Becker's ASC Review

Becker's ASC Review October 2013

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Fuse™ Full Spectrum Endoscopy™ . . Find what traditional endoscopes are missing. Colonoscopy is widely accepted as the gold standard for screening, surveillance, and diagnosis of lower GI diseases. However, endoscopy technology has not changed significantly in decades and interval cancers still occur1. In a tandem study using traditional forward viewing (TFV) endoscopes, Rex et al. found they missed 24% of the adenomas in the first colonoscopy. Since that landmark study, other technologies have shown the miss rate for TFV to be 31%2. How was this achieved? Traditional endoscopes provide no more than a 170° field of view. Fuse Full Spectrum Endoscopy provides a 330° field of view, allowing the endoscopist to see nearly twice as much anatomy as traditional endoscopes. In another multi-center tandem trial, the Fuse™ endoscope system demonstrated the miss rate on adenomas with TFV was 42%. Out of 88 patients, a total of 48 adenomas were observed. TFV identified 28 adenomas. Fuse observed an additional 20 adenomas. This means an additional 71% more adenomas were detected by Fuse that traditional forward viewing endoscopes missed3. Conversely, when the patient received a colonoscopy with Fuse first, followed by TFV, the researchers had an adenoma miss rate of only 8%. TFV Gralnek et al. Adenoma Miss Rate TFV 42% Siersema et al. TFV 42 % Miss Rate with TFV endoscope 8% Miss Rate with Fuse endoscope ™ 71 31% % Incremental adenoma find rate with Fuse™ Rex et al. 24% Traditional Endoscope Limited 170° Field of View Fuse™ Endoscope Full 330° Field of View CE Marked, FDA 510(k) cleared Gralnek et al. 8% 1997 2012 2013 2013 To schedule a Fuse experience, call your EndoChoice sales representative, or the EndoChoice Headquarters, at 888.682.3636 x.5, or email fuse@endochoice.com. EndoChoice.com/Fuse (1) Rex et al. Gastroenterology 1997; (2) Siersema et al. World Journal of Gastroenterology, 2012; (3) Gralnek et al. 2013 DDW AGA/ASGE Plenary

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