Together we shape the future of HPB

Guide ERCP​ procedures with​ confidence​

Short wire system​


Designed to facilitate access and control during endoscopic retrograde cholangiopancreatography (ERCP), the RX Biliary System™: ​

  • ​Puts the physician in control of the guidewire​
  • Secures the guidewire to maintain access during exchanges​

  • Provides a tactile feel while manipulating the guidewire​

The ergonomic, rotating handle* of the Autotome™ RX Cannulating Sphincterotome is engineered for excellent control. It is designed to aid precise tip movement and wire manipulation to facilitate cannulation.​

​* With AutotomeTM RX 39 and 44 only.​

Reducing complications

RX billiary family

There was a statistically significant lower rate of post-ERCP complications in patients who underwent endoscopist-controlled wire-guided cannulation compared with assistant-controlled wire-guided cannulation.¹

​In particular, physician-controlled wire-guided cannulation can reduce the risk of post-ERCP pancreatitis compared with the standard contrast injection method.1,2

Resource savings

Autotome Pro

Adopting short-wire technology decreases the procedural duration and the amount of time needed for sedation and fluoroscopy.³

View product information for​ the RX Biliary System™:​

RX Biliary System™

The RX Biliary SystemTM is designed to facilitate access and control during ERCP, putting the physician in control of the guidewire.​

CRE Pro 3

AutoCap™ RX Integrated Biopsy Cap and Guidewire Locking Device

The AutoCap RX is intended to facilitate physician-controlled placement of a guidewire and device exchanges during ERCP procedures. It is designed to provide a simple, secure attachment to the scope, minimize leakage of biomaterial, and maintain insufflation.​

Autocap CU

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

Explore the Boston Scientific innovations that facilitate smooth access

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1. Buxbaum J, Leonor P, Tung J, et al. Randomized Trial of Endoscopist-Controlled vs. Assistant-Controlled Wire-Guided Cannulation of the Bile Duct. Am J Gastroenterol. 2016;111(12):1841–1847.​

​2. ASGE Technology Committee, Shah RJ, Somogyi L, Peterson BT, et al. Short-Wire ERCP Systems. Gastrointest Endosc. 2007;66(4):650–657.​

3. RX Biliary System, Still Having an Impact on the Practice of Endoscopy, ACCESS magazine Oct/Nov 2014. Available at:; Last accessed: July 2022.​

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.​