Access a library of live endoscopy clinical case videos and product education videos and animations at the Cook Medical Endoscopy channel on YouTube, featuring an extensive ERCP-related video playlist.

Cook Medical is committed to enabling you to effectively evaluate, diagnose and treat biliary and pancreatic diseases and achieve the desired clinical outcome in patients.
We understand that cannulation techniques vary widely, and accessing the ductal system can be one of the most difficult aspects of your procedures.
The latest advancement in physician controlled wire guide management is the SnapLoc™ Wire Guide Locking Device, allowing you to easily secure the wire guide in place, while exchanging devices to deliver the therapy required.
We know, too, that wire guide tip flexibility is one of the keys to achieving access. So, we’ve carefully considered what we’ve learned from serving the needs of interventional radiologists during the last 50 years and applied that expertise specifically for endoscopic retrograde cholangiopancreatography (ERCP). The result? The Acrobat® 2 Calibrated Tip Wire Guide—one of the most flexible-tipped wire guides on the market.¹ (See it in action in the clinical case video below.)
We understand that accessing the ductal system can be one of the most difficult aspects of your procedures. We know, too, that wire guide tip flexibility is one of the keys to achieving access. So, we’ve carefully considered what we’ve learned from serving the needs of interventional radiologists during the last 50 years and applied that expertise specifically for endoscopic retrograde cholangiopancreatography (ERCP). The result? The Acrobat® 2 Calibrated Tip Wire Guide—one of the most flexible-tipped wire guides on the market.* (See it in action in the clinical case video below.)
What’s more, the Fusion® OMNI® Sphincterotome with DomeTip® and the D.A.S.H.® Sphincterotome with DomeTip can provide you with procedural efficiency and consistent performance in a wide variety of clinical situations. Both the Fusion OMNI and the D.A.S.H. are used for cannulation of the ductal system and for sphincterotomy.
*Data on file at Cook Medical. Reference document number EA-RDE06032-004 Rev 1.
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When treating patients who are suffering from hepatobiliary obstruction, you strive to give them the best possible outcomes. We strive to give you more device options aimed at therapeutic interventions such as biliary drainage, dilation of benign bile duct strictures, placement of a stent, or extraction of biliary tract stones.
To that end, we offer reliable biliary drainage options with the broadest portfolio of biliary and pancreatic plastic stents with established clinical performance. The extensive design options allow you to personalize the treatment your patients need.
Our hepatobiliary catheters and balloons simply and effectively dilate strictures of the biliary tree. To help accurately diagnose malignant tissue, our endobiliary cytology brushes allow for easy and low-complication sampling.
We have the Zilver 635® Biliary Stents with longer lengths and a redesigned delivery system with improved pushability. The Zilver 635 is available in 4, 6, 8, 10, and 12 cm lengths. The self-expanding stent features non-foreshortening nitinol, a push-pull delivery system, and a 6 Fr catheter.
And our Evolution® Biliary Controlled-Release Stents are available in 4, 6, 8, and 10 cm lengths. Woven with a single nitinol wire with a platinum core, the Evolution biliary stent is designed to provide uniform radial force, optimal flexibility, and conformability. Delivered via an 8.5 Fr catheter with kink-resistant Flexor® technology, the Evolution biliary stent combines flexibility for navigating tortuous anatomy and pushability for traversing tight strictures.
Evolution® Biliary Controlled-Release Stent – Uncovered
Evolution® Biliary Controlled-Release Stent – Fully Covered
Evolution® Biliary Controlled-Release Stent – Partially Covered
Performing stone extraction procedures, along with endoscopic sphincterotomy, effectively remove obstructions of the biliary ducts. We have assorted options for extraction balloons, extraction baskets and mechanical lithotripters which you can use to remove stones across a variety of diameters in the bile and/or pancreatic ducts.
Our Fusion® Quattro® Extraction Balloon streamlines all your stone management procedures with four inflation diameters in one device to meet your specific clinical needs.
Access a library of live endoscopy clinical case videos and product education videos and animations at the Cook Medical Endoscopy channel on YouTube, featuring an extensive ERCP-related video playlist.
An ERCP showed a 3 cm stricture of the right hepatic duct with marked dilation of the intrahepatic ducts and a total occlusion of the left hepatic duct. Deep biliary cannulation was achieved, followed by stenting.
Read up on the Evolution biliary stent system’s clinical performance characteristics. A newly designed uncovered biliary stent for palliation of malignant obstruction: results of a prospective study.