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<strong>Th<strong>is</strong></strong> <strong>document</strong> <strong>is</strong> <strong>intended</strong> <strong>for</strong> <strong>internal</strong> <strong>use</strong> <strong>only</strong> <strong>and</strong><br />

<strong>shall</strong> <strong>not</strong> be d<strong>is</strong>tributed outside of Boston Scientific.


ERCP<br />

Playl<strong>is</strong>t<br />

Order<br />

1<br />

2<br />

3<br />

4<br />

5<br />

6<br />

7<br />

8<br />

Title<br />

Animation: Advanix Biliary<br />

Stent with NaviFlex RX<br />

Delivery System<br />

Animation: Biliary access<br />

cannulation techniques<br />

Perspectives on<br />

wire-guided cannulation,<br />

Prof. Marco Bruno<br />

Case Study Deployment of<br />

bi-lateral WallFlex ® Biliary RX<br />

Stents, Thomas Kowalski, MD<br />

Animation. WallFlex®<br />

Fully Covered Biliary<br />

Metal Stent animation<br />

with clinical footage<br />

Case Study. Deployment<br />

of a WallFlex ® Duodenal<br />

Stent, presented by<br />

Dr. Irving Waxman<br />

Q&A with MDs. When to Stent<br />

vs Surgery, Irving Waxman,<br />

MD (GI) & Kevin Roggin, MD<br />

(Surgeon)<br />

Q&A with MDs. Patient<br />

Selection <strong>for</strong> Duodenal<br />

Stents, Irving Waxman, MD<br />

& Kevin Roggin, MD<br />

Description<br />

Animation. Advanix Biliary Stent with NaviFlex RX<br />

Delivery System. <strong>Th<strong>is</strong></strong> animation demonstrates the<br />

general deployment procedure <strong>for</strong> the Advanix biliary<br />

stent system.<br />

<strong>Th<strong>is</strong></strong> animation demonstrates various biliary access<br />

cannulation techniques <strong>and</strong> the clinical benefits<br />

of each. Techniques include wire guided cannulation,<br />

catheter access <strong>and</strong> catheter engagement<br />

cannulation techniques.<br />

Physician perspective on short wire systems <strong>and</strong> wire<br />

guided cannulation: techniques, benefits, tips <strong>and</strong><br />

tricks. Prof. Marco Bruno.<br />

In-Depth Case Study. Deployment of bi-lateral<br />

WallFlex ® Biliary Metal Stents, presented by<br />

Dr. Thomas Kowalski of Thomas Jefferson University<br />

Hospital, Philadelphia, PA - takes you step by step<br />

through the deployment procedure <strong>for</strong> placing bi-lateral<br />

WallFlex Stents <strong>for</strong> biliary decompression.<br />

WallFlex ® Fully Covered Biliary Metal Stent animation.<br />

<strong>Th<strong>is</strong></strong> animation includes clinical footage <strong>and</strong><br />

demonstrates the features of th<strong>is</strong> stent as well<br />

as the deployment procedure. Footage courtesy<br />

of Dr. Thomas Kowalski.<br />

Case study. Deployment of a WallFlex ® Duodenal<br />

Stent, presented by Dr. Irving Waxman, University<br />

of Chicago, Pritzker School of Medicine, Chicago, IL.<br />

Q&A with physicians. When to Stent vs Surgery - with<br />

Dr. Irving Waxman (GI) <strong>and</strong> Dr. Kevin Roggin (Surgeon),<br />

University of Chicago, Pritzker School of Medicine,<br />

Chicago, IL.<br />

Q&A with physicians. Patient Selection <strong>for</strong> Duodenal<br />

Stents, with Dr.Irving Waxman (GI) <strong>and</strong> Dr. Kevin<br />

Roggin (Surgeon), University of Chicago, Pritzker<br />

School of Medicine, Chicago, IL.<br />

<strong>Th<strong>is</strong></strong> <strong>document</strong> <strong>is</strong> <strong>intended</strong> <strong>for</strong> <strong>internal</strong> <strong>use</strong> <strong>only</strong> <strong>and</strong> <strong>shall</strong> <strong>not</strong> be d<strong>is</strong>tributed outside of Boston Scientific.


9<br />

10<br />

11<br />

12<br />

13<br />

14<br />

15<br />

16<br />

Case study. Large stone<br />

therapy using Holmium Laser<br />

with SpyGlass ® System,<br />

S<strong>and</strong>eep Patel, DO<br />

Case Study. Large stone<br />

therapy using EHL with<br />

SpyGlass ® System, D.<br />

Pleskow, MD<br />

Case Study. T<strong>is</strong>sue Acqu<strong>is</strong>ition<br />

using the SpyGlass ® System,<br />

D. Adler, MD<br />

Presentation, Part 1 of<br />

2, Pancreatoscopy with<br />

SpyGlass ® System, Pete<br />

Stevens, MD<br />

Presentation. Part 2 of<br />

2, Pancreatoscopy with<br />

SpyGlass ® System, Pete<br />

Stevens, MD<br />

Q&A from Webcast. What <strong>is</strong><br />

your experience acquiring<br />

t<strong>is</strong>sue in the pancreas using<br />

SpyGlass ® System?<br />

Q&A from Webcast. Are there<br />

concerns using the SpyGlass ®<br />

System in the pancreas?<br />

Presentation from Webcast.<br />

SpyGlass ® System t<strong>is</strong>sue<br />

acqu<strong>is</strong>ition clinical reg<strong>is</strong>try<br />

data, D. Adler, MD<br />

Case study on ERCP stone therapy using holmium<br />

laser lithotripsy with the SpyGlass ® System, presented<br />

by S<strong>and</strong>eep Patel, DO, Chr<strong>is</strong>tus Santa Rosa Health<br />

System, San Antonio, Texas.<br />

Case Study. A procedural case study on large stone<br />

management using the SpyGlass System with<br />

electrohydraulic lithotripsy (EHL) in the bile duct,<br />

presented by Douglas Pleskow, MD, Beth Israel<br />

Deaconess Medical Center, Boston, MA.<br />

Case study, Douglas Adler, MD, University of Utah<br />

School of Medicine, Salt Lake City, Utah, from the<br />

August 2009 live webcast on Large Stone<br />

Management (EHL) <strong>and</strong> T<strong>is</strong>sue Acqu<strong>is</strong>ition Using the<br />

SpyGlass ® Direct V<strong>is</strong>ualization System.<br />

Part 1 of 2 - Presentation given by Peter D. Stevens,<br />

MD, Columbia University, New York Presbyterian<br />

Hospital, New York, New York, on Practical<br />

Pancreatoscopy using the SpyGlass ® Direct<br />

V<strong>is</strong>ualization System from the July 2010 SpyGlass ®<br />

System live webcast.<br />

Part 2 of 2 - Presentation given by Peter D. Stevens,<br />

MD, Columbia University, New York Presbyterian<br />

Hospital, New York, New York, on Practical<br />

Pancreatoscopy using the SpyGlass ® Direct<br />

V<strong>is</strong>ualization System, July 2010 SpyGlass ® System<br />

live webcast.<br />

Q&A from the July 2010 live webcast on Therapeutic<br />

Cholangio-Pancreatoscopy using the SpyGlass ®<br />

Direct V<strong>is</strong>ualization System, Pete Stevens, MD,<br />

Columbia University, New York Presbyterian<br />

Hospital, New York, New York.<br />

Q&A from the July 2010 live Webcast on Therapeutic<br />

Cholangio-Pancreatoscopy using the SpyGlass ® Direct<br />

V<strong>is</strong>ualization System, featuring Peter D. Stevens, MD,<br />

Columbia University, New York Presbyterian Hospital,<br />

New York, New York.<br />

Presentation, Douglas Adler, MD, University of Utah<br />

School of Medicine, Salt Lake City, Utah, from the<br />

August 2009 live Webcast on T<strong>is</strong>sue Acqu<strong>is</strong>ition using<br />

the SpyGlass ® Direct V<strong>is</strong>ualization System.<br />

<strong>Th<strong>is</strong></strong> <strong>document</strong> <strong>is</strong> <strong>intended</strong> <strong>for</strong> <strong>internal</strong> <strong>use</strong> <strong>only</strong> <strong>and</strong> <strong>shall</strong> <strong>not</strong> be d<strong>is</strong>tributed outside of Boston Scientific.


ERCP (continued)<br />

17<br />

18<br />

19<br />

20<br />

21<br />

22<br />

23<br />

Overview of SpyGlass®<br />

System clinical reg<strong>is</strong>try data<br />

<strong>for</strong> stone management,<br />

Douglas Pleskow, MD<br />

Q&A from Webcast. How<br />

do you control fluid from<br />

irrigation during SpyGlass ®<br />

System procedures?<br />

Q&A from Webcast. Why<br />

would you set up the<br />

SpyGlass ® System <strong>for</strong><br />

every case?<br />

Intraductal Footage. Direct<br />

v<strong>is</strong>ualization of biliary &<br />

pancreatic ducts using the<br />

SpyGlass ® System<br />

Intraductal Footage of<br />

T<strong>is</strong>sue Acqu<strong>is</strong>ition in the<br />

biliary & pancreatic ducts<br />

using SpyGlass ® System<br />

Intraductal footage using<br />

Holmium Laser with the<br />

SpyGlass ® System <strong>for</strong> large<br />

stones in the CBD<br />

Intraductal footage using<br />

EHL with SpyGlass ®<br />

System <strong>for</strong> large stones<br />

in the bile duct<br />

Presentation by Douglas Pleskow, MD, Beth Insrael<br />

Deaconess Medical Center, Boston, Mass., from<br />

the August 2009 live webcast on Large Stone<br />

Management <strong>and</strong> T<strong>is</strong>sue Acqu<strong>is</strong>ition Using the<br />

SpyGlass ® Direct V<strong>is</strong>ualization System.<br />

Douglas Pleskow, MD, Beth Israel Deaconess Medical<br />

Center, Boston, Massach<strong>use</strong>tts, <strong>and</strong> Douglas Adler,<br />

MD, University of Utah School of Medicine, Salt Lake<br />

City, Utah, answer questions after a live webcast on<br />

the SpyGlass ® Direct V<strong>is</strong>ualization System, June 2009.<br />

Douglas Pleskow, MD, Beth Israel Deaconess Medical<br />

Center, Boston, Massach<strong>use</strong>tts, <strong>and</strong> Douglas Adler,<br />

MD University of Utah School of Medicine, Salt Lake<br />

City, Utah, answer questions after a live Webcast on<br />

the SpyGlass ® Direct V<strong>is</strong>ualization System, June 2009.<br />

SpyGlass ® System intraductal footage - direct<br />

v<strong>is</strong>ualization of the biliary <strong>and</strong> pancreatic ducts using<br />

the SpyGlass System. See the intrahepatic ducts,<br />

strictures <strong>and</strong> stones.<br />

Intraductal footage of t<strong>is</strong>sue acqu<strong>is</strong>ition in the biliary<br />

<strong>and</strong> pancreatic ducts using the SpyBite ® <strong>for</strong>ceps with<br />

the SpyGlass Direct V<strong>is</strong>ualization System. See opticallyguided<br />

biopsies of biliary strictures <strong>and</strong> IPMN strictures<br />

in the pancreas.<br />

Intraductal footage shows <strong>use</strong> of a Holmium Laser<br />

fiber with the SpyGlass ® Direct V<strong>is</strong>ualization System to<br />

manage large stones in the bile duct.<br />

Intraductal footage shows treatment of large stones<br />

in the bile duct using an EHL fiber with the SpyGlass ®<br />

Direct V<strong>is</strong>ualization System.<br />

<strong>Th<strong>is</strong></strong> <strong>document</strong> <strong>is</strong> <strong>intended</strong> <strong>for</strong> <strong>internal</strong> <strong>use</strong> <strong>only</strong> <strong>and</strong> <strong>shall</strong> <strong>not</strong> be d<strong>is</strong>tributed outside of Boston Scientific.


Stricture Management<br />

Playl<strong>is</strong>t<br />

Order<br />

Title<br />

1 WallFlex® Partially Covered<br />

Esophageal Stent Placement -<br />

Patient Video<br />

2 WallFlex® Fully Covered<br />

Esophageal Stent Placement -<br />

Patient Video<br />

3<br />

Balloon Endoscopy with the<br />

CRE Balloon Dilator<br />

4 WallFlex® Esophageal Stent<br />

case studies <strong>and</strong> procedural<br />

footage - Dr. Ed Schafer<br />

5 WallFlex® Partially Covered<br />

Esophageal Stent Placement -<br />

Dr. Meckstroth<br />

6 WallFlex® Partially Covered<br />

Esophageal Stent Placement -<br />

Dr. Gerke<br />

7 Polyflex® Esophageal Stent<br />

case studies <strong>and</strong> procedural<br />

footage - Dr. Snyder<br />

Description<br />

A Patient Story - See how the WallFlex ® Esophageal<br />

Stent, thanks to Dr. David Carr-Locke from Brigham &<br />

Women’s Hospital in Boston, MA, enabled a patient<br />

with esophageal cancer to eat again.<br />

Hear how a multid<strong>is</strong>ciplinary approach to esophageal<br />

cancer <strong>is</strong> critical when treating a patient with<br />

esophageal cancer. See how the WallFlex ® Fully<br />

Covered Esophageal Stent, thanks to Dr.Costas<br />

Bizek<strong>is</strong>, a cardiothoracic surgeon from NYU School of<br />

Medicine, enabled a patient with esophageal cancer to<br />

eat again <strong>and</strong> keep food down.<br />

<strong>Th<strong>is</strong></strong> animation <strong>and</strong> short video clip shows how balloon<br />

endoscopy with the CRE Balloon <strong>is</strong> <strong>use</strong>d to dilate<br />

strictures of the GI tract.<br />

Procedural Footage <strong>and</strong> case study from Dr. Ed<br />

Schafer from Nebraska Medical Center featuring the<br />

placement of a WallFlex ® Partially Covered Esophageal<br />

Stent <strong>for</strong> a recurrent tumor of the d<strong>is</strong>tal esophagus.<br />

Procedural Footage from Dr. Steven A. Meckstroth<br />

from North Naples Hospital in Naples, Florida featuring<br />

the placement of a WallFlex ® Partially Covered<br />

Esophageal Stent <strong>for</strong> dysphagia <strong>and</strong> partial obstruction<br />

of the indwelling stent with overgrowth of the stent<br />

d<strong>is</strong>tally at the gastric cardia. There <strong>is</strong> dilation of the<br />

proximal esophagus with filling defects cons<strong>is</strong>tent<br />

with retained food.<br />

Procedural Footage from Dr. Henning Gerke from the<br />

University of Iowa Hospitals <strong>and</strong> Clinics featuring the<br />

endoscopic placement of a WallFlex ® Partially Covered<br />

Esophageal Stent <strong>for</strong> palliation of locally advanced<br />

esophageal adenocarcinoma in the d<strong>is</strong>tal esophagus.<br />

Procedural Footage <strong>and</strong> case studies from Dr. Todd<br />

Snyder, Elms Endoscopy Center in Charleston, SC.<br />

Learn how the Polyflex ® Esophageal stent was <strong>use</strong>d to<br />

treat a patient with chronic dysphagia, <strong>and</strong> a refractory<br />

esophageal stricture even after multiple dilations.<br />

<strong>Th<strong>is</strong></strong> <strong>document</strong> <strong>is</strong> <strong>intended</strong> <strong>for</strong> <strong>internal</strong> <strong>use</strong> <strong>only</strong> <strong>and</strong> <strong>shall</strong> <strong>not</strong> be d<strong>is</strong>tributed outside of Boston Scientific.


Stricture Management (continued)<br />

8 Polyflex® Esophageal Stent<br />

case studies <strong>and</strong> procedural<br />

footage - Dr. Barthel<br />

9 Polyflex® Esophageal Stent<br />

case studies <strong>and</strong> procedural<br />

footage - Dr. Fang<br />

10<br />

Case Study Deployment<br />

of bi-lateral WallFlex ®<br />

Biliary RX Stents,<br />

Thomas Kowalski, MD<br />

11 WallFlex® Colonic Stent case<br />

studies <strong>and</strong> procedural<br />

footage - Dr. Me<strong>is</strong>ner<br />

12 WallFlex® Colonic Stent case<br />

studies <strong>and</strong> procedural<br />

footage - Dr. Young<br />

13 WallFlex® Colonic Stent case<br />

studies <strong>and</strong> procedural<br />

footage - Dr. Pleskow<br />

14<br />

Case Study. Deployment<br />

of a WallFlex ® Duodenal<br />

Stent, presented by<br />

Dr. Irving Waxman<br />

Procedural Footage <strong>and</strong> case studies using the Polyflex<br />

Esophageal Stent from Dr. James S. Barthel at the<br />

H. Lee Moffitt Cancer Center & Research Institute in<br />

Tampa, Florida.<br />

Procedural Footage <strong>and</strong> case studies from Dr. John<br />

Fang, University of Utah Medical Center, Salt Lake City,<br />

Utah. Learn how the Polyflex ® Esophageal stent was<br />

<strong>use</strong>d to treat a patient with chronic dysphagia <strong>and</strong> an<br />

esophageal adenocarcinoma.<br />

In-Depth Case Study. Deployment of bi-lateral<br />

WallFlex ® Biliary Metal Stents, presented by Dr.<br />

Thomas Kowalski of Thomas Jefferson University<br />

Hospital, Philadelphia, PA - takes you step by step<br />

through the deployment procedure <strong>for</strong> placing<br />

bi-lateral WallFlex Stents <strong>for</strong> biliary decompression.<br />

Procedural Footage <strong>and</strong> case study from Dr. Soren<br />

Me<strong>is</strong>ner from B<strong>is</strong>pebjerg Hospital, Copenhagen,<br />

Denmark. Patient presented with constipation <strong>for</strong><br />

several months, a d<strong>is</strong>tended abdomen <strong>and</strong> upon<br />

x-ray was found to have a total colonic obstruction.<br />

A WallFlex ® Colonic Stent was placed. See how th<strong>is</strong><br />

was per<strong>for</strong>med <strong>and</strong> why.<br />

Procedural Footage <strong>and</strong> case study from<br />

Dr. Chr<strong>is</strong>topher Young at the Royal Prince Alfred<br />

Hospital in Sydney, Australia <strong>for</strong> an acute large bowel<br />

obstruction. Learn how <strong>and</strong> why the WallFlex ® Colonic<br />

Stent was placed.<br />

Procedural Footage <strong>and</strong> case study from Dr. Douglas<br />

Pleskow from Beth Israel Deaconess Medical Center<br />

in Boston, MA. Patient presented with abdominal pain<br />

<strong>and</strong> d<strong>is</strong>tension. A large obstructing mass that was<br />

circumferential in nature was found upon colonoscopy<br />

<strong>and</strong> a WallFlex ® Colonic Stent was placed.<br />

Case study. Deployment of a WallFlex ® Duodenal<br />

Stent, presented by Dr. Irving Waxman, University of<br />

Chicago, Pritzker School of Medicine, Chicago, IL.<br />

<strong>Th<strong>is</strong></strong> <strong>document</strong> <strong>is</strong> <strong>intended</strong> <strong>for</strong> <strong>internal</strong> <strong>use</strong> <strong>only</strong> <strong>and</strong> <strong>shall</strong> <strong>not</strong> be d<strong>is</strong>tributed outside of Boston Scientific.


15<br />

16<br />

Q&A with MDs. Patient<br />

Selection <strong>for</strong> Duodenal<br />

Stents, Irving Waxman,<br />

MD & Kevin Roggin, MD<br />

Q&A with MDs. When to Stent<br />

vs Surgery, Irving Waxman,<br />

MD (GI) & Kevin Roggin, MD<br />

(Surgeon)<br />

17 Animation. WallFlex® Fully<br />

Covered Biliary Metal Stent<br />

animation with clinical<br />

footage<br />

18<br />

Animation: Advanix Biliary<br />

Stent with NaviFlex RX<br />

Delivery System<br />

Q&A with physicians. Patient Selection <strong>for</strong> Duodenal<br />

Stents, with Dr.Irving Waxman (GI) <strong>and</strong> Dr. Kevin<br />

Roggin (Surgeon), University of Chicago, Pritzker<br />

School of Medicine, Chicago, IL.<br />

Q&A with physicians. When to Stent vs Surgery - with<br />

Dr. Irving Waxman (GI) <strong>and</strong> Dr. Kevin Roggin (Surgeon),<br />

University of Chicago, Pritzker School of Medicine,<br />

Chicago, IL.<br />

WallFlex ® Fully Covered Biliary Metal Stent animation.<br />

<strong>Th<strong>is</strong></strong> animation includes clinical footage <strong>and</strong><br />

demonstrates the features of th<strong>is</strong> stent as well as<br />

the deployment procedure. Footage courtesy of Dr.<br />

Thomas Kowalski.<br />

Animation. Advanix Biliary Stent with NaviFlex RX<br />

Delivery System. <strong>Th<strong>is</strong></strong> animation demonstrates the<br />

general deployment procedure <strong>for</strong> the Advanix biliary<br />

stent system.<br />

<strong>Th<strong>is</strong></strong> <strong>document</strong> <strong>is</strong> <strong>intended</strong> <strong>for</strong> <strong>internal</strong> <strong>use</strong> <strong>only</strong> <strong>and</strong> <strong>shall</strong> <strong>not</strong> be d<strong>is</strong>tributed outside of Boston Scientific.


EUS<br />

Playl<strong>is</strong>t<br />

Order<br />

1<br />

Title<br />

Case study. EUS FNA<br />

of a mass in the tail<br />

of the pancreas,<br />

Shyam Varadarajulu, MD<br />

Hemostatic Clipping<br />

Playl<strong>is</strong>t<br />

Order<br />

1<br />

Title<br />

Through-The-Peg J-Tube<br />

Placement with a<br />

Resolution ® Clip<br />

2 Resolution® Clip<br />

Hemostas<strong>is</strong> Video<br />

Description<br />

EUS-FNA Case Study. Mass in Tail of the Pancreas.<br />

Provides instruction <strong>and</strong> best practices <strong>for</strong> per<strong>for</strong>ming<br />

EUS-FNA on a lesion in the body or tail of the pancreas<br />

using the Expect Ultrasound Needle, Dr. Shyam<br />

Varadarajulu, University of Alabama at Burmingham<br />

Description<br />

Procedural footage from Dr. J. Robert Evans from San<br />

Bernardino Community Hospital in Cali<strong>for</strong>nia on placing<br />

a Through-The-Peg (TTP) J-Tube with a Resolution ® Clip<br />

<strong>for</strong> jejunal feeding.<br />

<strong>Th<strong>is</strong></strong> video shows how positioning <strong>and</strong> re-positioning<br />

hemostatic clips <strong>is</strong> critical when it comes to GI<br />

bleeds. Hear how the retention of clips <strong>is</strong> important<br />

<strong>for</strong> hemostas<strong>is</strong> <strong>and</strong> to accelerate healing. Physicians<br />

d<strong>is</strong>cuss the Resolution ® Clip as an alternative to other<br />

modalities such as cautery <strong>for</strong> hemostas<strong>is</strong>.<br />

<strong>Th<strong>is</strong></strong> <strong>document</strong> <strong>is</strong> <strong>intended</strong> <strong>for</strong> <strong>internal</strong> <strong>use</strong> <strong>only</strong> <strong>and</strong> <strong>shall</strong> <strong>not</strong> be d<strong>is</strong>tributed outside of Boston Scientific.


Cholangioscopy/Pancreatoscopy<br />

Playl<strong>is</strong>t<br />

Order<br />

1<br />

2<br />

3<br />

4<br />

5<br />

6<br />

7<br />

8<br />

Title<br />

Case study. Large stone<br />

therapy using Holmium Laser<br />

with SpyGlass ® System,<br />

S<strong>and</strong>eep Patel, DO<br />

Case Study. Large stone<br />

therapy using EHL with<br />

SpyGlass ® System, D.<br />

Pleskow, MD<br />

Presentation, Part 1 of<br />

2, Pancreatoscopy with<br />

SpyGlass ® System, Pete<br />

Stevens, MD<br />

Presentation. Part 2 of<br />

2, Pancreatoscopy with<br />

SpyGlass ® System, Pete<br />

Stevens, MD<br />

Q&A from Webcast. Are there<br />

concerns using the SpyGlass ®<br />

System in the pancreas?<br />

Q&A from Webcast. What <strong>is</strong><br />

your experience acquiring<br />

t<strong>is</strong>sue in the pancreas using<br />

SpyGlass ® System?<br />

Presentation from Webcast.<br />

SpyGlass ® System t<strong>is</strong>sue<br />

acqu<strong>is</strong>ition clinical reg<strong>is</strong>try<br />

data, D. Adler, MD<br />

Overview of SpyGlass®<br />

System clinical reg<strong>is</strong>try<br />

data <strong>for</strong> stone management,<br />

Douglas Pleskow, MD<br />

Description<br />

Case study on ERCP stone therapy using holmium<br />

laser lithotripsy with the SpyGlass ® System, presented<br />

by S<strong>and</strong>eep Patel, DO, Chr<strong>is</strong>tus Santa Rosa Health<br />

System, San Antonio, Texas.<br />

Case Study. A procedural case study on large stone<br />

management using the SpyGlass System with<br />

electrohydraulic lithotripsy (EHL) in the bile duct,<br />

presented by Douglas Pleskow, MD, Beth Israel<br />

Deaconess Medical Center, Boston, MA.<br />

Part 1 of 2 - Presentation given by Peter D.<br />

Stevens, MD, Columbia University, New York<br />

Presbyterian Hospital, New York, New York, on<br />

Practical Pancreatoscopy using the SpyGlass ® Direct<br />

V<strong>is</strong>ualization System from the July 2010 SpyGlass ®<br />

System live webcast.<br />

Part 2 of 2 - Presentation given by Peter D.<br />

Stevens, MD, Columbia University, New York<br />

Presbyterian Hospital, New York, New York, on<br />

Practical Pancreatoscopy using the SpyGlass ® Direct<br />

V<strong>is</strong>ualization System, July 2010 SpyGlass ® System<br />

live webcast.<br />

Q&A from the July 2010 live Webcast on Therapeutic<br />

Cholangio-Pancreatoscopy using the SpyGlass ® Direct<br />

V<strong>is</strong>ualization System, featuring Peter D. Stevens, MD,<br />

Columbia University, New York Presbyterian Hospital,<br />

New York, New York.<br />

Q&A from the July 2010 live webcast on Therapeutic<br />

Cholangio-Pancreatoscopy using the SpyGlass ® Direct<br />

V<strong>is</strong>ualization System, Pete Stevens, MD, Columbia<br />

University, New York Presbyterian Hospital, New<br />

York, New York.<br />

Presentation, Douglas Adler, MD, University of Utah<br />

School of Medicine, Salt Lake City, Utah, from the<br />

August 2009 live Webcast on T<strong>is</strong>sue Acqu<strong>is</strong>ition using<br />

the SpyGlass ® Direct V<strong>is</strong>ualization System.<br />

Presentation by Douglas Pleskow, MD, Beth Insrael<br />

Deaconess Medical Center, Boston, Mass., from<br />

the August 2009 live webcast on Large Stone<br />

Management <strong>and</strong> T<strong>is</strong>sue Acqu<strong>is</strong>ition Using the<br />

SpyGlass ® Direct V<strong>is</strong>ualization System.<br />

<strong>Th<strong>is</strong></strong> <strong>document</strong> <strong>is</strong> <strong>intended</strong> <strong>for</strong> <strong>internal</strong> <strong>use</strong> <strong>only</strong> <strong>and</strong> <strong>shall</strong> <strong>not</strong> be d<strong>is</strong>tributed outside of Boston Scientific.


Cholangioscopy/Pancreatoscopy (continued)<br />

9<br />

10<br />

11<br />

12<br />

13<br />

14<br />

15<br />

Case Study. T<strong>is</strong>sue<br />

Acqu<strong>is</strong>ition using the<br />

SpyGlass ® System,<br />

D. Adler, MD<br />

Q&A from Webcast. How<br />

do you control fluid from<br />

irrigation during SpyGlass ®<br />

System procedures?<br />

Q&A from Webcast. Why<br />

would you set up the<br />

SpyGlass ® System <strong>for</strong><br />

every case?<br />

Intraductal Footage. Direct<br />

v<strong>is</strong>ualization of biliary &<br />

pancreatic ducts using the<br />

SpyGlass ® System<br />

Intraductal Footage of<br />

T<strong>is</strong>sue Acqu<strong>is</strong>ition in the<br />

biliary & pancreatic ducts<br />

using SpyGlass ® System<br />

Intraductal footage using<br />

Holmium Laser with the<br />

SpyGlass ® System <strong>for</strong> large<br />

stones in the CBD<br />

Intraductal footage using EHL<br />

with SpyGlass ® System <strong>for</strong><br />

large stones in the bile duct<br />

Case study, Douglas Adler, MD, University of Utah<br />

School of Medicine, Salt Lake City, Utah, from<br />

the August 2009 live webcast on Large Stone<br />

Management (EHL) <strong>and</strong> T<strong>is</strong>sue Acqu<strong>is</strong>ition Using the<br />

SpyGlass ® Direct V<strong>is</strong>ualization System.<br />

Douglas Pleskow, MD, Beth Israel Deaconess<br />

Medical Center, Boston, Massach<strong>use</strong>tts, <strong>and</strong> Douglas<br />

Adler, MD, University of Utah School of Medicine,<br />

Salt Lake City, Utah, answer questions after a live<br />

webcast on the SpyGlass ® Direct V<strong>is</strong>ualization<br />

System, June 2009.<br />

Douglas Pleskow, MD, Beth Israel Deaconess<br />

Medical Center, Boston, Massach<strong>use</strong>tts, <strong>and</strong> Douglas<br />

Adler, MD University of Utah School of Medicine,<br />

Salt Lake City, Utah, answer questions after a live<br />

Webcast on the SpyGlass ® Direct V<strong>is</strong>ualization<br />

System, June 2009.<br />

SpyGlass ® System intraductal footage - direct<br />

v<strong>is</strong>ualization of the biliary <strong>and</strong> pancreatic ducts using<br />

the SpyGlass System. See the intrahepatic ducts,<br />

strictures <strong>and</strong> stones.<br />

Intraductal footage of t<strong>is</strong>sue acqu<strong>is</strong>ition in the biliary<br />

<strong>and</strong> pancreatic ducts using the SpyBite ® <strong>for</strong>ceps<br />

with the SpyGlass Direct V<strong>is</strong>ualization System. See<br />

optically-guided biopsies of biliary strictures <strong>and</strong> IPMN<br />

strictures in the pancreas.<br />

Intraductal footage shows <strong>use</strong> of a Holmium Laser<br />

fiber with the SpyGlass ® Direct V<strong>is</strong>ualization System<br />

to manage large stones in the bile duct.<br />

Intraductal footage shows treatment of large stones<br />

in the bile duct using an EHL fiber with the SpyGlass ®<br />

Direct V<strong>is</strong>ualization System.<br />

<strong>Th<strong>is</strong></strong> <strong>document</strong> <strong>is</strong> <strong>intended</strong> <strong>for</strong> <strong>internal</strong> <strong>use</strong> <strong>only</strong> <strong>and</strong> <strong>shall</strong> <strong>not</strong> be d<strong>is</strong>tributed outside of Boston Scientific.


T<strong>is</strong>sue Acqu<strong>is</strong>ition<br />

Playl<strong>is</strong>t<br />

Order<br />

1<br />

2<br />

3<br />

Title<br />

The importance of biopsy<br />

<strong>for</strong>ceps <strong>for</strong> an accurate<br />

h<strong>is</strong>tological diagnos<strong>is</strong><br />

Procedural Footage of<br />

Polyp removal utilizing the<br />

Captivator ® II Snare<br />

Polyp retrieval with the<br />

TWISTER ® Rotatable Polyp<br />

Retrieval device<br />

Description<br />

Experience with the Radial Jaw ® 4 Biopsy Forceps:<br />

Hear from gastroenterolog<strong>is</strong>ts <strong>and</strong> a patholog<strong>is</strong>t on the<br />

ideal biopsy specimen, tips <strong>for</strong> t<strong>is</strong>sue acqu<strong>is</strong>ition, the<br />

ideal biopsy <strong>for</strong>ceps <strong>and</strong> small polyp removal.<br />

<strong>Th<strong>is</strong></strong> procedural footage from Dr. Sri Kom<strong>and</strong>uri<br />

from Northwestern Memorial Hospital features the<br />

Captivator ® II Snare removing a polyp that was found<br />

upon colonoscopy.<br />

<strong>Th<strong>is</strong></strong> animation demonstrates how to remove a polyp<br />

with a Boston Scientific snare <strong>and</strong> retrieve it with the<br />

TWISTER ® Rotatable Polyp Retrieval device which can<br />

also be <strong>use</strong>d <strong>for</strong> food bolus <strong>and</strong> <strong>for</strong>eign body removal.<br />

<strong>Th<strong>is</strong></strong> <strong>document</strong> <strong>is</strong> <strong>intended</strong> <strong>for</strong> <strong>internal</strong> <strong>use</strong> <strong>only</strong> <strong>and</strong> <strong>shall</strong> <strong>not</strong> be d<strong>is</strong>tributed outside of Boston Scientific.


Use your smart phone to scan<br />

th<strong>is</strong> code <strong>and</strong> learn more at<br />

www.youtube.com/bostonscientificendo<br />

<strong>Th<strong>is</strong></strong> <strong>document</strong> <strong>is</strong> <strong>intended</strong> <strong>for</strong> <strong>internal</strong> <strong>use</strong> <strong>only</strong> <strong>and</strong><br />

<strong>shall</strong> <strong>not</strong> be d<strong>is</strong>tributed outside of Boston Scientific.<br />

Boston Scientific Corporation<br />

One Boston Scientific Place<br />

Natick, MA 01760-1537<br />

www.bostonscientific.com/endoscopy<br />

Ordering In<strong>for</strong>mation<br />

1.800.225.3226<br />

© 2011 Boston Scientific Corporation<br />

or its affiliates. All rights reserved.<br />

20 May 2011

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