Intelligent submucosal dissection in ESD and POEM

preciseSECT and HybridKnife®

The dynamic adjustment of the current curve makes the preciseSECT mode ideal for precise submucosal dissection and pronounced hemostasis with little thermal damage.

What experts say

Regular injection of the target tissue has a supportive effect and is therefore recommended. And even important is the high impedance given by a small contact surface. This enhances the dissecting effect.”

 Dr. Torsten Beyna
Dr. Torsten Beyna

Head of Department of GI and interventional endoscopy, EVK Duesseldorf, Germany

Conversely, an effective coagulation effect can be achieved through lower impedance with the preciseSECT mode. This sealing of the vessel is achieved by applying the instrument tip to blood vessels in a more planar manner (large contact surface). This application to the vessel should be performed without any mechanical pressure with a continuous activation of 1–2 seconds (no “tapping”). The coagulated vessel can then be dissected using the preciseSECT mode.”

Dr. Torsten Beyna
Dr. Torsten Beyna

Head of Department of GI and interventional endoscopy, EVK Duesseldorf, Germany

Application videos

POEM with HybridKnife® using preciseSECT - step by step descriptions on dissection and coagulation
POEM using VIO® 3 preciseSECT mode with HybridKnife® - submucosal tunneling
Rectal ESD procedure using VIO® 3 preciseSECT mode with HybridKnife®

How Erbe supports your workflow

VIO® 3

VIO® 3

ERBEJET® 2

ERBEJET® 2

HybridKnife® T-Type I-Jet

HybridKnife® T-Type I-Jet