With the en-bloc removal of polyps or lesions the speed of the cut is vital to ensure the blood vessels are successfully sealed. The slower the cut is made, the more effective it is. However, if it is done too slowly, the organ wall can be thermally damaged.
The ENDOx polypectomy snare takes a new approach. One half of the symmetrically opening snare is electrically insulated and the other half is HF-surgically inactive. The first cut and the cutting phase are therefore extra effective. The low use of HF electricity minimises both thermal damage to the muscular layer and serous membrane as well as thermal artefacts.
Endoscopic check of the cut speed ...
...width markings on the resection snare
If the cut is made too fast it may cause bleeding, while if the cut is too slow it may lead to thermal blood vessel damage. To minimise these risks the insulated part of the ENDOx snare is equipped with markings, like a guide wire, which can be seen by the endoscope thanks to the transparent catheter. This allows the endoscope user and assistants to see clearly on the monitor whether or how fast the snare closes and whether it cuts.
Less thermal damage to the muscular layer
The HF-surgically active cutting wire of the ENDOx snare is around 50% shorter than on similarly-sized, non-insulated snares. The first cut delay is also much shorter as a result. Furthermore, the risk of cutting towards the organ wall with the ENDOx snare is only half of the risk compared to conventional polypectomy snares. Consequently the ENDOx snare is particular suitable for removing large polyps.