Together we shape the future of HPB

Use direct visualization for percutaneous biliary access

A better view in challenging cases​

SpyGlass discover hand held

Percutaneous transhepatic cholangioscopy (PTCS) is a treatment approach for complex patients who may have limited options for stone disease or stricture management.​

It can include patients that: ​

  • have surgically altered anatomy​
  • are unable to receive an ERCP​
  • are high-risk surgical patients​​

These patients may have undergone a previous surgery like a Roux-en-Y gastric bypass, pancreaticoduodenectomy (Whipple procedure), or liver transplant that resulted in altered hepato-pancreato-biliary (HPB) anatomy.¹

​Managing subsequent bile duct stones or biliary obstruction in such patients can prove challenging. Their current health status may also exclude surgery from the available treatment options.²

PTCS with SpyGlass™ Discover​

Discover Controller

SpyGlass™ Discover helps you overcome these challenges. It is a single-use, sterile endoscope for use in the pancreaticobiliary system, including the hepatic ducts.​

​It leverages a minimally invasive approach, with an outer diameter of 3,5 mm (11 or 12 Fr access sheath). This gives you the ability to gain access in patients with complex or altered anatomy percutaneously.​

View product information for​ the SpyGlass™ Discover Digital Catheter:​

SpyGlass™ Discover Digital Catheter ​

The SpyGlassTM Discover System was adapted from the latest SpyGlass™ DS technology, to enable surgeons to perform intra-operative: ​

  • ​CBD stone clearance, including trans-cystic lithotripsy, during LCBDE​
  • Visual and biopsy-guided mapping of cancer margins during resection of cholangiocarcinoma or MD-IPMN​
  • Visualization and therapeutic treatment via percutaneous access​
SpyGlass discover scope

A holistic approach to the HPB (hepato-pancreato-biliary) pathway​

Explore the Boston Scientific innovations that facilitate smooth access

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1. Krutsri C, Kida M, Yamauchi H, et al. Current status of endoscopic retrograde cholangiopancreatography in patient with surgically altered anatomy. World J Gastroenterol. 2019;25(26):3313–3333.​

​2. Wang W, Wang C, Qi H, et al. Percutaneous transcystic balloon dilation for common bile duct stone removal in high-surgical risk patients with acute cholecystitis and co-existing choledocholithiasis. HPB (Oxford). 2018;20(4):327–331.​

CAUTION: The law restricts these devices to sale by or on the order of a physician. Indications, contraindications, warnings, and instructions for use can be found in the product labelling supplied with each device or at Products shown for INFORMATION purposes only and may not be approved or for sale in certain countries. This material not intended for use in France.​​All images owned by Boston Scientific.​