Endolumenal Interventional Platform with hydrophilic coating
DiLumen ™ with the new EZGlide coating
Two balloons fix the endoscope and form a therapeutic zone.
For you, this means more stability and better visibility during the endoluminal removal of complex polyps, even in difficult locations.
But these are not all advantages:
- Faster access to the lesion
- Easy return of the endoscope through the DiLumen shaft
- Wrinkles and flexures can be smoothed out
- Proven time savings with ESD
NEW STUDY EVALUATES ECONOMIC EFFICIENCY
SIGNIFICANT TIME SAVING THROUGH DiLumen ™
A randomized prospective study evaluates the economic efficiency of the endoluminal double-balloon platform DiLumen for colorectal endoscopic submucosal dissection (ESD)
Presented at UEG Week 2020 and ACG 2020 by Dr. S. Kantsevoy, Director of Therapeutic Endoscopy, Mercy Medical Center, Baltimore, USA
The results at a glance:
- 49% less time spent on ESD
- 37% less time required for the entire procedure
- En bloc resection in 97% vs. 86% in the comparison group
DiLumenTM was designed to address the difficulties of complex polypectomy procedures
DiLumen™ EIP consists of a soft flexible sheath that fits over standard and small diameter endoscopes. The platform employs two balloons, one behind the bending section of the endoscope and the second in front of the tip of the endoscope. When both balloons are deployed and inflated the area in between is stabilized. This Therapeutic Zone (TZ) facilitates stabilization, insufflation, and manipulation of the tissue thus allowing the clinician to more effectively treat the target area. Once the therapy is completed the balloons are simply deflated and removed along with the endoscope.
Complex Polypectomy Benefits
Superior manipulation of colon
- Aids in colon straightening and shortening
- Navigate challenging sections of the colon
- Easier access to lesions
- Reduce fatigue from excess torque and manipulation of endoscope
Stabilization of the endoscope tip in relation to the intestinal wall/strong>
- Therapeutic Zone™ (TZ) stabilizes colon, endoscope, and tools
- Better control of endoscope, tools, and tissue
Conduit to therapeutic site
- Scope exchange without loss of position
- Instrument stabilization and exchange, when necessary
- Quick return to the therapeutic site
Visualization is enhanced, especially around flexures and folds
- Manipulation of colon wall and improved positioning of lesions
- Facilitate defect closure
- Expose polyps hidden behind folds
Dynamic retraction of mucosal tissue during procedures
- New suture loops enhance visualization of mucosal planes with Dynamic Retraction +DR™ capabilities
DILUMENTM CLINICAL OBJECTIVES
- Improved Patient Outcomes and Satisfaction
- Reduced Complications and Shorter Hospital Stays
- Lower Costs Across to the Healthcare System
|SURGICAL TREATMENT||ENDOLUMENAL TREATMENT|
|Operating Room||Operating Room or GI Suite|
|Open or laparoscopic incisions||No incisions|
|Hospital stay of 4-7 days||Typically go home same day
or next day
|Recovery of 4-6 weeks||Typical recovery of 1-2 days|
|Possible stoma||Stoma very unlikely|
|Potential for complications:|
• Wound infection (5%-30%)
• Anastomotic leaks (3%-24%)
|Potential for Complications:
|Cost of surgery (MS-DRG)|
• $10,000 with no
• $15,000-30,000 with minor
to major complications
|Cost of Endolumenal
|DILUMEN™ ENDOLUMENAL INTERVENTIONAL PLATFORM (EIP)|
|D-1000||DiLumen™ EIP 168cm working length (1 unit/box)|
|D-1001||DiLumen™ EIP 130cm working length (1 unit/box)|
|D-1002||DiLumen™ EIP 103cm working length (1 unit/box)|
While most screened patients are disease-free or may have a minor procedure at the time of screening, others receive a diagnosis that requires additional intervention including surgery. Though relatively safe, surgery involves:
- the use of general anesthesia,
- abdominal incisions, and
- often the removal of a portion of the colon.
Such interventions generally require a hospital stay of four to six days and over a month of recovery. In addition, potential complications resulting from wound infection or anastomotic leaks can result in much longer hospital stays and recovery times. These factors may also increase the costs of care significantly and result in loss of productivity for the patient.
With access to an appropriately trained clinician, some of these conditions can be treated through endoscopic procedures rather than surgery. However, patients with di cult anatomy, large polyps on folds, or flexures in the cecum, present challenges that may be di cult to overcome.
- Stability of the endoscope and colon segment can always be a challenge.
- Poor visualization can inhibit progress during the procedure.
- These and other challenges can result in long, arduous procedures and inadequate resections.