arc medical design ltd · arc medical design ltd 43 park place, leeds ls1 2ry, united kingdom. tel:...

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Arc Medical Design Ltd43 Park Place, LeedsLS1 2RY, United Kingdom



ENDOCUFF VISION®:

Delivers yet more tip control throughout the colonwithout compromising intubation and improving loopmanagement.

Gives an early and controlled view of the upstreamsurface of large folds so no need for repeated intubation.

Enables detailed inspection of flexures by preventing sudden slip back and red out.

Opens concertinaed tracts of sigmoid colon as thearms gently separate the folds to provide a clear viewof the mucosa between them.

Acts a handbrake, optimising tip position during therapy and polyp retrieval.

There really is no hiding place for polyps.

ENDOCUFF VISION® is disposable and simply pushes over the tip of all commonly used colonoscopes. Its unique hinged arms fall flat against the shaft of the colonoscope to create a smooth low friction surface forward advancement. During withdrawal, the arms flare out and stabilize the tip, gently stretching the mucosal surface for close inspection.

Clinical DataImproved adenoma detection with Endocuff Vision: the ADENOMA randomised controlled trial. Ngu WS, Bevan R, Tsiamoulos ZP, Bassett P, Hoare Z, Rutter MD, Clifford G, Totton N, Lee TJ, Ramadas A, Silcock JG, Painter J, Neilson LJ, Saunders BP, Rees CJ. Gut 2018; 66:1-9 Methods:A seven-center prospective trial randomised 1772 patients referred for bowel symptoms, surveillance or positive FOBT to Standard colonoscopy or to Endocuff Vision assisted colonoscopy.Results: Endocuff Vision increased the adenoma detection rate (ADR) from 36.2% to 40.9%, (P=0.02) In those with a positive FOBT Endocuff Vision increased ADR by 10.8%, from 50.9% to 61.7% (P<0.001) Endocuff vision identified more adenomas, sessile serrated polyps, left-sided, diminutive, small adenomas and cancers (cancer 4.1% vs 2.3%, P=0.02) Median cecal intubation was a minute faster using Endocuff Vision (P=0.001) There was no difference in the cecal intubation rate There were no significant adverse events using Endocuff VisionConclusions:Endocuff Vision significantly improved ADR, mean adenoma detection per procedure and cancer detection. It facilitated quicker colonic intubation and was non-inferior in all aspects of patient comfort other than causing minimal discomfort on anal intubation. Endocuff Vision should be used in bowel cancer screening patients to improve colonoscopic detection.

High-definition colonoscopy versus Endocuff versus EndoRings versus Full-Spectrum Endoscopy for adenoma detection at colonoscopy: a multicenter randomized trial. Rex DK, Repici A, Gross SA, Hassan C, Ponugoti PL, Garcia JR, Broadley HM, Thygesen JC, Sullivan AW, Tippins WW, Main SA, Eckert GJ, Vemulapalli KC, Gastrointestinal Endoscopy Mar 2018;9(18): 30192-5

Cap cuff - Assisted Colonoscopy Versus Standard Colonoscopy for Adenoma Detection: A Randomized Back-to-Back Study. De Palma GD, Giglio MC, Bruzzese D., Gennarelli N., Maione F., Siciliano S., Manzo B., Cassese G., Luglio G. Gastrointest Endosc. Jan 2018;87(1):232-240

Endocuff Assisted Colonoscopy Outperforms Conventional Colonoscopy to Detect Missed Adenomas: European Multicenter, Randomized, Back to Back Study. Triantafyllou K, Polymeros D, Apostolopoulos P, Lopes Brandao C, Gkolfakis P, Repici A, Papanikolaou IS, Dinis-Ribeiro M, Alexandrakis G, Hassan C., Endoscopy. Nov 2017;49(11):1051-1060

Higher Adenoma Detection Rate with Endocuff: A Randomized Controlled Trial. David García, Coty Gonzalez-Fernandez, Rafael Barreto-Zuñiga, Nancy E. Aguilar-Olivos, Adriana F. Romano, Guido Grajales-Figueroa, Felix I. Tellez-Avila Gastrointestinal Endoscopy, May 2016; 83(5), Supplement, Page AB193

Endocuff-Assisted Colonoscopy is Associated with an Increase in the Mean Number of Polyps but a Similar Adenoma Detection Rate, Surveillance Interval Recommendation, and Amount of Sedation Medications. James Higham-Kessler*, Gregory L. Austin, University of Colorado Denver, Aurora, CO. GIE Journal May 2016; 83, (5), Page AB538

Endocuff-Assisted Colonoscopy - A Novel Accessory in Improving Adenoma Detection Rate: A Review of the Literature. Rashmee Patil, Mel A. Ona, Emmanuel Ofori and Madhavi Reddy, Department of Internal Medicine, Clinical Endoscopy November 2016;49 (6):533-538



Endocuff Improves GI Fellows Colonoscopy Performance (PDR, ADR and number of polyps/colonoscopy) Without Affecting Time of Procedure. Anish Patel*, Jasleen K. Grewal, William E. Karnes, University of California, Irvine Medical Centre, Orange, CA, GIE Journal May 2016;83 (5), Page AB535

Endocuff-Assisted Colonoscopy Increases Polyp Detection Rate: A Simulated Randomized Study Involving an Anatomic Colorectal Model and 32 International Endoscopists. Pioche M., Matsumoto M., Takamaru H., Sakamoto T., Nakajima T., Matsuda T., Abe S., Kakugawa Y., Otake Y., Saito Y. Surg Endosc. 2016 Jan;30(1):288-95

Endocuff (EC) Increases Adenoma Detection Rates on Surveillance Colonoscopy and Improves Efficiency of Colonoscopy by Shortening of Withdrawal Times. David J. Hass, Chris Jaffe, Lucia Malangone, Paul Feuerstadt, Gastroenterolog April 2016;150 (4):S28

Higher Adenoma Detection Rate with Endocuff-Assisted Colonoscopy in a Screening Population. Lucas G. Cavallaro, Pierenrico Lecis, Ermenegildo Galliani, Elisabetta Dal Pont, Anna Giacomin, Rosanna Mel, Sabrina Di Camillo, Fabio Soppelsa, Claudia Roldo, Paolo Iuzzolino, Bastianello Germana. Gastrointestinal Endoscopy May 2016; 83(5), Supplement, Page AB380

Endocuff Increases Sessile Serrated Adenoma Detection Rates in the Right Colon. Shawn Kaye, Mohit Mittal, Katherine Kim, William E. Karnes, GIE 2016; 83 No 58 AB231

Novel Endocuff-Assisted Colonoscopy Significantly Increases the Polyp Detection Rate: A Randomized Controlled Trial. Biecker E, Floer M, Heinecke A, Ströbel P, Böhme R, Schepke M, Meister T. J Clin Gastroenterol (NCBI) May-Jun 2015;49(5):413-8

Prospective Swiss Pilot Study of Endocuff-Assisted Colonoscopy in a Screening Population. Sawatzki M, Meyenberger C, Marbet UA, Haarer J, Frei R. Endoscopy International Open June 2015;3, (3):E236-E239

Endocuff-Vision: Impact on Colonoscopist Performance During Screening. Tsiamoulos Z, Misra R, Bourikas L, Rajaratnam R, Patel K, Thomas Gibson S, Haycock A, Suzuki N, Beintaris I, Saunders B. GIE May 2015; 81(5), Supplement, Page AB209

Does Endocuff Vision Improve Adenoma Detection Rate at Screening Colonoscopy? ZP Tsiamoulos, K Patel, T Elliott, R Misra, S Thomas-Gibson, C Fraser, A Haycock, BP Saunders. Gut 2014;63: A152-A153

Endocuff Assisted Colonoscopy Increases Adenoma Detection Rates: A Multi-Center Study. Marsano J, Tzimas D, Mckinley M, Robbins D, Mammen A, Sun E, Chugh P, Razavi F, Hasan N, Buscaglia J, Bucobo J, Nagula S, Goodman A, M. P, Gross S. Gastrointest Endosc 2014; 79: AB550

Higher Adenoma Detection Rates with Endocuff - Assisted Colonoscopy - A Randomized Controlled Multicenter Trial. Floer M, Biecker E, Fitzlaff R, Röming H, Ameis D, Heinecke A, Kunsch S, Ellenrieder V, Ströbel P, Schepke M, Meister T. Plos One NCBI Dec 2014;9(12): e114267

Endocuff-Assisted Colonoscopy: A New Accessory to Improve Adenoma Detection Rate? Technical Aspects and First Clinical Experiences. Lenze F, Beyna T, Lenz P, Heinzow HS, Hengst K, Ullerich H., Endoscopy Jul 2014;46(7):610-4



Reference: G002001B

arc medical design ltd · arc medical design ltd 43 park place, leeds ls1 2ry, united kingdom. tel:...

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