The Endo Sleeve-POSE®2 and revisional-ROSE® Procedure, are endoluminal Bariatric procedure treating overweight and obesity, primary or in revision. The Incisionless Operating Platform (IOP®) consists of four distinct working channels allowing devices to address many of the procedure challenges within the gastrointestinal tract. A key component is our Snowshoe® Suture Anchor. These proprietary anchors are designed to overcome the challenges of suturing within the GI tract.
Product Information
The Incisionless Operating Platform (IOP®) is a flexible four-channel tube containing a specialized set of miniaturized endoscopic instruments and small endoscope-camera, are passed through the oesophagus into the stomach. Once in the stomach, the tools are used to grasp, fold, and fasten together sections of stomach tissue.
The IOP system consist of four (4) components:
Benefits
Endoluminal Treatments differ from traditional surgical and conservative treatments by their minimal invasive concept with conserving the integrity and anatomy of stomach and intestinal tract, and their good and long-lasting weight-loss results.
The Endo Sleeve
is an ideal solution for patients with excess weight who have not had success with diet and exercise alone, and who do not qualify or do not want to undergo a more extensive form of bariatric surgery. The Endo Sleeve is a much safer, effective and pain-free when compared to the more invasive bariatric procedures.
Advantages of the Endo Sleeve:
ideal for patients with a severe overweight or suffering of being obese, with a need to a long-lasting weight-loss. The anchors-secured folds will reduce the stomach capacity with >50% and shorten the stomach by 30%.
* Non-invasive, non-surgical procedure.
* Procedure performed through the mouth.
* On an outpatient basis with very fast return to normal activities.
* Stomach capacity reduced with >50% and shortened by 30%.
* No cuts, no incisions, and no organs are removed.
* Long-lasting weight-loss.
* Safe and pain-free procedure.
The Endo Revision
The Endo Revision, also known as the ROSE-Procedure is a safe, non-invasive procedure that reverses stretching of the stomach pouch and or stoma-opening, after Roux-en-Y gastric bypass surgery or vertical sleeve gastrectomy. ROSE stands for Restorative Obesity Surgery. Because the Endo Revision is an outpatient procedure done without incisions, the recovery time for the Endo Revision is minimal.
Advantages of the Endo Revision:
* Non-invasive, non-surgical endoluminal procedure.
* Performed through the mouth to reduce the pouch and stoma size.
* The pouch and stoma are reinforced and secured by anchored folds.
* Outpatient procedure, you can leave the same day.
* Pain-free, you will most likely be able to return to your job the very next day.
* Sustainable sutures, remaining in place for many years.
Product Specs
TransPorter®
| Reference | Brand name | Description |
| 118180 | Transporter | Retroflox Access Device |
| 500100 | TransporterR | Straight Access Device |
| Outside Diameter: 18 mm / 54Fr. | Insertion Length: 74,5 cm | Scope Diameter: <6,7 mm |
Single use disposable, sterile
Snowshoe Suture® Anchor Pair
| Reference | Brand name | Description |
| 208100 | g-Cath EZ-2 | EZ Delivery Catheter |
The “g-Cath EZ Delivery Catheter” is comprised a pair of Snowshoe suture anchors and a delivery catheter.
The Snowshoe suture anchor pair is primarily comprised of polyester suture material. It then serves the purpose of apposing or plicating tissue without the requirement for the clinician to tie manual knots to hold the tissue in place, as in traditional suturing.
| Single use, sterile | Delivery Catheter Insertion Length: 127 cm |
g-Lix™ Tissue Grasper
| Reference | Brand name | Description |
| 301010 | g-Lix | Tissue Grasper |
The g-Lix Endoscopic Grasper is indicated for use in minimally invasive procedures to facilitate tissue grasping and mobilization.
| Outside Diameter: 3,2 mm | Insertion Length: 121 cm | Helix Length: 7 mm |
Single use disposable, sterile
g-Prox® EZ Endoscopic Grasper
| Reference | Brand name | Description |
| 208220 | g-Prox EZ-33 |
33 mm Endoscopic Grasper |
| 208200 | g-Prox EZ-16 |
16 mm Endoscopic Grasper |
The g-Prox Endoscopic Grasper is indicated for use in minimally invasive procedures to facilitate tissue grasping and mobilization.
| Outside Diameter: 5,5 mm | Stainless Steel Jaws Length: 33 & 16 mm | Jaws Width: 20 mm |
Single use disposable, sterile
Product Documentation
Product Video’s
POSE 2.0
ROSE
Links
Articles:
2015_Clin Gast Hep._Jirapinyo P.,Thompson C.C.et all.
Endoscopic bariatric and metabolic therapies: surgical analogues and mechanisms of action.
(https://www.cghjournal.org/article/S1542-3565(16)30986-7/pdf)
Video:
>> POSE-2 procedure for the treatment of obesity Gontrand Lopez-Nava, Ravishankar Asokkumar,
Article & Video, Jan. 2020 : https://www.videogie.org/article/S2468-4481(19)30312-1/fulltext
>> Gastric plications for weight loss: distal primary obesity surgery endoluminal through a belt-and-suspenders approach, Pichamol Jirapinyo, MD, MPH Christopher C. Thompson, MD,
Article & Video, Sep. 2018 : https://www.videogie.org/article/S2468-4481(18)30146-2/fulltext
Webinar: May 2020
<. https://youtu.be/AA68kLGIHac >
Full Procedure-1: Gontrand Lopez-Nava (Spain)(2017, No Sound) – http://adr.sh/X7mGxhT
Full Plication in Less than 1 minute (2017) – http://adr.sh/jbgMjG3
Easy Stomach Folding_Two plications in less than 2 minutes (2017) – http://adr.sh/Z3FzxhM
POSE-1 Animation – Detailed – http://adr.sh/tz21mgs
POSE-1 Explained : Dr. Karl Miller (Austria, 2015) – http://adr.sh/bMwMwHZ
