Colonic D-Type™ Covered

Category: Colonic Stents  

The Niti-S & ComVi Biliary Stent consists of the implantable metallic stent and introducer system. The stent is made of Nitinol wire. It is a flexible, fine mesh tubular prosthesis which has radiopaque markers on each end and at the center. The Stent is loaded in introducer system and upon deployment the stent imparts an outward radial force on the luminal surface of the bile duct to establish patency. Niti-S Full Covered Biliary Stents used in benign stricture can be removed; (see Warnings). Full Covered Biliary Stents can be repositioned after deployment (see Warnings).

Details / Features:

  • Unfixed cell structure enables stent to conform to tortuous anatomy
  • PTFE membrane prevents the risk of tissue ingrowth
  • Outer wire mesh reduces the risk of migration
  • Minimum foreshortening for accurate placement

Indication

Malignant colorectal obstruction

Details / Features

Excellent conformability facilitates immediate and continuous wall opposition. Minimum foreshortening rate for accurate placement. Ideal combination of radial and axial force to maintain full lumen patency in tortuous anatomies
  • Unfixed cell with weaving construction
    Maximize conformability to prevent migration and the risk of perforation
    Optimal combination of radial and axial force to maintain patency in tortuous anatomy
  • Radiopaque marker: 4 (four) at both ends and 2 (two) in the middle

Clinical Reference

  • Endoscopic stenting as bridge-to-surgery(BTS) in left-sided obstructing colorectalcancer: Experience with conformable stents
    by Andrea Parodi et al [Clin Res Hepatol Gastroenterol. 2016 Nov;40(5):638-644]
  • Endoscopic Double Metallic Stenting in the Afferent and Efferent Loops for Malignant Afferent Loop Obstruction with Billroth II Anatomy
    by Nakahara K et al [Clin Endosc. 2016 Jan;49(1):97-9]
  • The New Nitinol Conformable Self-Expandable Metal Stents for Malignant Colonic Obstruction: A Pilot Experience as Bridge to Surgery Treatment
    by Roberto DiMitri and Filippo Mocciaro [ScientificWorldJournal. 2014 Jan 2;2014:651765]
  • Novel method of stent insertion for malignant lower rectal obstruction with proximal releasing delivery system (with video)
    by Kee Myung Lee, MD, PhD et al [Gastrointest Endosc. 2013 Dec;78(6):930-3]
  • Self-Expandable Metal Stent for Malignant Colonic Obstruction: Outcome in Proximal vs. Left Sided Tumor Localization
    by A. O. Tal et al [Z Gastroenterol. 2013 Jun;51(6):551-7]
  • Outcome and safety of self-expandable metallic stents for malignant colon obstruction: a Korean multicenter randomized prospective study
    by Dae Young Cheung et al [Surg Endosc. 2012 Nov;26(11):3106-13]
  • Comparison of a Newly Designed Double-Layered Combination Covered Stent and D-Weave Uncovered Stent for Decompression of Obstructive Colorectal Cancer: A Prospective Multicenter Study
    by Chang Mo Moon, M.D. et al [Dis Colon Rectum. 2010 Aug;53(8):1190-6]