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Steady performance across

all ASGE complexity grades

EXALT Model D Single-Use Duodenoscope / Case Studies

EXALTTM Model D case studies

EXALT Model D is the world’s first single-use duodenoscope for endoscopic retrograde cholangiopancreatography (ERCP)  procedures to be used across all ASGE complexity grades.  Watch the case footage below to see how EXALT Model D offers manueverability, stability and control in a wide variety of ERCP procedures.

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Bilateral Epic™ Metal Stent Placement using EXALT™ Model D Single-Use Duodenoscope

Dr. Ashley Vareedayah, Assistant Professor, Department of Medicine at NYU Grossman School of Medicine, Division of Gastroenterology and Hepatology,  shares a case of Bilateral Epic Metal Stent Placement using EXALT™ Model D in a patient with a history of high-grade neuroendocrine tumor with numerous liver lesions and associated hilar strictures.

Dr. Matthew Eves of Thomas Hospital shares how ERCP can help to perform biliary drainage for a patient with a Klatskin’s Tumor using a single-use duodenoscope.
 
Dr. Mandeep Bhamra shares the case of a patient with unresectable pancreatic adenocarcinoma invading the duodenum. Since the patient was undergoing chemotherapy and cross-contamination from a reusable scope was a concern, Dr. Bhamra opted to use the EXALT Model D Single-Use Duodenoscope.
 
Dr. Jeremy Barber of Spectrum Health uses EXALT Model D in a patient with a history of unresectable pancreatic cancer presenting with cholangitis secondary to an obstructed biliary stent.
   
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Case study library

   
Model D Case Study Complex Stricture, Liver Transplant Dr. Liu

Dr. Quin Liu of Cedars Sinai Medical Center uses EXALT Model D to perform an ERCP with stent exchange for a patient with history of liver transplant and resulting ischemic strictures. Model D was selected due to the patient’s history of antibiotic resistant bacteremia. 

EXALT Model D Case Hilar Stricture Stent Placement Dr. Varadarajulu

Dr. Shyam Varadarajulu presents biliary stent placement case for hilar stricture using EXALT Model D.

Endoscopic Procedure with a Single-Use Duodenoscope During Treatment for Pancreatic Cancer

Dr Prasun Shah of Memorial Hermann The Woodlands Hospital in Shenandoah, Texas, shares a case using EXALT Model D Single-Use Duodenoscope in a COVID-19 positive patient who was treated for her metastatic pancreatic cancer.

Dr. Thaker Presents Case Footage using EXALT Model D Single-Use Duodenoscope

Dr. Adarsh Thaker, Assistant Clinical Professor of Medicine, David Geffen School of Medicine at UCLA, shares case footage of two ERCP procedures demonstrating the control and maneuverability of the EXALT Model D Single-Use Duodenoscope. The first case shows scope passage into the duodenum of a patient in the prone position and the second case demonstrates how EXALT Model D maneuvers in difficult or angulated strictures.   

Minor papilla cannulation using single-use duodenoscope

Dr. Shyam Varadarajulu of Orlando Hospital uses EXALT Model D to cannulate the dorsal pancreatic duct and places a stent to treat a 63-year-old female patient with recurrent acute pancreatitis.

Single-operator cholangioscopy-guided biopsies using single-use duodenoscope

Dr. Shyam Varadarajulu uses EXALT Model D and the SpyGlass™ DS Direct Visualization System during an ERCP procedure on a 48-year-old woman to diagnose cholangiocarcinoma in a biliary stricture.

Case usage of EXALT Model D Single-Use Duodenoscope

Dr. Adarsh Thaker, Assistant Clinical Professor of Medicine, David Geffen School of Medicine at UCLA, presents case footage demonstrating scope passage into the duodenum of a patient in the prone position. EXALT Model D is then used on a second patient with multi-focal biliary obstruction. 

Challenging bile duct cannulation

Dr. Shyam Varadarajulu presents case footage using EXALT Model D for a biliary stent replacement in an 85-year-old woman with cholangiocarcinoma and obstructive jaundice.

Retained common bile duct stent and stone impaction

Dr. Frizzell shares the case of an ERCP procedure using the EXALT Model D Single-Use Duodenoscope with SpyGlass™ DS Direct Visualization in an 86-year-old woman with a history of extended spectrum beta-lactamases Escherichia coli cholangitis due to a retained common bile duct (CBD) stent. 

Palliative Management of a Complex Biliary Stricture with a Single-Use Duodenoscope

Richard Seidel, M.D. demonstrates that the EXALT™ Model D Duodenoscope can be used safely and effectively forcomplicated biliary procedures in immunocompromised patients.

   

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