Motility testing diagnostic systems

Endoflip™ 300 impedance planimetry system

Motility testing diagnostic systems

Endoflip™ 300 impedance planimetry system

The Endoflip™ 300 impedance planimetry system is used to measure pressure and dimensions in the esophagus, pylorus, and anal sphincters.

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Indications, Safety, and Warnings

Description

Detect motility disorders

The Endoflip™ 300 provides real-time measurements of the pressure and dimensions of the esophagus during endoscopic evaluation and surgical procedures.1 The Endoflip™ 300 is a well-tolerated, convenient way to assess esophageal motility that can inform the need to refer patients to high-resolution manometry.2,3 During surgical procedures, the Endoflip™ 300 gives real-time feedback that can reduce negative outcomes of procedures like Nissen fundoplication, Heller myotomy, and peroral endoscopic myotomy (POEM).4–6

Features

Our Endoflip™ 300 impedance planimetry system portfolio 

Endoflip™ 300 impedance planimetry system

Endoflip™ 300 impedance planimetry system

The Endoflip™ 300 uses a balloon catheter to display diameter estimates of the measurement area in real time. It can measure and display diameter estimates at up to 16 points within the balloon. The system can also measure and display balloon pressure.

The Endoflip™ 300 helps identify motility disorders by providing real-time pressure and dimension measurements in the esophagus, pylorus, and anal sphincters. 

The Endoflip™ 300 provides real-time assessment of the lower esophageal sphincter (LES) myotomy during Heller myotomy or peroral endoscopic myotomy (POEM) procedures.7

A product image of the Esoflip™ dilation catheter

Endoflip™ measurement catheter

The Endoflip™ measurement catheter is designed for use with the Endoflip™ impedance planimetry system and has an integrated pressure sensor for balloon pressure measurement.

A product image of the Endoflip™ measurement catheter

Esoflip™ dilation catheter

  • The Esoflip™ ES-310 and ES-320 balloon catheters are indicated for use to dilate esophageal strictures due to esophageal surgery, primary gastroesophageal reflux, or radiation therapy.
  • The Esoflip™ ES-330 balloon catheter is used in a clinical setting to dilate the gastroesophageal junction (EGJ) to treat achalasia.
  • The Esoflip™ ES-310 catheter is not suitable for diameter measurements and dilation of strictures smaller than 6 mm or greater than 10 mm.
  • The Esoflip™ ES-320 catheter is not suitable for diameter measurements and dilation of strictures smaller than 8 mm or greater than 20 mm.
  • The Esoflip™ ES-330 catheter is not suitable for diameter measurements and dilation of strictures smaller than 8 mm or greater than 30 mm.
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Up to 50% of endoscopies for predominant esophageal reflux symptoms are negative.8

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One in three patients referred with ongoing symptoms while using PPIs doesn’t have GERD.9

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PPI use has been associated with osteoporosis and other risks.10
 

You need an objective means of diagnosing GERD and motility disorders. 

There are many types of motility disorders, and pinpointing the underlying cause of the patient’s symptoms can be challenging.11

The Endoflip™ impedance planimetry system can provide information that can provide information to aid in therapeutic decision making.12

See a healthcare professional using the Endoflip™ 300 system.

How does Flip™ technology work?

Endoflip™ technology uses high-resolution impedance planimetry to measure luminal geometry and pressure during volume-controlled distension. It helps you assess the mechanical properties of the esophageal wall and opening dynamics of the gastroesophageal junction in various esophageal diseases.​

See a closeup of the EndoFlip™ impedance planimetry system screen.

Ordering information

Item number Description Units per box
EF-200 Endoflip™ impedance planimetry system 1
EF-100 Endoflip™ impedance planimetry system 1
EF-322N Endoflip™ measurement catheter 16 cm 1
EF-325N Endoflip™ measurement catheter 8 cm 1
ES-320 Esoflip™ dilation catheter 20 mm 5
ES-330 Esoflip™ dilation catheter 30 mm 5

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Similar products

  1. Endoflip™ 300 operator’s manual.
  2. Carlson DA, Gyawali CP, Kahrilas PJ, et al. Esophageal motility classification can be established at the time of endoscopy: a study evaluating real-time functional luminal imaging probe panometry. Gastrointest Endosc. 2019;90(6):915–923.
  3. Farina D, Carlson D. Functional luminal imaging probe (FLIP) as an adjunctive modality in evaluation of esophageal dysmotility. Foregut. 2021(1);286–295.
  4. Ilczyszyn A, Botha A. Feasibility of esophagogastric junction distensibility measurement during Nissen fundoplication. Dis Esophagus. 2014;27(7):637–644.
  5. Carlson, Dustin A. Evaluation of esophageal motility during endoscopy with the functional luminal imaging probe. Techniques in Gastrointestinal Endoscopy. 2018;20(3):107–113.
  6. Hirano I, Pandolfino JE, Boeckxstaens GE. Functional lumen imaging probe for the management of esophageal disorders: expert review from the clinical practice updates committee of the AGA institute. Clin Gastroenterol Hepatol. 2017;15(3):325–334.

  1. Su B, Dunst C, Gould J, et al. Experience-based expert consensus on the intra-operative usage of the Endoflip impedance planimetry system. Surg Endosc. 2021;35(6):2731–2742. doi:10.1007/s00464-020-07704-3.
  2. Muthusamy VR, Lightdale JR, Acosta RD, et al. The role of endoscopy in the management of GERD. Gastrointestinal Endoscopy. 2015;81(6):1305–1310. doi: 10.1016/j.gie.2015.02.021. 
  3. Herregods TV, Troelstra M, Weijenborg PW, et al. Patients with refractory reflux symptoms often do not have GERD. Neurogastroenterol Motil. 2015;27(9):1267–1273. 
  4. Vakil N. Prescribing proton pump inhibitors: Is it time to pause and rethink? Drugs. 2012;72(4):437–445. 
  5. Chaudhury A, Mashimo H. Oropharyngeal & esophageal motility disorders. Current Diagnosis & Treatment: Gastroenterology, Hepatology and Endoscopy. 2016;3:164.
  6. Ahuja NK, Agnihotri A, Lynch KL. Esophageal distensibility measurement: impact on clinical management and procedure length. Dis Esophagus. 2017;30(8):1–8.