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Simple solutions for complex problems that go beyond endoscopic approaches

Cook Medical offers a suite of reliable solutions designed to streamline laparoscopic biliary surgery. From intraoperative cholangiography to biliary stone management, you’ll find devices designed to support your efficiency in the OR.

Our portfolio includes intuitive intraoperative cholangiography sets for duct visualization alongside advanced devices engineered to support smooth transcystic access and confident biliary stone retrieval. Whether you’re diagnosing biliary stones or performing a biliary stone removal procedure, our devices help you work with precision and control.

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Diagnose – Intraoperative cholangiography


Our devices are designed to:

  • Provide access to and visualization of the bile duct anatomy to avoid bile duct injury (BDI)
  • Help detect and diagnose clinically significant conditions, such as gallstones, tumors, and blockages, that may require further interventions

Discover the devices designed to support intraoperative cholangiography:

Mixter intraoperative cholangiography needle stylet.

Mixter Intraoperative Cholangiography Set

Used for diagnostic evaluation of the bile ducts during laparoscopic cholecystectomy procedures.

The set includes a catheter, a needle stylet, and a stopcock.

Olsen intraoperative cholangieography catheter.

Olsen Intraoperative Cholangiography Set

Used for access and diagnostic evaluation of the bile ducts during laparoscopic cholecystectomy procedures.

The set includes a catheter, introducer sheath needle, and stopcock.

Remove – Biliary Stone Management


Designed to meet your unique clinical needs in the OR, our options for biliary stone management put minimally invasive solutions in your hands, allowing flexibility to provide further interventions to treat biliary stones.

Studies show that the single-stage approach using laparoscopic common bile duct exploration (LCBDE) is underutilized in the management of common bile duct (CBD) stones. Yet LCBDE may offer benefits such as fewer procedures, increased patient satisfaction, shorter hospital stays, reduced costs, and a decreased risk of complications compared to other approaches.1-4

Learn about devices for biliary stone management:

Appel-Berci cystic duct introducter set, depicting an introducer sheath, needle, and wire guide.

Appel-Berci Cystic Duct Introducer Set

Used for placement of choledochoscopes, cholangiography catheters, and other instruments.

The set includes an introducer sheath, a dilator, a needle, and a wire guide.

Roadrunner® biliary wire guide.

Roadrunner® Biliary Wire Guide

Used to assist in cannulation for laparoscopic and general surgical procedures for the dilation of the cystic duct to facilitate common bile duct exploration.

Advance® Biliary Balloon Catheter

Advance® Biliary Balloon Catheter

Used for the dilation of the cystic duct to facilitate common bile duct exploration.

Cook Sphere® Inflation Device

Cook Sphere® Inflation Device

Used to inflate the balloon with fluid, to monitor the pressure in the balloon during the procedure, and to deflate the balloon after dilation.

Three-Way Multipurpose Adapter

Multiport Adapter for Cholangiography

Used for saline flush or contrast for cholangiography.

NCompass® Nitinol Stone Extractor

NCompass® Nitinol Stone Extractor

Used for extraction of stones or debris during biliary surgical procedures.

Nathanson transcystic bile duct stone exploration pack, depicting a catheter, a stone basket extractor, and a Tuohy-Borst Adapter.

Nathanson Transcystic Bile Duct Stone Exploration Pack

Used for extraction of bile duct stones via a transcystic approach.

The set includes a catheter, a stone basket extractor, and a Tuohy-Borst Adapter.

No matter your approach—endoscopic or laparoscopic—we have the tools to help you.

  1. Manivasagam SS, Chandra JN, Shah S, et al. Single-stage laparoscopic common bile duct exploration and cholecystectomy versus two-stage endoscopic stone extraction followed by laparoscopic cholecystectomy for patients with cholelithiasis and choledocholithiasis: a systematic review. Cureus. 2024;16(2):e54685. doi: 10.7759/cureus.54685.
  2. Singh AN, Kilambi R. Single-stage laparoscopic common bile duct exploration and cholecystectomy versus two-stage endoscopic stone extraction followed by laparoscopic cholecystectomy for patients with gallbladder stones with common bile duct stones: systematic review and meta-analysis of randomized trials with trial sequential analysis. Surg Endosc. 2018 Sep;32(9):3763-3776. doi: 10.1007/s00464-018-6170-8. Epub 2018 Mar 30. PMID: 29603004.
  3. Haggerty S, Richardson W, Santos B, et al. Clinical spotlight review: laparoscopic common bile duct exploration. SAGES Web site. Clinical Spotlight Review: Laparoscopic Common Bile Duct Exploration Accessed May 14, 2026.
  4. Bansal VK, Misra MC, Rajan K, et al. Single-stage laparoscopic common bile duct exploration and cholecystectomy versus two-stage endoscopic stone extraction followed by laparoscopic cholecystectomy for patients with concomitant gallbladder stones and common bile duct stones: a randomized controlled trial. Surg Endosc. 2014;28(3):875–885. doi: 10.1007/s00464-013-3237-4.