Procedures and Treatments

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Choose from a variety of high quality treatment options designed to help you manage small to large and even difficult biliary stones. Choose Balloon or Basket Extraction, Dilation Assisted Stone Extraction (DASE) or Cholangioscopy with EHL or Laser Therapy.

Learn more about the DASE procedure
Extractor™ Pro Retrieval Balloon Catheters

The squared shoulder of the Extractor Pro balloon is designed to facilitate effective and efficient stone removal. Each of the three balloons sizes can be inflated to two distinct diameters to better accommodate anatomical variations.

Trapezoid™ RX Wireguided Retrieval Basket

The Trapezoid RX Wireguided Retrieval Basket is designed to facilitate pushability and guidewire access. May be used with the Alliance™ II Inflation Handle for mechanical lithotripsy to crush large stones.

Dilation Assisted Stone Extraction (DASE)

The DASE procedure using the CRETM PRO Wireguided Balloon Dilatation Catheter for endoscopic dilatation of the strictures of the biliary tree and the Sphincter of Oddi with or without prior sphincterotomy helps facilitate removal of bile duct stones.

Cholangioscopy is the examination of the bile ducts using an endoscope to enable direct visualization of the biliary tree during ERCP. Direct visualization of the bile and pancreatic ducts during ERCP can help obtain biopsy specimens, lead to the diagnosis of abnormalities, and guide stone therapy. Launched in 2015, the SpyGlass™ DS Direct Visualization System enables high resolution imaging and therapy during an ERCP procedure to target biopsies and fragment stones, which may result in more efficient evaluation and help reduce the need for additional testing and repeat procedures compared to traditional ERCP, and enable patients to receive treatment sooner.

SpyGlass™ DS Direct Visualization System

Digital + Simple = DS The SpyGlass DS System, used for cholangiopancreatoscopy, is designed to optimize procedural efficiency and productivity with improved ease of setup, ease of use and image quality.

Designed to offer the ultimate stent construction and balloon dilation to expand options available for patient treatment and management.

Learn more about the WallFlex™ Colonic Stent
WallFlex™ Colonic Stents

Designed to offer the ultimate combination of delivery system access and stent construction to expand options available for patient treatment and management of colonic strictures caused by malignant neoplasms.

CRE™ Balloon Dilatation Catheters Fixed, Wireguided and PRO Wireguided Balloon Dilators

CRE Fixed and Wireguided Balloon Dilators provide consistent performance for Balloon Endoscopy for optimal control, efficiency and technology.

Advanced stent and dilation technology that offers new treatment options for palliation and therapeutic care.

Learn more about the WallFlex™ Duodenal Stent
WallFlex™ Duodenal Stent

Advanced stent technology that offers treatment options for palliation.

CRE™ Balloon Dilatation Catheters Fixed, Wireguided and PRO Wireguided Balloon Dilators

CRE Fixed and Wireguided Balloon Dilators provide consistent performance for Balloon Endoscopy for optimal control, efficiency and technology.

A combination of devices are available for use in conjunction with EMR procedures including a wide variety of snares for resection, sclerotherapy needles for injection, retrieval nets for removal of tissue and endoscopic clips for hemostasis and defect closure (less than 3cm).

Captivator™ EMR Endoscopic Mucosal Resection Device

The Captivator EMR Device is specifically designed for ligation-assisted Endoscopic Mucosal Resection (EMR) of the Upper Gastrointestinal (GI) tract.

Captivator™ II Single-Use Snare

The Captivator II Snares are the first line of stiff and rounded snares, with hot and cold snaring indications. A variety of size options help manage different polyp types.

Captivator™ Single-Use Snares

The Captivator Single-Use Snares are designed in oval, crescent and hexagonal shapes to accomodate a wide range of therapeutic functions including the removal of lesions in difficult locations such as right-sided.

Interject™ Sclerotherapy Needles

The Interject Sclerotherapy Needles are designed to provide access for injection therapy applications and may also be used for polypectomy and endoscopic mucosal resection (EMR).

Resolution™ Clip Leave Nothing to Chance™

Designed for closure during Endoscopic Mucosal Resection (EMR) and Polypectomy to reduce the risk associated with delayed bleeding. Engineered to open and close no more than 5 times aiding in repositioning when closing defects less than 3cm. Per directions for use, can be used in Magnetic Resonance (MR) Environments.

Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) has evolved to become an indispensable diagnostic sampling tool in patients with gastrointestinal tumors. Additionally, we now have therapeutic EUS tools for a growing and exciting field that is advancing endoscopic treatments for patients with complex pancreaticobiliary diseases.

Learn more about Endoscopic Ultrasound (EUS) Guided Devices
Acquire™ Endoscopic Ultrasound Fine Needle Biopsy (FNB) Device

Endoscopic ultrasound fine needle biopsy (EUS-FNB) is often done during EUS procedures of non-pancreatic lesions, where the tip design of a traditional Fine Needle Aspiration (FNA) needle is not optimal. Some prospective cohort studies have shown improvement in diagnostic yield with FNB needles on nonpancreatic lesion and gastric subepithelial masses.

Expect™ and Expect Slimline (SL) Endoscopic Ultrasound Aspiration Needles

Physician preference matters. That's why we offer choices for handle size and shape, actuation/tactile feel, flexibility and durability of the needle.1 All needles have a highly visible echogenic pattern and a sharp needle tip grind.

AXIOS™ Stent and Electrocautery Enhanced Delivery System

The AXIOS Electrocautery Enhanced System provides procedure time savings when compared to the non-electrocautery enhanced system, which may enable a faster room turnover, reducing average labor costs, anesthesia time, and potentially reducing fluoroscopy exposure.

Choose from a variety of initial placement, replacement and through-the-PEG enteral feeding devices.

Learn more about Enteral Feeding and ENFit™ Connector transition
EndoVive™ One-Step Button™ Low Profile Initial Placement Percutaneous Endoscopic
Gastrostomy (PEG) Kit and Accessories

The One-Step Button Low Profile Initial Placement PEG Kit allows for the initial placement of a low profile button.

EndoVive™ Enteral Access Initial Placement: Standard Percutaneous Endoscopic Gastrostomy (PEG) Kit

The Standard Percutaneous Endoscopic Gastrostomy (PEG) Kit's Silicone dome-bolstered PEG tube available in multiple French sizes with two external bolster options to accommodate physician and patient needs: Round and T-bar.

EndoVive™ Enteral Access Initial Placement: Safety Percutaneous Endoscopic Gastrostomy (PEG) Kit

The Safety Percutaneous Endoscopic Gastrostomy (PEG) Kit's Silicone dome-bolstered PEG tube available in multiple French sizes with two external bolster options to accommodate physician and patient needs: Round and T-bar.

EndoVive™ Enteral Access Replacement: Balloon Replacement Gastrostomy Tubes (Straight and Right Angle)

Straight and right angle feeding tubes. Right angle bolster designed to be less obtrusive and may reduce premature pull-out.

EndoVive™ Low Profile Button Replacement Gastrostomy Tube Kit

The EndoVive Low Profile Button design may help reduce the risk of accidental pull-out. The low profile design and flexibility at the skin level may help support patient comfort and discretion.

EndoVive™ Through The PEG (TTP) Jejunal Feeding Tube

The EndoVive Through The PEG (TTP) Jejunal Feeding Tube is designed for placement through an existing Boston Scientific PEG.

Choose from a variety of high quality, clinically proven self expanding stents and balloon dilators designed to help you achieve positive outcomes.

Learn more about the WallFlex™ Esophageal Stent
WallFlex™ Esophageal Stents

Our WallFlex Esophageal Stents deliver luminal patency in patients with esophageal strictures caused by intrinsic and/or extrinsic malignant tumors, through combination of flexibility and control for optimized patient care. View new clinical data below.

Polyflex™ Esophageal Stent

The Polyflex Stent is designed to treat refractory benign strictures and/or malignant esophageal strictures and concurrent tracheosophageal fistulas.

Ultraflex™ Esophageal NG Stent System

The Ultraflex Esophageal Stent System maintains luminal patency in esophageal strictures caused by intrinsic or extrinsic malignant tumors. The covered stent can also be used for occlusion of concurrent esophageal fistula.

CRE™ Balloon Dilatation Catheters Fixed, Wireguided and PRO Wireguided Balloon Dilators

CRE Fixed and Wireguided Balloon Dilators provide consistent performance for Balloon Endoscopy for optimal control, efficiency and technology.

Endoscopic hemostasis can be accomplished through a wide range of treatment modalities including clipping, multiple band ligation, electrocautery, and/or injection.

Resolution 360™ Clip Take Control

The Resolution 360™ Clip builds on the strong clinical and economic track record established by Resolution™ Clip and offers new benefits to providers and patients including controlled clip placement and shorter procedure times.

Resolution™ Clip Leave Nothing to Chance™

The radiopaque Resolution Clip is designed for hemostasis, endoscopic marking, closure and anchoring of jejunal feeding tubes. It is also 510(k) cleared for hemostasis for prophylactic clipping to reduce the risk of delayed bleeding post lesion resection.

Interject™ Sclerotherapy Needles

The Interject Sclerotherapy Needles are designed to provide access for injection therapy applications and may also be used for polypectomy and endoscopic mucosal resection (EMR).

Injection Gold Probe™ and Gold Probe™ Bipolar Hemostasis Catheters

The Injection Gold Probe and Gold Probe Bipolar Hemostasis Catheters are designed to provide uniform burn, effective coagulation, and en face tangential tamponade, even in difficult scope positions.

Speedband Superview Super 7™ Multiple Band Ligators

The Speedband Superview Super 7™ Multiple Band Ligator is used for endoscopic ligation of esophageal varices and anorectal hemorrhoids.

Endostat™ III Bipolar/Monopolar Electrosurgical Generator

Designed for compatibility with Injection Gold Probe™ and Gold Probe™ Electrohemostasis Catheters, polypectomy snares, sphincterotomes, and hot biopsy forceps.

Choose from a variety of high quality technologies designed to help you achieve positive outcomes when managing these strictures. Treatment options include stenting (metal or plastic), balloon dilation, cholangioscopy with biopsy and others.

Learn more about the WallFlex™ Biliary RX Stent
WallFlex™ Biliary RX Stents

Two decades of metal stent development and demonstrated safety and effectiveness from multiple studies have helped make WallFlex Biliary Stents the most frequently implanted biliary metal stent throughout the U.S., Canada, and Europe.2

Advanix™ Biliary Stent with NaviFlex™ RX Delivery System

The Advanix Biliary Stent with NaviFlex RX Delivery System is designed to maximize flow rates, improve pushability through tortuous anatomy, and be repositionable to aid in accurate placement.

Hurricane™ RX Biliary Balloon Dilatation Catheter

Available in a wide range of sizes, the Hurricane™ RX Biliary Balloon Dilatation Catheter is designed to reduce resistance and increase pushability when crossing strictures.

Expect™ and Expect Slimline (SL) Endoscopic Ultrasound Aspiration Needles

Physician preference matters. That's why we offer choices for handle size and shape, actuation/tactile feel, flexibility and durability of the needle.1 All needles have a highly visible echogenic pattern and a sharp needle tip grind.

CRE™ Balloon Dilatation Catheters Fixed, Wireguided and PRO Wireguided Balloon Dilators

CRE Fixed, CRE Wireguided, CRE PRO Wireguided Balloon Dilatation Catheters provide consistent performance for balloon endoscopy for optimal control, efficiency and performance. CRE PRO Wireguided Catheters are also indicated for use in the removal of difficult biliary stones (DASE).

Boston Scientific offers a wide-range of Single-Use Snares of various loop sizes, shape configurations and stiffnesses, including Captivator™, Captivator II, Captiflex™, Rotatable, and Sensation™ Snares.

Captivator™ II Single-Use Snare

The Captivator II Snares are the first line of stiff and rounded snares, with hot and cold snaring indications. A variety of size options help manage different polyp types.

Captivator™ Single-Use Snares

The Captivator Single-Use Snares are designed in oval, crescent and hexagonal shapes for the removal of polyps and tissues from within the GI tract.

Rotatable Single-Use Polypectomy Snare

Rotatable snare is designed to provide 360 degree rotation to help access difficult polyps.

Sensation™ Single-Use Short Throw Snares

The Sensation Short Throw Snare has a short throw handle that is designed for nurse and technician comfort. It is available in a range of shapes and sizes including 13mm, 27mm and 30mm.

Captiflex™ Single-Use Snares

The Captiflex Snare incorporates a braided wire design engineered to produce a flexible snare. The Captiflex oval-shaped snare is available in three sizes: 11mm, 13mm and 27mm.

Profile™ Single-Use Snares

The Profile Single-Use Snares are engineered to fit through most 2.0mm pediatric working channels.

We offer a wide range of endoscopic tissue sampling options including a single-use biopsy forceps, ultrasound aspiration needles and miniature forceps used during cholangioscopy/pancreatoscopy – each designed to help facilitate earlier diagnosis of hundreds of GI diseases and conditions.

Single-Use Radial Jaw™ 4 Biopsy Forceps

Our biopsy forceps include sizes from Standard Capacity to Jumbo to Large Capacity, providing options based on physician preference and a variety of disease states. Hot, Pediatric, and Multibite™ Forceps options can be found in our catalog.

Expect™ and Expect Slimline (SL) Endoscopic Ultrasound Aspiration Needles

Physician preference matters. That's why we offer choices for handle size and shape, actuation/tactile feel, flexibility and durability of the needle.1 All needles have a highly visible echogenic pattern and a sharp needle tip grind.

The RX Biliary System™ used in conjunction with short-wire devices, helps facilitate the technique of physician-controlled wireguided cannulation. Advancements in guidewire technologies, including the hydrophilic tip has further supported this technique.

View Wireguided Cannulation Cases and Product Details
Wireguided Cannulation

Using a physician-controlled wireguided cannulation technique, the physician maintains control of the guidewire as a way to access the papilla during ERCP. RX Biliary System™ (short wire) Devices help facilitate this technique.

1. Flexibility (Nitinol vs Stainless Steel) and Durability (Cobalt-Chromium vs Stainless Steel). Data on file Boston Scientific.

2. Press Release - August 9, 2011, Boston Scientific's WallFlex™ Biliary RX Stent Receives Canadian Approval for Expanded Indication.

3. TWISTER® PLUS is a trademark of Horizons International Corp. Distributed by Boston Scientific Corporation, Marlborough, Massachusetts; manufactured by Horizons International Corp., Heredia, Costa Rica.

4. Meining A, Chen Y, Pleskow D, et al; Direct visualization of indeterminate pancreticobiliary strictures with probe-based confocal laser endomicroscopy: a multicenter experience, Gastrointestinal Endoscopy, November 2011.

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