ERCP/EST Model Medical Simulator for Endoscopic Therapy

Product image of the ERCP/EST model biliary and pancreatic endoscopy simulator

This product was developed through a joint research collaboration between Tohoku University, Denka Company Limited and UA inc. as a simulator for learning endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic sphincterotomy (EST), which are essential techniques in biliary and pancreatic endoscopy.The cutting sensation with an electrosurgical knife and the anatomical features have been faithfully reproduced by applying the hemostasis simulator technology. It is designed to allow safe training using actual endoscopes and devices.

Background of Development

ERCP/EST procedures pose a risk of bleeding complications due to inappropriate incision, but no dry simulator capable of reproducing bleeding existed.

Development Concept

  • Enables the learning of endoscopic procedures using actual endoscopes and devices.
  • Simulates the duodenal papilla with elasticity like human tissue.
  • Enables the learning of the correct incision direction for EST.
  • Arterial bleeding can be reproduced through syringe manipulation.

Features

  • Anatomically reproduces the blood vessel placement and bile duct trajectory.
  • Bleeding complications occur due to incisions outside the 11-12 o'clock direction or excessive incisions.
  • Enables comprehensive learning of bile duct cannulation, EST, and bile duct stone removal.
Illustrations of circular fold, hooding fold, and papillary orifice
Image of bile duct cannulation

Bile duct cannulation

Image of EST

EST

Image of reproduction of bleeding complications

Reproduction of bleeding complications

Image of bile duct stone removal

Bile duct stone removal

High Reproducibility and Simple Setup

  • Attaching the artificial papilla to the ERCP lumen model for a complete setup.
  • The ERCP lumen model can be easily disassembled for washing and reused repeatedly.
  • The setup can be easily reproduced, making it ideal for remote guidance.
Image of the setting and structure of the ERCP/EST model

Simultaneous display of endoscopic and artificial fluoroscopic views provides a clinical-like training environment.

Image of simultaneous display of endoscopic and artificial fluoroscopic views

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