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Stricture management


Expanding your stenting options in GI stricture management

Cook is committed to providing you with metal stenting solutions for treating patients with strictures in the gastrointestinal (GI) tract. Since 2018, we have been partnering with TaeWoong Medical to distribute their Niti-S™ Through the Scope (TTS) Esophageal Stent and Niti-S Esophageal Stent. This collaboration, together with our Evolution® controlled-release stents family, has strengthened our ability to offer you solutions for different clinical needs.

Niti-S TTS Esophageal Stent

Niti-S TTS Esophageal Stent is preloaded in a 10.5 Fr delivery system. The stent is deployed through a scope, and the delivery system has a conical tip that is designed to navigate tight strictures and tortuous anatomies.

  • We offer fully or partially covered esophageal stents in a 10.5 Fr delivery system.
  • The delivery system with conical tip is designed to navigate tight strictures and tortuous anatomies.
  • The retrieval string may assist with stent repositioning during the initial placement procedure.
  • The silicone coating is designed to resist tissue ingrowth.
  • The visible yellow marker is designed for accurate placement under endoscopic visualization.
  • There are 4 radiopaque markers at each end and 2 in the middle of the stent.

Go here to learn more about the TaeWoong Niti-S TTS Esophageal Stent.



Cook Medical offers a range of metal stenting solutions for treating patients with strictures in the gastrointestinal tract, including the Evolution® family of stents, designed specifically for biliary, duodenal, colonic, and esophageal strictures.

Evolution® Controlled-Release Stent

Whether treating strictures in the biliary tract, duodenum, colon, or esophagus, the Evolution family of stents gives you the unique ability to deploy, recapture, and/or reposition the stent.

Unlike the stents in other systems, Evolution stents do not jump during deployment, giving you smoother, more predictable delivery. That kind of precision and control makes it easier to accurately place stents the very first time, potentially reducing repeat procedures.


EVOLUTION® BILIARY

Evolutionary Design, Control, and Precision
In palliating the biliary tract you need a stent that you can place accurately, that maintains patency, and that minimizes migration. The Evolution Biliary stent gives you all three.

  • Dedicated platinum core wire delivers excellent full-length radiopacity.
  • Potentially reduce tumor ingrowth with the small-cell size configuration.
  • Having the most favorable radial and axial forces means the stent maintains its flexibility and ductal conformance while sustaining a patent biliary tract.
  • Maximized pushability and minimized stretching, as a result of Cook’s patent pending Flexor® Plus technology, means you can get your stent to the exact position you require.

Go here to learn more about the Evolution Biliary Uncovered Controlled-Release Stent.


EVOLUTION® DUODENAL

Evolutionary Design
In duodenal stenting procedures, exact stent placement is vital for positive patient outcomes. The Evolution Duodenal gives you unparalleled control and maneuverability to achieve that goal. Now you can smoothly deliver a stent that stays in place by fully conforming to the natural curves of the anatomy, potentially reducing the risk of migration and/or other delayed complications.

  • The 18 crowns allow for enhanced, evenly distributed radial force.
  • Proximal and distal flanges reduce migration.
  • 4 radiopaque markers identify the proximal and distal ends of the stent to aid in accurate placement.
  • Flexor® technology delivers excellent catheter flexibility and stability without kinking.

Go here to learn more about the Evolution Duodenal Uncovered Controlled-Release Stent.


EVOLUTION® COLONIC

Evolutionary Design
Whether you’re confronting malignant strictures or gastric outlet obstruction or creating a bridge to surgery, the Evolution Colonic stent delivers the unparalleled control and maneuverability you need to confidently deliver a stent that fully conforms to the natural curves of the anatomy while potentially reducing post-placement risks.

  • 20 crowns allow for enhanced, evenly distributed radial force.
  • Proximal and distal flanges reduce migration.
  • 4 radiopaque markers identify the proximal and distal ends of the stent to aid in accurate placement.
  • Flexor® technology delivers excellent catheter flexibility and stability without kinking.

Go here to learn more about the Evolution Colonic Uncovered Controlled-Release Stent.


EVOLUTION® ESOPHAGEAL

Evolutionary Design
To give you the widest range of treatment options, Evolution Esophageal stents come partially or fully covered. And they all deploy smoothly and confidently thanks to the stress-reducing delivery system.

Partially Covered Design

  • The stent is encased inside and out with silicone to prevent ingrowth and decrease food bolus impaction
  • Uncovered proximal and distal flanges anchor the stent to lessen the risk of migration.
  • “Lasso” loop on proximal end gives you the option to reposition the stent immediately after placement.

Fully Covered Design

  • Silicone coating extending throughout the length of each stent is designed to enhance treatment of malignant esophageal TE fistulas.
  • Dual lasso loops allow for proximal and distal stent repositioning immediately after placement.

Go here to learn more about the Evolution Esophageal Controlled-Release Stent.

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    Get more information and resources

    Evolution Controlled-Release Stent family brochure

    Evolution Controlled-Release Stent family brochure

    Learn more about the Evolution family of stents.

    LEARN MORE

    Evolution Controlled-Release Esophageal (Fully Covered) specs

    Evolution Controlled-Release Esophageal (Fully Covered) specs

    The Evolution Controlled-Release Esophageal (Fully Covered) is used to maintain patency of malignant esophageal strictures and/or to seal tracheoesophageal fistulas.

    VIEW DETAILS

    TaeWoong Niti-S TTS Esophageal Stent specs

    TaeWoong Niti-S TTS Esophageal Stent specs

    The TaeWoong Niti-S TTS Esophageal Stent is intended for use in esophageal strictures caused by intrinsic and/or extrinsic malignant tumors.

    VIEW DETAILS

    Cook Medical’s stricture management YouTube channel

    Cook Medical’s stricture management YouTube channel

    Including physicians’ clinical cases and device deployment animation, the Cook Medical Endoscopy Channel on YouTube features several videos.

    WATCH ON YOUTUBE