Equipment consumables required for ERCP: ERCP dedicated C-arm X-ray machine PLX7100A

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ERCP is the abbreviation for endoscopic retrograde cholangiopancreatography, which is a minimally invasive surgery that combines endoscopic and X-ray fluoroscopy techniques. From a purely diagnostic technique to the present day, ERCP has become a comprehensive technique mainly focused on treatment, mainly including: pancreaticobiliary cholangiography; Duodenal papillary sphincterotomy and dilation surgery; Lithotripsy and removal of bile duct and pancreatic duct stones; Dilation of bile duct and pancreatic duct stenosis; Nasobiliary duct and nasopancreatic duct drainage surgery; Bile duct stent, pancreatic duct stent placement and drainage surgery, etc.

What are the equipment and consumables required for doctors to perform an ERCP surgery?

Firstly, the operating room for implementing ERCP should have a large space, with an area of no less than 40 square meters, to accommodate some surgical instruments and a relatively large number of staff.

Secondly, it is recommended to have a high-performance interventional imaging device, such as the ERCP dedicated C-arm X-ray machine PLX7100A. The C-shaped arm of this device can rotate ± 180 ° along the horizontal axis. Through the bedside controller, conventional operations such as device motion control, exposure parameter adjustment, image browsing and saving can be achieved. Coordinate the flat panel detector, tube, and catheter bed to achieve optimal projection angle, orientation, and photography distance during examination or surgery. Meet the requirements for patient position adjustment during ERCP intervention surgery.

Equipment consumables required for ERCP

It is understood that the C-device PLX7100A of Puai Medical Tablet Intervention has entered many domestic medical institutions, such as the Second Affiliated Hospital of Fujian Medical University, Jiangning Hospital in Nanjing, People’s Hospital of Linyi County in Shandong, and People’s Hospital of Dejiang County in Guizhou, to assist hospitals in carrying out ERCP surgery.

Then, there should be radiation protection facilities and monitoring equipment for electrocardiogram, blood pressure, pulse, and oxygen saturation that meet the requirements, as well as oxygen supply and suction devices, uninterrupted power sources provided by generators or batteries, and prescribed emergency drugs and defibrillators. The control room should have a central control double door, and if it is a separate ERCP center, a recovery room should be equipped.

Finally, the ERCP operation must be accompanied by the following instruments: duodenoscope, guidewire, contrast catheter, nipple incision knife, stone extractor, lithotripter, expansion probe, expansion balloon, drainage tube, stent, high-frequency electric generator for endoscopy, injection needle, and hemostatic clip. All instruments meet sterilization requirements, disposable items are handled according to relevant regulations, and commonly used and vulnerable instruments are provided with spare parts.

It is worth mentioning that ERCP surgery is performed in collaboration with the main operator, assistants, and nurses. The ERCP project leader must be a deputy chief physician or above, and the main operator must be a doctor with a professional title of attending physician or above and formal training.

ERCP training course

The main operators and their assistants of ERCP must participate in standardized professional technical training, but currently there are not many professional ERCP training courses in China, and the Universal Medical ERCP training course is one of them.

In order to promote the clinical application of interventional medicine and benefit more patients, in 2020, Puai Medical launched the “Interventional Journey” intervention training course. After four years of exploration, a standardized training system of “theory+observation+practice” has been constructed. In 2024, Puai Medical added the “Interventional Journey” ERCP special class, aiming to cultivate a group of medical professionals who master advanced ERCP technology through a combination of theory and practice teaching methods. The specialized class not only provides comprehensive technical training, but also emphasizes the improvement of clinical thinking and team collaboration abilities, ensuring that doctors can proficiently use ERCP technology in practical work.

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