Becker's ASC Review

39 EXECUTIVE BRIEFING EXECUTIVE BRIEFING 2 The SnareMaster ™ Plus snare stands out to me for its durable build, hybrid nature and ease of use Amid a variety of cold snare devices on the market, the SnareMaster ™ Plus snare stands out due to its cold cutting ability, in Dr. Meisner's experience. The SnareMaster ™ Plus snare features 4 : • Durability, which maintains loop stability and shape maintenance even after multiple cuts. Combined with the thinness of the wire (0.3mm), the stiffness of the device facilitates clean, sharp cold cutting. "I've found other cold snares lose their durability after multiple polyp resections," Dr. Meisner said. "In my opinion, the SnareMaster ™ Plus snare is the most durable, and I feel comfortable so that if I find 20 or 30 additional polyps in a procedure, it's going to maintain its durability and I won't have to switch to another snare — and that's obviously cost-effective." • Hybrid hot and cold cutting ability, allowing the user to switch the device between modalities during a procedure, if the procedure calls for it. That capability, which Dr. Meisner said he uses several times each month, may help physicians perform large or complex polyp resections without having to exchange devices, which may reduce procedure time in cases where both hot and cold manipulation is needed and improving the overall efficiency of procedures for practices. • Ease of use, thanks to its ability to go small or large and accommodate polyp sizes that may not require the full deployment of the snare. This is often the case when resecting polyps in the 3-5mm range. "The ease of use of the SnareMaster ™ Plus snare is extremely important and why it is my preferred snare," Dr. Meisner said. • Hexagonal shape, which allows for manipulation and control when removing polyps, while allowing for an appropriate margin of normal tissue required for cold snare polypectomy. • Multiple sizes (10mm and 15mm), to meet various clinical needs. As a result of its versatile, user-centric build, the SnareMaster ™ Plus snare also aids in positive patient outcomes, according to Dr. Meisner. For a polypectomy patient, the primary outcome of importance — besides polyp removal — is the absence of post- procedural bleeding. Post-polypectomy bleeding is particularly risky for patients who are at elevated risk of thrombosis, stroke or other cardiac events and are therefore on blood thinners, which need to be resumed soon after the polypectomy. "Post-polypectomy bleeds can be a complication in large polyp resections," Dr. Meisner said. "I don't recall the last post-polypectomy bleed I've had, using the SnareMaster ™ Plus snare." With innovation, SnareMaster ™ Plus snare is addressing what matters most to gastroenterologists like Dr. Meisner. Ease of use is critical during this time of high employee turnover, as it decreases required training. The hybrid hot and cold capability may lessen the amount of time needed for a procedure and improve efficiency. And, decreased bleeding can mean improved outcomes and faster healing, which is the focus of clinicians, as well as patients. That's why Dr. Meisner sees the SnareMaster ™ Plus snare as the gold standard: "In our center, it is by far the 'workhorse snare' — the snare that is effective and used in the highest percentage of polyps throughout the day." Disclaimer Randall Meisner, MD is a paid consultant to Olympus Corporation, its subsidiaries and/or its affiliates. The positions and statements made herein by Dr. Randall Meisner are based on his experiences, thoughts and opinions. As with any product, results may vary and the techniques, instruments and settings can vary from facility to facility. You should thoroughly review the relevant user manual(s) for instructions, warnings, and cautions. SnareMaster ™ Plus Electrosurgical Snare Disclaimer Do not use these instruments for any purpose other than their intended use as this could cause patient injury or damage to the instrument. Performing polypectomy within the GI tract is a technically demanding procedure and use of associated products such as the SnareMaster ™ Plus electrosurgical snare may result in possible electrosurgical risks and patient injury to include, but are not limited to, infection, bleeding, perforation, and mucous membrane damage. When applied to a patient with a pacemaker implanted, the instrument or A cord may cause malfunctioning or failure of the pacemaker, seriously affecting the patient. Before proceeding, always confirm with a cardiologist or the manufacturer of the pacemaker that it is safe to proceed. Evis X1 ™ Endoscopy System Disclaimer TXI ™ technology is not intended to replace histopathological sampling as a means of diagnosis. The EVIS X1 ™ endoscopy system is not designed for cardiac applications. Other combinations of equipment may cause ventricular fibrillation or seriously affect the cardiac function of the patient. Improper use of endoscopes may result in patient injury, infection, bleeding, and/or perforation. At Olympus, we are committed to Our Purpose of making people's lives healthier, safer, and more fulfilling. As a global medical technology company, we partner with healthcare professionals to provide best-in-class solutions and services for early detection, diagnosis, and minimally invasive treatment, aiming to improve patient outcomes by elevating the standard of care in targeted disease states. For more than 100 years, Olympus has pursued a goal of contributing to society by producing products designed with the purpose of delivering optimal outcomes for its customers around the world. For more information, visit www.olympusamerica.com. LCR51968V01 4 Data on file with Olympus as of 12/2017.

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