reflux of bodily fluids during ERCP. INDICATIONS FOR USE This device is used for duodenoscope during the ERCP procedure. CLINICAL BENEFITS This device supports device placement or insertion during various ERCP procedures. CONTRAINDICATIONS Contraindications include those specific to ERCP and any procedures to be performed in conjunction with sphincterotomy. WARNINGS This device is designed for single use only. Attempts to reprocess, sterilize, and/or reuse may lead to contamination with biological or chemical agents and/or mechanical integrity failure of device. If the package is opened or damaged when received, do not use. Visually inspect device. If an abnormality is detected that would prohibit proper working condition, do not use. Notify Cook for return authorization. PRECAUTIONS Do not use this device for any purpose other than the stated intended use. POTENTIAL COMPLICATIONS This device is used with Cook biliary and pancreatic devices. Read appropriate Instructions for Use for complications associated with the procedure and device being used. HOW SUPPLIED This device is supplied ethylene oxide (EtO) sterile, in a peel-open pouch. The peel-open pouches are packaged in multiples, inside of a protective packaging layer. The devices may not be re-sterilized by any method. Store in a dark, dry, cool place. Avoid extended exposure to light and extremes of temperature and humidity, direct sunlight, radiation, and sharps. </video> <video> Wire Guide Cannulation vs Device Cannulation Description: Dr. David Diehl discusses using touch non-touch technique for wire guide cannulation. Dr. David Diehl was a paid consultant for Cook Medical at the time this video was made. This video features the following products: Fusion® OMNI™ Sphincterotome with DomeTip® INSTRUCTIONS FOR USE (IFU): https://www.cookmedical.com/data/IFU_PDF/10668_0819.PDF MORE INFO: https://www.cookmedical.com/products/esc_fomnitome_webds/ INTENDED USE: This device is used for cannulation of the ductal system and for sphincterotomy. If preloaded, also aids in bridging difficult strictures during ERCP. Acrobat® 2 Calibrated Tip Wire Guide INSTRUCTIONS FOR USE (IFU): https://ifu.cookmedical.com/data/IFU_PDF/10250_0619.PDF MORE INFO: https://www.cookmedical.com/products/db2f8816-3757-45bd-ac40-756429f58f06/ INTENDED USE: This device is used to assist in cannulation of the biliary and pancreatic ducts and to aid in bridging difficult strictures during ERCP. Fusion® Wire Guide Locking Device INSTRUCTIONS FOR USE (IFU): https://ifu.cookmedical.com/data/IFU_PDF/18601_0719.PDF MORE INFO: https://www.cookmedical.com/products/esc_fswl_webds/ INTENDED USE: This device is an accessory to be used with endoscopic biliary devices to lock the wire guide(s) in place during ERCP procedures. </video>

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Since 1963 Cook Medical has worked closely with physicians to develop technologies that eliminate the need for open surgery. Today we are combining medical devices, biologic materials and cellular therapies to help the world's healthcare systems deliver better outcomes more efficiently. We have always remained family owned so that we have the freedom to focus on what we care about: patients, our employees and our communities. Find out more at www.cookmedical.com, and for the latest news, follow us on Twitter, Facebook and LinkedIn.

Cook Medical Endoscopy Division
Founded on Cook Medical’s core values in 1983, the Endoscopy division creates products that help treat diseases throughout the gastrointestinal tract. The division employs a global workforce that produces a full line of products that help physicians around the world efficiently care for their patients.

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