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Medtronic / Covidien Products / Motility Testing / Endoflip™ Impedance Planimetry System

Overview

Detect motility disorders

Endoflip™ impedance planimetry system provides an internal view of the esophagus and the gastroesophageal junction during endoscopic and surgical procedures. Performed during endoscopy, results may complement or eliminate the need for manometry.1

Real-time measurements of the pressure and dimensions in the esophagus, and other sphincters of the alimentary canal, help you identify major motility disorders.1

Endoflip™ impedance planimetry system with Flip™ topography is complementary to high-resolution manometry (HRM) and other diagnostic methods.1

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Up to 50% of endoscopies for predominant esophageal reflux symptoms are negative.2​

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One in three patients referred with ongoing symptoms while using PPIs doesn’t have GERD.3​

No pills

PPI use has been associated with osteoporosis and other risks.4​

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 patients symptoms can bechallenging.5​

Endoflip™ impedance planimetry system can provide information that may lead you to a therapeutic direction you are looking for.

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.​

Literature review

Read a synopsis of clinical publications involving the Endoflip™ impedance planimetry system.

Read review

Our product portfolio 

Endoflip™ 1.0 and 2.0 impedance planimetry system

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

The Endoflip™ impedance planimetry system provides real-time assessment of the lower esophageal sphincter (LES) myotomy during Heller myotomy or per-oral endoscopic myotomy (POEM) procedures.6

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.

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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Order Information
ORDER CODE DESCRIPTION UNIT OF MEASURE QUANTITY
EF-200 Endoflip™ impedance planimetry system Each 1
EF-100 Endoflip™ impedance planimetry system Each 1
EF-322N Endoflip™ measurement catheter 16 cm Each 1
EF-325N Endoflip™ measurement catheter 8 cm Each 1
ES-320 Esoflip™ dilation catheter 20 mm Box 5/Box
ES-330 Esoflip™ dilation catheter 30 mm Box 5/Box

Order Information

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  • 1. Carlson DA, Kahrilas PJ, Lin Z, Hirano I, Gonsalves N, Listernick Z, Ritter K, Tye M, Ponds FA, Wong I, Pandolfino JE. Evaluation of Esophageal Motility Utilizing the Functional Lumen Imaging Probe. Am J Gastroenterol. 2016;111(12):1726-1735.

  • 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, T. V. K., et al. Patients with refractory reflux symptoms often do not have GERD. Neurogastroenterology & Motility. 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 (72):438.​

  • 5.  Chaudhury A, Mashimo H. Oropharyngeal & esophageal motility disorders. Current diagnosis & treatment: gastroenterology, hepatology and endoscopy. 2016;3:164.​

  • 6. Su B, Dunst C, Gould J, et al. Experience-based expert consensus on the intra-operative usage of the Endoflip impedance planimetry system. Surgical Endoscopy: And Other Interventional Techniques. 2021;35(6):2731-2742. doi:10.1007/s00464-020-07704-3.

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