Multi-Band Endoscopic Ligator

Pull loading catheter out while pulling trigger cord through endoscope and out handle. Attach trigger cord to hook on end of loading catheter. Attach barrel to endoscope tip, making sure that barrel is advanced as far onto tip as possible. As you attach the barrel to the endoscope's distal end, take care to avoid pinning the trigger cord in between the two objects. Turn the handle slowly clockwise while it is in the two-way position to wound the trigger cord onto the handle spool until it is taut. The wounded area is then reached by inserting an endoscope with a loading catheter and barrel into the patient's stomach or esophagus.

For the Multi-band endoscopic ligator is a variceal ligation system. only intended for one use.

• Ligator cartridge with 6 premium elastomeric bands preloaded and ultra-clear, wide-view polycarbonate barrel. The elastomeric bands contain natural rubber latex, so proceed with caution.

• Deployment handle has a 'one-way' action that is incredibly smooth for dependable band deployment.

• Filling the catheter.

• An irrigation syringe.

According to the Centers for Disease Control, 3.9 million people in the United States have esophageal varices, a frequently fatal illness linked to liver cirrhosis that kills more than 38,000 people annually. Esophageal varices are brought on by sluggish blood processing in the liver, which results in portal hypertension, which pushes blood back into the esophageal veins, where it causes them to enlarge to the point where they occasionally explode.

 

During an endoscopic variceal ligation (EVL), bands are used to cut off the blood supply to engorged veins, which forces the body to grow new tissue in the esophagus. The most recent American Association for the Study of Liver Disease (AASLD) and Baveno V consensus guidelines advise screening endoscopy to check for esophageal and gastric varices in all patients who have been diagnosed with cirrhosis. ii , iii However, the majority of people are unaware they have esophageal varices until they begin to bleed, at which point prompt medical attention and top-notch equipment are required.

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