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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?
Please reference the videos section to view the Exacto snare in use during multiple clinical situations such as cold endoscopic mucosal resection.
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.
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.
| 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 |
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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INSTRUCTIONS FOR USE
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| Document # | Document Title |
| EXACTO COLD SNARE IFU | |
| EXACTO COLD SNARE IFU - MULTIPLE LANGUAGES | |
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ARTICLE ABSTRACT
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| 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 | |
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WALL CHARTS
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|---|---|
| Document # | Document Title |
| SNARE REFERENCE POSTER | |
| POLYP SIZE ESTIMATION CHART | |
| POLYP SIZE ESTIMATION CHART - FRENCH | |
| POLYP SIZE ESTIMATION CHART - CANADA | |
| POLYPECTOMY GUIDELINES INFOGRAPHIC | |
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BROCHURE
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| Document # | Document Title |
| EXACTO COLD SNARE BROCHURE | |
| POLYPECTOMY BROCHURE - US | |
| EXACTO LARGE LESION CLINICAL BOOKLET | |
| POLYPECTOMY BROCHURE - CANADIAN | |
| POLYPECTOMY BROCHURE - FRENCH | |
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SELL SHEET
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| Document # | Document Title |
| POLYPECTOMY INFOGRAPHIC | |
