SpyGlass™ DS

Direct Visualization System

SpyGlass™ DS Direct Visualization System for Stone Management

Boston Scientific and Northgate Technologies, Inc. have signed a co-exclusive distribution agreement, enabling physicians and hospitals to order the Autolith™ Touch EHL System and accessories direct from Boston Scientific, delivering an efficient ordering process, first rate customer support, and expanded options for stone management.
EHL Infographic
Both electrohydraulic lithotripsy (EHL) and holmium laser may be used in conjunction with the SpyGlass DS System to manage large biliary stones. The SpyGlass DS System combined with lithotripsy devices such as the Autolith Touch System for EHL provides the capability to fragment biliary stones under direct visualization, which helps to enable an increased stone clearance success rate3 in single session treatments.*
Direct visualization stone clearance utilizing EHL has been shown to be clinically effective with demonstrated procedural success in 90% of patients, with single-session stone clearance rates of 76%.4 Achieving single session stone clearance and reducing the need for a repeat procedure(s) may deliver greater patient satisfaction and decrease unnecessary procedural costs.

Cholangioscopy and Electrohydraulic Lithotripsy: Transforming Biliary Stone Management

While stones can be removed with standard ERCP techniques, approximately 10-15% are considered difficult and cannot be treated effectively.1 EHL is one option to remove these difficult stones. The American Society of Gastrointestinal Endoscopy finds EHL not only to be effective, “but relatively inexpensive” compared to other modalities, such as laser lithotripsy.5

Read More About the Value of Cholangioscopy and EHL for Stone Management

Product Details

Autolith™ Touch Biliary EHL System
The Autolith Touch 1.9Fr., 375cm EHL Probe is a single-use device and is to be used with the Autolith Touch EHL Generator. The EHL probe was optimized for use with the SpyGlass™ DS Direct Visualization System to help manage large biliary stones.

SlimLine SIS GI™ Laser Fiber and VersaPulse® Holmium Lasers

The SlimLine Smart Identification System (SIS) GI Single-use Laser Fiber is designed and manufactured by Lumenis and is to be used with the VersaPulse family of holmium lasers. The SlimLine Laser Fiber is designed for management of biliary stones and benign and malignant neoplasms.

Case Studies

Single Session EHL for Multiple Large Bile Duct Stones by Neil Sharma, M.D. and Colin Linke, MS4, Indianapolis, IN
A 54-year-old patient was referred for three large bile duct stones, all larger than 1.2cm. Previous extraction attempts and ERCP procedures had failed. Using the SpyGlass DS System, Dr. Sharma performed an ERCP procedure using cholangioscopy and EHL and fragmented all three stones in one session.
Watch Video.

Diagnosing and Treating Type II Mirizzi Syndrome Using Digital Cholangioscopy by John T. Cunningham, M.D., Tucson, AZ
A 72-year-old-female presented with post-laparoscopic cholecystectomy and underwent 2 failed ERCPs to remove a large biliary stone. A 10fr stent was placed and she returned 2 months later for an ERCP using cholangioscopy with EHL lithotripsy.

Watch Video.

Performing Laser Lithotripsy Using the SpyGlass DS System by Sandeep Patel, D.O. and Utpal Mondal, M.D., San Antonio, TX
A 46-year-old patient presented with cholangitis and despite the use of conventional therapies, the stones were unable to be extracted successfully and a plastic stent was placed. The patient returned 2 months later for an outpatient ERCP with laser lithotripsy using the SpyGlass DS System.
Watch Video.
To watch more case studies or to review procedural stone images, visit EndoSuite.com.