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Habib™ Endo HPB Bipolar Radiofrequency Catheter

Habib™ Habib™ Habib™ Habib™ Habib™ Habib™ Habib™
Habib™
Habib™
Habib™
Habib™
Habib™
Habib™
Habib™

The Habib™ EndoHPB Catheter is the first Radio Frequency (RF) ablation catheter indicated in Europe for malignant or benign tissue ablation in the pancreatic and biliary tract.

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Product Details

See how to use the Habib EndoHPB Bipolar Radiofrequency Catheter:

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Device Specification

Intended Benefits

180cm useable length, 8Fr (2.7mm) diameter

Enables biliary access through a 3.2mm working channel duodenoscope

2,8mm stainless steel ring electrodes

Produce ablation depths 3-4mm from the wall of the catheter. Resulting ablation zone is 25mm ± 3mm long by 9mm ± 2mm wide (1)

Compatible with commonly available RF generators and endoscopes with a working channel of 3.2mm or greater

Does not require the purchase of dedicated capital equipment

Bipolar RF Device

Use of adapter cable enable bipolar RF ablation and avoids the need for electrode grounding pads

Features and Benefits

  • Treatment alternative that may prolong patency and restore biliary drainage1
  • The Habib EndoHPB Catheter may provide an option to restore biliary drainage in patients who may outlive the patency of their metallic biliary stents.2
  • Clinical data from one study suggests that RFA with the Habib EndoHPB Catheter for occluded SEMS may improve mean stent patency time compared to plastic stent insertion.2

Minimal Capital Investment

The Habib™ EndoHPB Catheter is compatible with many commonly available electrosurgical generators and endoscopes with a working channel of 3.2mm or greater, eliminating the unique capital expenditure. There is also no need for electrode grounding pads when using our adaptor cable.

UPNDescriptionGenerator

M00500070

EndoHPB Bipolar Radiofrequency Catheter

N/A

5100

Adapter Cable Bipolar, 28mm pins

KLS Maxium, Olympus ESG-100

5420

Adapter Cable Bipolar, Internal 4 mm pin

Erbe ICC200, ICC300, ICC355, Erbe Vio 200 or 300 (D/S) Genii GI 4000

5700

Adapter Cable Bipolar, 22 mm Spacing

Erbe Vio 3, Erbe ICC200, ICC300, ICC355, Erbe Vio 200 or 300 (D/S)

Ease of Use

  • No need for dedicated capital equipment
  • Compatible with most electrosurgical generators
  • Simple time and power algorithm delivers consistent results3
  • One probe size, each ablation produces an ablation zone approximately 25mm x 3.5mm deep (at 10W, 90s).3

REFERENCES

1. Liang, H. et al, “Metal Stenting with or without Endobiliary Radiofrequency Ablation for Unresectable Extrahepatic Cholangiocarcinoma”, Journal of Cancer Therapy, October 2017.

2. Kadayifci A. et al., Endoscopy 2016;48:1096-1101

3. DN VAL-R-020

DISCLAIMERS: All trademarks are the property of their respective owners.
All photographs taken by Boston Scientific
The testing was performed by or on behalf of BSC. Data on file
Bench Test results may not necessarily be indicative of clinical performance.
Measurements taken by Boston Scientific. Data on file. Actual values may differ.

Caractéristiques techniques

Habib™ Endo HPB Bipolar Radiofrequency Catheter

Caractéristiques techniques

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Études de cas

Habib™ Endo HPB Bipolar Radiofrequency Catheter

Using Radio Frequency Ablation (RFA) for Successful Decompression of a Bile Duct Stricture Secondary to Cholangiocarcinoma

Patient History

The patient was a 75 year old woman diagnosed with cholangiocarcinoma in the CBD 1-1/2 years prior. The patient had undergone multiple plastic stent placements and exchanges, and subsequent placement of an uncovered WallFlex™ Biliary RX Stent (10x60mm) at another medical facility. The patient was receiving chemotherapy. In a repeat ERCP with cholangioscopy a tumor ingrowth of the stent was revealed and confirmed by an intraductal biopsy. The treating physician referred the patient for an RFA procedure.

Procedure

An occlusion cholangiogram was performed which revealed a stricture covering roughly half of the stent’s length. In an attempt to accurately identify the lesion’s definitive location, the stricture was explored using the SpyGlass™ DS Direct Visualization System which revealed a slightly longer lesion than what had been revealed in the cholangiogram (Figures 1, 2). To prepare for the ablation, the Habib™ EndoHPB Bipolar Radiofrequency Catheter was connected to the adapter cable and to the Erbe Vio 300 electrosurgical generator. The generator was set to Soft Coag Mode, effect 8, and 10W, with a 90 second time limit. The degree of tumor ingrowth was estimated to be 70% of the 60mm stent length. The Habib EndoHPB Catheter will produce a 25mm ablation length, per ablation. As a result, two ablations were conducted starting distally. Following the 90 second burn and a 60 second pause, the catheter was pulled back from the initial position and the second ablation was initiated at the same settings.

Following a 60 second pause, the Habib EndoHPB Catheter was then removed from the CBD and a balloon sweep of the ablated zone was conducted to extract the ablated tissue. The SpyGlass DS System’s SpyScope™ DS Access & Delivery Catheter was reinserted into the bile duct to confirm positive RFA results and margins.

Figure 1

Figure 2

Figure 3

Conclusion

Restored luminal patency was observed immediately (Figure 3). The procedure was well tolerated by the patient who was discharged shortly after. Three months post procedure, the patient will return for a follow-up RFA treatment to maintain lumenal patency.

ENDO-1140603-AA

All images taken by Boston Scientific. All trademarks are the property of their respective owners. CAUTION: The law restricts these devices to sale by or on the order of a physician. Indications, contraindications, warnings and instructions for use can be found in the product labelling supplied with each device. Information for use only in countries with applicable health authority registrations. This material not intended for use in France. Products shown for INFORMATION purposes only and may not be approved or for sale in certain countries. Please check availability with your local sales representative or customer service.

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