ESD Brochure (PDF 881.5 KB) - ERBE Elektromedizin GmbH

introduction
ERBE TechnOLOgy
Endoscopic submucosal resection spares the patient
open surgery and with it possible intra- and postoperative
complications. Using the EMR (endoscopic
mucosal resection) and the ESD (endoscopic submucosal
dissection) methods, such minimally invasive
interventions have found application for the treatment
of early carcinomas, adenomas and lesions in
the gastrointestinal tract in general for some years.
ERBE Elektromedizin has advanced the development
of this precise ESD method in collaboration with
leading Japanese and European experts. Safety aspects
have been improved considerably, the surgical
procedure has been simplified, and operating times
have been reduced.
Internationally renowned gastroenterologists already
work using this method. More and more users
convinced of its merits will adopt it, applying it for
lesions of the stomach and increasingly also of the
colon and the esophagus.
With its VIO GI workstation, Erbe Elektromedizin
has established itself in the field of gastroenterology
worldwide and has many years of profound know
how in interventional endoscopy.
The system consists of the VIO electrosurgical unit,
which acts as the master module, as well as an Argon
Plasma Coagulation unit for devitalizing gastrointestinal
structures and coagulating diffuse bleeding.
The ERBEJET 2 waterjet surgical unit is a new, additional
system component for ESD.
Both technologies, electrosurgery and waterjet surgery,
are activated and applied using the ERBE HybridKnife as
a combination instrument. For the first time, all working
steps involved in the ESD procedure can be performed
with just one instrument: marking of the resection margin,
elevation of the mucosa, incision/dissection of the submucosa
and coagulation of the resection bed.
In this brochure we wish to demonstrate to you the
advantages of the ESD method using the Hybrid-
Knife, describe the steps involved in the procedure,
and provide you with additional information and
useful adviced.
Medical progress never stands still. Thus we not only
aim to provide what is currently the most effective,
state-of-the-art procedure for endoscopic resection.
We will continue to keep abreast of clinical insights
and incorporate them into our research and development
so that you obtain even better results in the
treatment of your patients in the future.
Important note
ERBE Elektromedizin GmbH has taken the greatest possible
care when compiling these recommendations.
Nevertheless, it is impossible to exclude the possibility
that errors may be contained herein. The information
and recommendations given here may not be construed
as constituting any basis for any claims against ERBE
Elektromedizin GmbH. Should legal regulations stipulate
liability, such liability shall be limited to intentional
misconduct or gross negligence.
The data respecting recommended settings, areas of
application, application duration or the use of instruments
is based on clinical experience, although it is
important to remember that individual centers and
physicians may favor settings which differ from the recommended
settings given here. All values are merely
guidelines and their applicability must be verified by the
operator. Depending on the circumstances, it may be
necessary to deviate from the values and settings given
in this brochure.
Medical science is subject to a process of permanent
change based on research and clinical experience. It
may therefore also be appropriate to deviate from the
values and settings given in this brochure on the basis
of the results of such research and experience.
02 HybridKnife