Explore our practical portfolio of products for gastrointestinal (GI) bleed management. In the day-to-day challenges of treating GI bleeding, simple solutions can solve complex problems. For over 30 years, Cook Medical has given you a wide variety of easy-to-use, efficient GI bleed management options. From the clinically proven hemostatic powder in Hemospray® to the intuitive control of the Instinct Plus® endoscopic clip and the market-leading 6 Shooter® Saeed® Multi-Band Ligator—alongside a selection of time-tested needles—we can offer you a broad array of simple and effective options to help you improve patient outcomes.
Click the links below for more information on the following devices:
6 Shooter Saeed Multi-Band LigatorFor over 20 years, the 6 Shooter Saeed has been the market leader in ligation.
The Opti-Vu® barrel with recessed bands and friction-fit adapter is designed to optimize your endoscopic view while maintaining suction and secure fit on the endoscope.
Our universal-fit barrels streamline order information and simplify inventory control.

The PillSense GI Bleed Detection System uses an ingestible capsule designed to detect blood in the upper digestive tract in stable adult patients who may have an upper GI bleed.
PillSense detects blood in the upper GI tract in 10 minutes or less, providing answers quickly and accurately when they are needed most.
PillSense supports improved risk stratification and helps optimize resource utilization in hemodynamically stable adults suspected of upper GI bleeding (UGIB).
The PillSense Capsule is single-use and comes nonsterile, making it easy to fit into your workflow.
The PillSense Receiver is a nonsterile, reusable component designed to integrate easily into clinical practice.
PillSense is backed by clinical data demonstrating a 98% negative predictive value, with 93% sensitivity and 91% specificity, enabling confident decision-making and diagnosis.
Learn more about the PillSense GI Bleed Detection System.
PillSense is a registered trademark of EnteraSense Limited.

Clinically proven performance across the globe!
There are traditional hemostasis therapies, and then there’s Hemospray—a nonthermal, nontraumatic, noncontact modality that doesn’t require the precise targeting of other endoscopic devices for upper and lower GI bleeding.
Powder is sprayed toward the source of the bleed, so Hemospray does not require the en face approach and the precise targeting of other modalities.
The procedure causes no tissue changes, unlike some thermal modalities.
Since no direct force is applied at the treatment site, the powder minimizes the risk of tissue trauma as experienced with other modalities.
The aerosol delivery system eliminates the need for direct mechanical or contact forces between the delivery system and the treatment site.
CO2 helps minimize postprocedural pain compared to air.1
Simply activate the CO2 cartridge, open the valve, and spray toward the source of the bleeding.
Learn more about the Hemospray Endoscopic Hemostat.
1. ASGE Technology Committee; Liu J, Petersen BT, Shah RJ, et al. Endoscopic banding devices. Gastrointest Endosc. 2008;68(2):217–221.

The wide, adjustable 16 mm opening span facilitates grasping as much, or as little, tissue as your procedure requires.
One-to-one rotation from the handle to the clip provides complete control for precise clip placement. The clip opens and closes up to five times for optimal positioning.
The intuitive handle and clip design allow for simple one-step clip deployment.
The clip has anchoring tips for secure tissue grasping.
The device is MR Conditional per ASTM F2503.
Learn more about the Instinct Plus Endoscopic Clipping Device.
AcuJect Flex® Injection NeedleThe ergonomically designed handle with a thumb-actuated needle extension allows you to operate the device with one hand.
The needle extension is reliable and stable.
The flexible stainless steel coiled sheath is designed for functionality in tortuous anatomical positions while helping to prevent kinking.
AcuJect® Variable Injection NeedleThe needle is designed for smooth advancement and retraction.
The clear outer catheter with white inner catheter allows you to visualize the needle’s advancement.
The inner and outer catheters lock together to secure the advanced needle during injection.
The needle can be adjusted to extend to the desired length.
ShortShot Saeed Hemorrhoidal Multi-Band Ligator with TriView® AnoscopeThe device comes preloaded for multiple hemorrhoidal ligations in a single procedure.
The TriView anoscope has positioning slots to help optimize anatomical positioning of hemorrhoids.
The inner and outer catheters lock together to secure the advanced needle during injection.
Only a single insertion of an anoscope is required, which potentially decreases patient discomfort and procedure time.
Learn more about the ShortShot Saeed Hemorrhoidal Multi-Band Ligator with TriView Anoscope.
Please click the button below and submit the required information to connect with your local Cook representative. This form is intended for US-based physicians only.