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C2Dx has acquired the Otolaryngology/Head and Neck Surgery (OHNS) family of products from Cook Medical.

Read the press release here.

Sialendoscopy offers options for obstructive salivary gland diseases and gland preservation.

Until recently, minimally invasive endoscopic treatments for obstructive salivary gland disorders simply didn’t exist.

Previous options for treating pain and swelling involved cutting open the duct to access and treat the blockages. Surgery to remove the entire gland is also considered as an alternative. Today, C2Dx’s interventional sialendoscopy products offer a less invasive option. By using a micro endoscope, our products allow surgeons to visualize stones and strictures and remove them with stone extractors or other tools, thereby helping to preserve ducts and retain gland function. This line of products is designed to help reduce trauma for the patient and increase efficiency with every step.

Reduced
Recovery Time

No
Incision

Gland
Preservation

Sialendoscopy offers a variety of advantages to the patient, including reduced recovery time, no incision or subsequent scarring, minimized potential for nerve damage, preservation of the salivary gland, and early return to a normal diet. 1, 2, 3 Sialendoscopy allows stones and strictures to be managed in office with a low risk of major complications to the patient compared to open surgical procedures. 1

*A combined approach may be necessary depending on stone size, mobility, and clinical judgment.

REFERENCES

1 Nahlieli O, Nakar LH, Nazarian Y, et al. Sialendoscopy: a new approach to salivary gland obstructive pathology. J Am Dent Assoc. 2006;137(10):1394–1400.

2 Carta F, Farneti P, Cantore S, et al. Sialendoscopy for salivary stones: principles, technical skills and therapeutic experience. Acta Otorhinolaryngol Ital. 2017;37(2):102–112.

3 Achim V, Light TJ, Andersen PE. Gland preservation in patients undergoing sialendoscopy. Otolaryngol Head Neck Surg. 2017;157(1):53–57.

ACCESS

Wire
Guide

Gain and maintain access with a wire guide.

Sialendoscopy starts with accessing the salivary duct through the papilla. A flexible, soft-tipped wire guide can be maneuvered into the duct, allowing you to gain and maintain ductal access throughout the procedure, which reduces trauma and maximizes efficiency.

Salivary Access
Dilator Set

Minimize trauma with sequential dilation.

Introduce a series of flexible dilators over the wire guide to expand the papilla and prepare the salivary duct for the introduction of procedural instruments.

Kolenda Salivary
Access Introducer Set

Create a true working channel.

After you expand the papilla with the dilator set, you can create an open working channel into the salivary duct by passing the sheath over the wire guide. The sheath also serves to protect the ductal wall as you insert and remove procedural instruments.

TREAT

NCircle® Tipless Salivary
Stone Extractor

Manage challenging salivary stones with durable nitinol stone extractors.

Once you have gained access to the duct, you can insert the NCircle® or NGage® nitinol baskets into the duct to remove salivary stones and fragments. The NCircle® Salivary Stone Extractor has a tipless configuration that allows you to position the basket against the mucosal lining.

NGage® Salivary
Stone Extractor

Manage challenging salivary stones with durable nitinol stone extractors.

Once you have gained access to the duct, you can insert the NCircle® or NGage® nitinol baskets into the duct to remove salivary stones and fragments. The NGage® Salivary Stone Extractor works as both a basket and grasper in one.

SialoCath® Salivary Duct Catheter

Expand your ability to treat obstructive salivary gland disorders.

This flexible, soft-tipped catheter is inserted over a wire guide or through the Kolenda Introducer Sheath to irrigate the submandibular or parotid salivary ducts or flush stone fragments.

Advance® Salivary Duct Balloon Catheter Set

Accurately dilate salivary duct strictures.

Once you have created a working channel in the duct, you can insert the balloon catheter over a wire guide and use alongside a sialendoscope for direct visualization to dilate at the stricture site.

Videos

For more videos, visit our Video Library.

Biodesign® Sialendoscopy Ordering Information

Order NumberReference Part #Wire Guide Diameter inchWire Guide Length cmTip Configuration
G02274C-SF-15-500.01550Straight
Order NumberReference Part #Dilator FrDilator OD mmDilator OD inch
G24131SDDS-18-20-HC41.40.055
  51.670.066
  620.079
  72.330.092
Order NumberReference Part #Introducer ID mm/inchWire Guide Diameter inchSheath Length cm
G24129SDAS-6.0-182.21/0.0870.0185.5
G24132SDAS-5.0-181.88/0.0740.0185.5
Order NumberReference Part #Catheter FrCatheter Length cmBasket Diameter mm
G23798SSEB-1.7-115-81.71158
Order NumberReference Part #Catheter FrCatheter Length cmBasket Diameter mm
G23797SSEB-1.5-115-101.511510
Order NumberReference Part #Catheter OD mm/inchCatheter ID mm/inchCompatible Wire Guide Diameter inchCompatible Catheter Length cmTip Configuration
G35166SDC-2.2-200.74/0.0290.53/0.0210.01815Straight
Order NumberReference Part #Wire Guide Diameter inchInflated Balloon Diameter mm
G34991SDBS-14-30-1.5-20.0141.5
G34992SDBS-14-30-2.0-20.0142
G34993SDBS-14-30-2.5-20.0142.5
G34994SDBS-14-30-3.0-20.0143

Clinical Studies

C2Dx has acquired the Otolaryngology/Head and Neck Surgery (OHNS) family of products from Cook Medical.

Read the press release here.