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We have developed a new endotriptor that can be used through the instrument channel of the duodenoscope. The coiled metal sheaths are 53 cm long and 2.4 mm in diameter (Figure 1 a), and fit over the remaining wire of the basket catheter. “Remaining wire” here means the length of wire between the entrance of the in− strument channel port on the duodeno− scope and the cut end of the wire. The sheaths are designed to be slightly shorter than the “remaining wire”. This allows easy insertion of a sheath over the wire and into the endoscope. An Olympus JF− 200 duodenoscope and an FG 22−Q−1 or 403Q basket catheter (Olympus, Tokyo, Japan), the length and diameter of which are suitable for the new endotriptor, were used.

Newly Developed Endotriptor for Patients with Basket Impaction in the Distal Common Bile Duct