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Ahead of the clinical curve in ERCP

A legacy of performance in biliary imaging

Boston Scientific’s ERCP portfolio is designed to enhance endoscopic retrograde cholangiopancreatography (ERCP) care for patients. Our advanced technologies – SpyGlass™ DS II Direct Visualization System and EXALT™ Model D Single-Use Duodenoscope – are built on a legacy of performance, backed by robust data, and ready to meet your clinical needs for managing pancreaticobiliary diseases. 

doctors close up

Imaging for clinical insights. Innovation for clinical performance.

Boston Scientific is committed to transforming lives through purpose-built tools and technology that are integral to your ERCP suite.

SpyGlass DS II

SpyGlass DS II Direct Visualization System helps transform patient care with a history of cholangioscopy innovation, advancing the diagnosis and management of pancreaticobiliary disorders to help interventional gastroenterologists:

  • Gain direct visualization of indeterminate biliary strictures and complex stones1

  • Potentially eliminate the need for repeat procedures1,2 

  • Confirm ductal clearance3

SpyGlass in Stone Management

SpyGlass in stone management

Hear how physicians use SpyGlass DS II for direct visualization and cholangioscopy with EHL to manage biliary stones – from identification to fragmentation to ductal clearance.

Dr. Doug Adler, Dr. Robert Dean, Dr. Mark Gromski, and Dr. John Pineda are paid consultants of Boston Scientific.

SpyGlass in Stricture Management

SpyGlass in stricture management

Find out how physicians use SpyGlass DS II for cholangioscopy to directly visualize biliary strictures – aiding in diagnosis, classification, and procedure planning. 

Dr. Doug Adler, Dr. Mark Gromski, Dr. Neil Marya, and Dr. Jessica Widmer are paid consultants of Boston Scientific.


EXALT Model D

EXALT Model D Single-Use Duodenoscope Generation 4 is a model of continuous innovation, designed to deliver both the feel and performance that physicians have come to expect from a reusable scope4. Built on a proven platform, EXALT Model D:

  • Eliminates the risk of patient-to-patient infection due to ineffective reprocessing5

  • Helps to avoid operational pressures related to reprocessing*6,7

  • Offers performance, control, and maneuverability in a single-use platform4

Efficiency in ERCP

Efficiency in ERCP with EXALT Model D

Explore how physicians integrate single-use duodenoscopes into clinical workflow – and how EXALT Model D provides efficiency in their endoscopy suite.

Dr. Mark Gromski, Dr. Neil Marya, and Dr. John Pineda are paid consultants of Boston Scientific.

Patient safety in ERCP

Patient safety in ERCP: Incorporating EXALT Model D

Learn why physicians use single-use duodenoscopes for defined high-risk patients – and how EXALT Model D eliminates patient-to-patient infection risk.

Dr. Robert Dean, Dr. Mark Gromski, and Dr. Neil Marya are paid consultants of Boston Scientific.


anatomy image

An extensively studied portfolio

Our endoscopic devices are supported by published clinical studies and data – so you can feel confident in ERCP procedures. 

EXALT MODEL D

7

peer-reviewed, published studies8-14

SpyGlass DS II

140+

publications reported on SpyGlass DS since 20154

80+

clinical studies highlighted the impact of SpyGlass DS since 20154

EXALT Model D
SpyGlass

Driven by science. Supported by clinical data.

Hear why physicians invest in clinical data research and the value it brings to their clinical practice.

Dr. Doug Adler, Dr. David Carr-Locke, Dr. Mark Gromski, and Dr. Jessica Widmer are paid consultants of Boston Scientific.

Unlock ERCP education content

EDUCARE provides comprehensive biliary imaging content to help enhance your clinical expertise, stay updated on advancements, and engage with field experts.

  

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Stay informed on our ERCP portfolio, reimbursement changes, procedure coding, and more.

Connect with our team

Learn more about our ERCP solutions, clinical education, equipment service, and more.

EXALT™ Model D Single-Use Duodenoscope Indications, Safety, and Warnings

SpyBite™ Single-Use Biopsy Forceps Indications, Safety, and Warnings

SpyBite Max™ Single-Use Biopsy Forceps Indications, Safety, and Warnings

SpyGlass™ DS II Digital Controller Indications, Safety, and Warnings

SpyGlass™ Retrieval Basket Indications, Safety, and Warnings

SpyGlass™ Retrieval Snare Indications, Safety, and Warnings

SpyScope™ DS II Indications, Safety, and Warnings

*Assumes full conversion to EXALT Model D Single-Use Duodenoscope.

1. Almadi MA, Itoi T, Moon JH, et al. Using single-operator cholangioscopy for endoscopic evaluation of indeterminate biliary strictures: results from a large multinational registry. Clinical Study. Endoscopy. 2020;52:574–582.

2. Gutierrez OIB, Bekkali NLH, Raijman I, et al. Efficacy and safety of digital single-operator cholangioscopy for difficult biliary stones. Clin Gastroenterol Hepatol. 2018;16:918–926.e1.

3. Sejpal DV, Trindade AJ, Calvin L, et al. Prospective evaluation of digital peroral cholangioscopy for the detection of residual biliary stones that are missed with conventional ERCP: an interim analysis. Tu1418. Gastrointest Endosc. 2017;85(Suppl):AB618.

4. Data on file with Boston Scientific. 

5. Bang et al. Concept of a disposable duodenoscope: at what cost? Gut. 2019. 

6. Muthusamy et al. Economic Burden of Emergent Practices of Duodenoscopes Reprocessing and Surveillance: Balancing Risk and Cost Containment. DDW 2018.

7. Ofstead et al. A Glimpse at the True Cost of Reprocessing Endoscopes. Results of a Pilot. Communique. January/February 2017: 63-78.

8. Bruno MJ, Beyna T, Carr-Locke D, et al. Global prospective case series of ERCPs using a single-use duodenoscope. Endoscopy. 2023;55:1103–1114. Sponsored in part by Boston Scientific.

9. Muthusamy VR, Bruno MJ, Kozarek RA, et al. Clinical evaluation of a single-use duodenoscope for endoscopic retrograde cholangiopancreatography. Clin Gastroenterol Hepatol. 2020;18:2108–2117.e3. Sponsored in part by Boston Scientific.

10. Bang JY, Hawes R, Varadarajulu S. Equivalent performance of single-use and reusable duodenoscopes in a randomised trial. Gut. 2021;70:838–844.

11. Napoléon B, Gonzel JM, Grandval P, et al. Evaluation of the performances of a single-use duodenoscope: Prospective multi-center national study. Dig Endosc. 2022;34:215–221.

12. Slivka A, Ross AS, Sejpal DV, et al. Single-use duodenoscope for ERCP performed by endoscopists with a range of experience in procedures of variable complexity. Gastrointest Endosc. 2021;94:1046–1055.

13. Shahid HM, Bareket R, Tyberg A, et al. Comparing the safety and efficacy of two commercially available single-use duodenoscopes: 
A multicenter study. J Clin Gastroenterol. 2023;57:798–803.

14. Persyn D, Van Malenstein H, Vanderschueren E, et al. Performance and applicability of a first-generation single-use duodenoscope: 
A single-center cohort study. Ann Gastroenterol. 2022;35:368–375.

 

Caution: U.S. Federal law restricts these devices to sale by or on the order of a physician. 

All photographs taken by Boston Scientific.