Spot Ex Endoscopic Tattoo. Take The N Ex t Step In The Fight Against Colon Cancer
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1 Spot Ex Endoscopic Tattoo Take The N Ex t Step In The Fight Against Colon Cancer
2 Spot Ex Endoscopic Tattoo Take the next step in the fight against colon cancer
3 Ex Ex Ex panded indications support adoption of guidelines 1 pedite localization at follow-up procedures 2 ceedingly costeffective 3 1 ESGE Clinical Guideline. Colorectal polypectomy and endoscopic mucosal resection (EMR) Easier identification at follow-up procedures as compared to no tattoo. 3 CMS 2018 National Payment for Tissues Marking (CPT 45381).
4 Spot Ex: Ex panded Indications Support Adoption of Guidelines Now Indicated for Clinical Surveillance and Surgical Localization 1 Spot Ex is Permanent 1, Enabling a Lifetime of Follow-up Procedures Long-term Visibility of Endoscopic Tattoos Using Sterile Carbon Suspension in a Pre-filled Syringe Jackson FW. Long-term Visibility of Endoscopic Tattoos Using Sterile Carbon Suspension in a Pre-filled Syringe. Am J Gastroenterol. 2017; 112:S1 S45. In 121 follow-up exams of patients previously tattooed with Spot, 100% were visible, up to 11 years later. 2 1 Spot Ex Indication. Instructions For Use. Rev 01. Jan Jackson FW. Long-term Visibility of Endoscopic Tattoos Using Sterile Carbon Suspension in a Prefilled Syringe. Am J Gastroenterol. 2017; 112:S1 S45.
5 ESGE Colonoscopic tattooing is performed to enable future identification, at colonoscopy or surgery, of malignant lesions (proven or suspected), polypectomy, EMR, or ESD sites, difficult-to-detect polyps, or dysplastic areas. All such lesions, other than those definitely located in the cecum, adjacent to the ileocecal valve, or in the low rectum, should be tattooed. 1 Spot Ex Tattoos Are Society Recommended 1 Ferlitsch M, Moss A, Hassan C, et al. Colorectal polypectomy and endoscopic mucosal resection (EMR): ESGE Clinical Guideline Rex D, Schoenfeld P, Cohen J, et al. Quality Indicators for Colonoscopy. Am J Gastroenterol. 2014: Rees C, Bevan R, Zimmerman-Fraedrich K, et al. Expert opinions and scientific evidence for colonoscopy key performance indicators. Gut BMJ SAGES. Guidelines for laparoscopic resection of curable colon and rectal cancer
6 Spot Ex: Ex pedite Localization At Follow-up Procedures Even Easier To Use Spot Ex Is Easier To Find 1 Zero-Step Prep syringe, and a Roll-Proof Cap Because it is 50% darker than Spot 2 1 Lee. P., Finding Endoscopic Tattoos: The Impact of Contrast. GI Supply Spot Ex Luminosity Lab Results. Northwestern Biological Imaging Facility. Nov 2017
7 Spot Ex: Ex ceedingly Cost Effective 2018 CMS Tissue Marking National Payment Colonoscopy with Polyp Removal, Snare (CPT 45385) If Tissue Marking Is Additionally Done (CPT 45381) Physician (Facility) ASC $269 + $17 (Total $286) RVU: 4.57 RVU: 3.56 $488 + $244 (Total $732) Hospital Outpatient $936 + $468 (Total $1,404) Current Procedural Terminology (CPT) Copyright 2018 American Medical Association (AMA). Source: 2018 CMS-1676-F, CMS-1678-F Addendum B, and CMS-1678-F Addendum AA
8 Storage Store upright or on its side Keep at room temperature 2-year shelf life 2 yr
9 Preparation Shake it Attach it Getting Started Prime it
10 Submucosal Injection Spot Ex Injection Site Mucosa Submucosa Muscle Layers Serosa Colon Lateral Spreading Tumor 2-3cm Distal from Tumor 1. Place injection 2-3 cm distal (downstream) of the area of interest. 2. Inject tangentially, at a angle to the mucosa. 3. Create a saline bleb to find the submucosal plane prior to injecting Spot Ex to reduce risk of intramural injection. 4. Place Spot Ex tattoos in 3-4 quadrants around the lumen to increase likelihood of visualization. 5. Use ml per injection site, and no more than 8 ml per patient. Tattoo 3 4 Quadrants Around the Lumen Rex DK. Driving patient safety with endoscopic tattooing. Gastroenterology and Endoscopy News May
11 Documentation Use text and photo documentation in your reports with unambiguous terminology. Document both the depth of scope and anatomic location of each tattoo. Indicate where and how many tattoos were placed at each area of interest. Rex DK. Driving patient safety with endoscopic tattooing. Gastroenterology and Endoscopy News May
12 gi-supply.com G GI Supply. All rights reserved. Spot is a registered trademark of GI Supply, Inc. To Place an Order: Call orders@gi-supply.com
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