Elevating the Standard of Endoscopy

The EVIS X1™ endoscopy system introduces a range of technologies that aim to revolutionize the way physicians can detect, characterize and treat gastrointestinal and intraoperative disorders.

Elevating the Standard of Endoscopy

The EVIS X1™ endoscopy system introduces a range of technologies that aim to revolutionize the way physicians can detect, characterize and treat gastrointestinal and intraoperative disorders.

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Get started with the EVIS X1 endoscopy system, our most advanced system for the early detection and treatment of disease.

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Take a Closer Look

View the EVIS X1 endoscopy system brochure to learn more about its features and technologies.

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Features & Technologies

The EVIS X1TM endoscopy system provides a combination of diagnostic and therapeutic innovations, alongside proven technologies, to streamline and support endoscopic procedures and scope handling.1

EDOF_Logo

Extended Depth of Field

EDOFTM Technology – Bring More Into Focus

Olympus EDOF Technology

Olympus' EZ1500 series endoscopes featuring EDOF technology offer a continuously sharp image with minimal focal adjustment.

EDOF technology provides the user with improved general observation of near-to-far distances without blurriness. It also allows them to obtain sharp images, which may aid in a physician’s detection and diagnosis in a procedure.2

The EZ1500 series scopes featuring EDOF technology include an ErgoGrip scope control section and are compatible with TXI™, RDI™ and NBI™ technologies when connected to the EVIS X1 CV-1500 video system center.

How It Works

EDOF technology creates an image in total focus by capturing near- and far-focused images simultaneously and combining them into one image with a wide depth of field.2 This technology allows the EZ1500 series scopes to provide closer-focused observation in near and normal modes, as well as higher magnification, than the GIF-HQ190 and CF-HQ190L/I scopes.2

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Watch EDOF Technology in Action

Gastroenterologist Prof. Stefan Seewald demonstrates the differences in image quality and clarity between a CF-EZ1500DL colonoscope with EDOF technology and a CF-HQ190L colonoscope.

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TXI_Logo

Texture and Color Enhancement Imaging

TXITM Technology - See Things in a New Light

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Early detection is critical for cancer prevention and decreasing mortality.3 However, precursor lesions are often tiny and easy to overlook.

With that in mind, TXI technology was designed to increase the visibility of potentially suspicious lesions and polyps by enhancing image color and texture during endoscopic screening.4 TXI technology is designed to emphasize image information by combining the three image processing algorithms: brightness correction of the dark part of the image, color difference expansion processing, and texture component emphasis processing.4

How It Works

With TXI technology, the incoming image is split, and the texture and brightness are enhanced before the separate images are merged back together. Additional color enhancements are then made to clearly define subtle tissue differences.5

Clinical Data

TXI technology has been shown to support clinicians in identifying potential precancerous lesions and enhancing the quality of their colonoscopies.6

A multicenter randomized controlled trial published in Gastroenterology in October 2023 showed TXI technology significantly improves the adenoma detection rate (ADR) and the rate of adenomas per colonoscopy (APC) ≥ 5mm in size, versus white light endoscopy (WLE):6

  • TXI technology showed significant improvement in ADR (13.61%, p = 0.01) when compared to WLE.
  • TXI technology showed significant improvement in APC ≥ 5 mm (1.71 vs 0.94,p < 0.01) when compared to WLE.
Download Paper ↓

TXI technology is not intended to replace histopathological sampling as a means of diagnosis.

TXI Technology img
RDI_Logo

Red Dichromatic Imaging

RDITM Technology - The Power to See Deeper

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Gastrointestinal bleeding is a serious challenge, involving considerable mortality of 2-10% and high management costs.7 Consequently, prevention of complications is crucial.

RDI technology improves the visibility of bleeding points within the mucosa and enhances the visibility of deep blood vessels compared to white light.4 Identification of bleeding spots through RDI technology makes hemostasis quick and easy.8 Therefore, RDI technology may help to reduce stress and procedure time for emergency bleeding and endoscopic resection.8

How It Works

RDI technology uses long wavelengths of light (green, amber and red) to penetrate more deeply into human mucosal tissue, compared to NBI™ (Narrow Band Imaging™) technology, which uses shorter wavelengths (blue and green) to view surface patterns and blood vessels.4

NBI_Logo

Narrow Band ImagingTM Technology

NBITM Technology

Narrow Band Imaging Technology has clinical applications for both upper and lower GI disorders, and it is recognized as an important technology by the American Society for Gastrointestinal Endoscopy (ASGE) for adopting real-time imaging–assisted endoscopic targeted biopsy during endoscopic surveillance of Barrett’s esophagus9 and adopting real-time endoscopic assessment of the histology of diminutive colorectal polyps.10

NBI technology has been shown across multiple studies:

  • To reduce procedure time by reducing the number of biopsies taken compared to the Seattle protocol for patients with Barrett’s esophagus11
  • To increase adenoma detection rate (ADR) and serrated adenoma detection rate (SADR) compared to white light imaging12,13
  • To support accurate prediction of diminutive colorectal polyp histopathology14

How It Works

Utilizing specific blue and green wavelengths absorbed by hemoglobin, high-definition NBI technology enables visual observation of mucosal and vascular patterns. During endoscopic observation, NBI technology enhances visualization of the capillary network and mucosal morphology.4

NBI technology is not intended to replace histopathological sampling as a means of diagnosis.

See the EVIS X1 Endoscopy System Imaging Modalities in Action!

Featuring TXI and NBI technologies, as captured by Dr. Charles Snyder of Virtua Health, Marlton, NJ

Dr. Snyder is a paid consultant of Olympus Corporation of the Americas.

rdi_device
RDI_Logo

ErgoGrip Control Section

Designed to Improve User Comfort & Scope Handling

Using a scope with an ergonomic control section may help improve a physician’s operability and experience less fatigue during high-volume caseloads and lengthy therapeutic procedures.

Features of the ErgoGrip control section of the EVIS X1TM scope:

  • Designed to improve scope maneuverability for the user15
  • 10% lighter than the control section of the EVIS EXERA™ III scope15
  • Rounded handle and easy-to-reach angulation control knobs and scope switches are designed to accommodate users with small hands15

Book an Evaluation

Contact us to learn more about the EVIS X1 endoscopy system and book an evaluation with our dedicated and trained service support team.

Additional Features and Technologies

5 LED Spectrum Technology

The CV-1500 video system center combines 5 LEDs to produce various observation modes. Its amber LED enables the visualization capabilities of RDI technology. LEDs have a longer lifespan than a xenon lamp and consume less energy.16

BAI-MACTM Technology

Brightness Adjustment Imaging with Maintenance of Contrast (BAI-MAC) technology is a new image processing function to correct the brightness of dark portions of the image while maintaining the brightness of the brighter portions of the image in order to increase visibility of distant areas. BAI-MAC technology does not accentuate halation in the image.17

BAI-MAC technology is not intended to replace histopathological sampling as a means of diagnosis.

Dual Focus

A two-stage optical lens technology designed to allow physicians to switch from normal to near focus mode with a single button to conduct a close examination of mucosal tissue and capillary networks. When Dual Focus and NBITM technology are used together, endoscopists are more likely to make high-confidence predictions of diminutive polyp histology than those using standard focus colonoscopes.18

Touch Panel

The touch panel on the front of the CV-1500 video system center allows the user to initiate all procedures and settings and control image data from one device.19

Pre-freeze Function

Automatically buffers a continuous, rapid series of procedural images and saves the sharpest image in the desired view. This may save time and may lessen a physician’s frustration when capturing still images.17

ScopeGuideTM Technology

Provides a real-time 3D image of the position and configuration of the colonoscope during a procedure. It is designed to help physicians recognize loops as they form, potentially decreasing insertion time and lessening patient discomfort.20

Integrated Water Jet

Designed to maintain clear observation and efficiency of treatment by easily removing mucus and other residues in the investigated intestinal areas.21

Waterproof One-touch Connector

Allows a one-step connection to the video system center to minimize the effort required for setup prior to and in between cases. The connector is fully submersible, eliminating the need for a water-resistant cap during reprocessing. It also may minimize the repair costs to the connector.22

Get a Closer Look

Learn more about how the EVIS X1™ endoscopy system is elevating the standard of endoscopy.

DOWNLOAD BROCHURE ↓
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Clinical Studies

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Development and clinical usefulness of a unique red dichromatic imaging technology in gastrointestinal endoscopy: A narrative review

Discusses how RDI technology works, how it was developed, and its potential usefulness

Uraoka T, Igarashi M. Therap Adv Gastroenterol. 2022;15:17562848221118302. Published 2022 Sep 2.

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Texture and Color Enhancement Imaging Improves Colonic Adenoma Detection

A Multicenter Randomized Controlled Trial

Young, Edward et al. Gastroenterology vol. 166,2 (2024): 338-340.e3. doi:10.1053/j.gastro.2023.10.008

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Narrow-Band Imaging for Detection of Neoplasia at Colonoscopy

A Meta-analysis of Data from Individual Patients in Randomized Controlled Trials

Gastroenterology. 2019 Aug;157(2):462-471. doi: 10.1053/j.gastro.2019.04.014. Atkinson NSS, Ket S, Bassett P, et al.

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Comparing Endoscopic Interventions to Improve Serrated Adenoma Detection Rates During Colonoscopy

A Systematic Review and Network Meta-analysis of Randomized Controlled Trials

Eur J Gastroenterol Hepatol. 2020 Oct;32(10):1284-1292. doi: 10.1097/MEG.0000000000001844. Aziz M, Fatima R, Lee-Smith W, Khuder S, Nawras A.

News

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Advancements in GI Evaluation: Narrow Band Imaging™ Technology and the EVIS X1™ Endoscopy System

Introduction to the EVIS X1 endoscopy system, how NBI technology works on the EVIS X1 endoscopy system, and the clinical applications of NBI technology.

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Introduction to the EVIS X1™ Endoscopy System

Introduction to the EVIS X1 endoscopy system, its imaging modalities and its main features and benefits.

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Elevating the Standard of Endoscopy: Introducing the Olympus EVIS X1™ Endoscopy System

Webinar reviews the EVIS X1 endoscopy system, its imaging modalities and its main features and benefits.

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The Next Frontier for Endoscopy Procedures

How Olympus’ EVIS X1™ endoscopy system can change the game for Ambulatory Surgery Centers.

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The EVIS X1 endoscopy system is not designed for cardiac applications. Other combinations of equipment may cause ventricular fibrillation or seriously affect the cardiac function of the patient. Improper use of endoscopes may result in patient injury, infection, bleeding, and/or perforation. Complete indications, contraindications, warnings, and cautions are available in the Instructions for Use (IFU).

EDOF, TXI, RDI and NBI are trademarks of Olympus Corporation, Olympus America, Inc., and/or their affiliates

  1. Data on file with Olympus (DC00303282).
  2. Data on file with Olympus (DC00493386, DC00433276, DC00510434 and DC00567392).
  3. American Cancer Society. Colorectal Cancer Facts & Figures 2020-2022; p 18; Available at https://www.cancer.org/content/dam/cancer-org/research/cancer-facts-and-statistics/colorectal-cancer-facts-and-figures/colorectal-cancer-facts-and-figures-2020-2022.pdf
  4. Data on file with Olympus (DC00489968).
  5. Data on file with Olympus (DC00785702).
  6. Young E, Rajagopalan A, Tee D, et al. Texture and Color Enhancement Imaging Improves Colonic Adenoma Detection: A Multicenter Randomized Controlled Trial. Gastroenterology. 2024;166(2):338-340.e3.
  7. Parker, D. R., Luo, X., Jalbert, J. J., Assaf, A. R. (2011). “Impact of upper and lower gastrointestinal blood loss on healthcare utilization and costs: a systematic review.” Journal of Medical Economics, 14(3), 279-287. doi: 10.3111/13696998.2011.571328.
  8. Hirai Y, Fujimoto A, Matsutani N, et al. Evaluation of the visibility of bleeding points using red dichromatic imaging in endoscopic hemostasis for acute GI bleeding (with video). Gastrointest Endosc. 2022 Apr;95(4):692-700.e3. doi: 10.1016/j.gie.2021.10.031. Epub 2021 Nov 9. PMID: 34762920.
  9. ASGE Technology Committee et al. “ASGE Technology Committee systematic review and meta-analysis assessing the ASGE Preservation and Incorporation of Valuable Endoscopic Innovations thresholds for adopting real-time imaging-assisted endoscopic targeted biopsy during endoscopic surveillance of Barrett’s esophagus.” Gastrointestinal endoscopy vol. 83,4 (2016): 684-98.e7. doi:10.1016/j.gie.2016.01.007.
  10. ASGE Technology Committee et al. “ASGE Technology Committee systematic review and meta-analysis assessing the ASGE PIVI thresholds for adopting realtime endoscopic assessment of the histology of diminutive colorectal polyps.” Gastrointestinal endoscopy vol. 81,3 (2015): 502. e1-502.e16. doi:10.1016/j.gie.2014.12.022.
  11. Data on file with Olympus as of 07/02/2010.
  12. Atkinson NSS, Ket S, Bassett P, et al. Gastroenterology. 2019;157:462–71.
  13. Aziz M, Fatima R, Lee-Smith W, Khuder S, Nawras A. “Comparing endoscopic interventions to improve serrated adenoma detection rates during colonoscopy: A systematic review and network meta-analysis of randomized controlled trials.” Eur J Gastroenterol Hepatol. 2020;32(10):1284-1292. doi:10.1097/MEG.0000000000001844.
  14. Data on file with Olympus as of (07/17/2020).
  15. Data on file with Olympus (DC00482729, DC00600786, DC00031984, DC00482747, DC00482867, DC00600794, DC00481878, DC00031984 and DC00841888)
  16. Data on file with Olympus (DC00412083 and DC00623365).
  17. Data on file with Olympus (DC00436067).
  18. Kaltenbach, T. et al. “Real-time optical diagnosis for diminutive colorectal polyps using narrow-band imaging: The VALID randomized clinical trial.” Gut. 2015. 64: 1569:1577.
  19. Data on file with Olympus (DC00460933).
  20. Data on file with Olympus as of 07/Mar/2014.
  21. Data on file with Olympus (DC00485027 and DC00482967).
  22. Data on file with Olympus (DC00485420, DC0047916 and DC00474352).