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Exacto® Cold Snare

  • Features a shield shape design that maximizes its width for control and placement during cold snare polypectomy
  • Offers a stiff catheter that aids in placement, supports tissue transection, and decreases buckling
  • Provides balance between stiffness and flexibility due to its thin, seven braided wire configuration
  • Reduces polyp “fly away” from the resection site making it possible to collect specimens for pathology

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Product Overview

Clinically proven to achieve a significantly high rate of complete resection, the Exacto cold snare offers control and placement for a precise, clean cut. The Exacto snare supports the cold snare polypectomy technique and can be used to resect a variety of polyps in multiple sizes (small, diminutive, and large).

How the Exacto Cold Snare Works

As cold snaring becomes the standard for subcentimeter polyps and expands into the removal of larger polyps, the Exacto cold snare is leading the way with clinical data to drive changes in medical practice. The Exacto endoscopic snare has been specifically designed to optimize cold resection with a 9mm snare size. The thin wire design (0.012 inch / 0.30mm) enables a clean cut while maintaining its shape and stiffness.

Why the Exacto Cold Snare?

  • Features a shield shape design that maximizes its width for control and placement during cold snare polypectomy
  • Offers a stiff catheter that aids in placement, supports tissue transection, and decreases buckling
  • Provides balance between stiffness and flexibility due to its thin, seven braided wire configuration
  • Reduces polyp “fly away” from the resection site making it possible to collect specimens for pathology

Please reference the videos section to view the Exacto snare in use during multiple clinical situations such as cold endoscopic mucosal resection.

 

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FAQs

What is the difference between hot and cold snare polypectomy?

During a colonoscopy, a polypectomy may be performed for the complete removal of a polyp or a sample of the polyp tissue may be biopsied for further examination. Clinicians typically use two types of techniques for the removal of polyps – cold snare polypectomy or hot snare polypectomy. The choice of which technique and snare medical tool to use depends on the size of the polyp being removed and the physician’s technique preference. During cold snare polypectomy, a snare such as the Exacto snare is looped around the polyp and closed until the polyp is removed. The key difference between hot snare polypectomy is the addition of electrocautery to aid in polyp removal.

When do you use a cold snare?

Clinical evidence and guidelines support cold snare polypectomy by strong recommendation and high-quality evidence for the removal of diminutive (≤5 mm) and small (6-9mm) lesions due to high complete resection rates, efficiency in technique, and safety profile. As guidelines and practices move towards endoscopic procedures over surgery, polypectomy snaring and endoscopic mucosal resection are trending to resect larger, more complicated lesions. Cold snare polypectomy decreases risks such as injury to submucosal arteries, delayed bleeding, and perforation associated with other polypectomy techniques.

 

 

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Product Number Description Sheath Diameter Length Approximate Snare Size Unit/Box
BX00711115 Exacto® Cold Snare 2.4mm 230cm 9mm 10
BX00711094 Exacto® Cold Snare 2.4mm 230cm 9mm 20
BX00711095 Exacto® Cold Snare 2.4mm 230cm 9mm 50

 

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Videos

ASGE Tech Talk: Cold Snare Polypectomy with Cyrus Piraka, MD

Exacto® cold snare - cold EMR of 3.5cm tubulovillous adenoma

ASGE Tech Talk: Cold Snare Polypectomy with Cyrus Piraka, MD

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Literature

INSTRUCTIONS FOR USE
Document # Document Title
EXACTO COLD SNARE IFU
EXACTO COLD SNARE IFU - MULTIPLE LANGUAGES
BROCHURE
Document # Document Title
2022 NEW & FEATURED BROCHURE - US
NEW & FEATURED BROCHURE INTL 2022
EXACTO COLD SNARE BROCHURE
POLYPECTOMY BROCHURE
ADVANCED POLYPECTOMY AND ELECTROSURGERY BROCHURE
EXACTO LARGE LESION CLINICAL BOOKLET
ARTICLE ABSTRACT
Document # Document Title
EXACTO ARTICLE ABSTRACT - COLONOSCOPY AND DIMINUTIVE POLYPS
EXACTO ARTICLE ABSTRACT - PROSPECTIVE RANDOMIZED COMPARISON OF COLD SNARE POLYPECTOMY AND CONVENTIONAL POLYPECTOMY
EXACTO ARTICLE ABSTRACT - A PROSPECTIVE RANDOMIZED COMPARISON OF COLD VERSUS HOT SNARE POLYPECTOMY
EXACTO ARTICLE ABSTRACT - BIOPSY FORCEPS IS INADEQUATE FOR THE RESECTION OF DIMINUTIVE POLYPS
EXACTO ARTICLE ABSTRACT - SAFETY OF COLD POLYPECTOMY FOR <10MM POLYPS AT COLONOSCOPY
SNARES ARTICLE ABSTRACT
EXACTO ARTICLE ABSTRACT - COLD SNARE RESECTION OF A NONPOLYPOID LESION >45MM
EXACTO ARTICLE ABSTRACT - PROSPECTIVE, RANDOMIZED COMPARISON OF 2 METHODS OF COLD SNARE POLYPECTOMY FOR SMALL COLORECTAL POLYPS
EXACTO ARTICLE ABSTRACT - COLD SNARE POLYPECTOMY: DOES SNARE TYPE INFLUENCE OUTCOMES?
EXACTO ARTICLE ABSTRACT - COLD SNARE POLYPECTOMY FOR LARGE SESSILE COLONIC POLYPS: A SINGLE CENTER EXPERIENCE
EXACTO ARTICLE ABSTRACT - PUSHING THE LIMIT: HOW TO GET THE MOST OUT OF COLD SNARES
EXACTO COLD SNARE ABSTRACT - RESECTION OF LARGE SESSILE SERRATED POLYPS
EXACTO ARTICLE ABSTRACT - EX11 ABSTRACT - COLD EMR
EXACTO ARTICLE ABSTRACT - COLD SNARE PIECEMEAL RESECTION OF COLONIC AND DUODENAL POLYPS
EXACTO ARTICLE ABSTRACT - COLD SNARE PIECEMEAL ENDOSCOPIC MUCOSAL RESECTION OF A VERY LARGE DUODENAL ADENOMA
EXACTO ARTICLE ABSTRACT - SAFETY OF COLD SNARE POLYPECTOMY FOR DUODENAL ADENOMAS IN FAMILIAR ADENOMATOUS POLYPOSIS: A PROSPECTIVE EXPLORATORY STUDY
EXACTO ARTICLE ABSTRACT - EFFICACY AND SAFETY OF COLD SNARE RESECTION IN PREVENTIVE SCREENING COLONOSCOPY
EXACTO ARTICLE ABSTRACT - COLD SNARE ENDOSCOPIC RESECTION OF NONPEDUNCULATED COLORECTAL POLYPS LARGER THAN 10 MM: A SYSTEMATIC REVIEW AND POOLED-ANALY
WALL CHARTS
Document # Document Title
SNARE REFERENCE POSTER
POLYP SIZE ESTIMATION CHART
POLYPECTOMY GUIDELINES INFOGRAPHIC
SELL SHEET
Document # Document Title
POLYPECTOMY INFOGRAPHIC
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