Intraoperative Endoscopy & EVIS X1™ Technology

A New Look at Postsurgical Outcomes

For a surgeon, an anastomotic leak can feel like someone hit the ‘undo’ button on a seemingly successful procedure. But leaks have significant postsurgical consequences, such as:

Hospital Costs

Increased hospital costs for colorectal ($30,670) and bariatric surgery ($30,885), and readmission costs for colorectal ($8,755) and bariatric surgery ($14,348).¹
see graph below

Healthcare Expenses

Estimated increase of healthcare expenses: $28.6 million for every 1,000 patients receiving colorectal surgery.²

Hospital Length of Stay

Increased hospital length of stay for colorectal and bariatric surgery patients (12 to 15 additional days, respectively).¹

Economic Burden for Anastomotic Leaks¹

Flexible Endoscopy: Take an Inside-out Approach to Minimize Anastomotic Leaks

What is Intraoperative Endoscopy (IOE)?
IOE uses a wide range of flexible gastroscopes and colonoscopes during laparoscopic surgery to visually inspect parts of the GI tract.

What is the Inside-out Approach?

Inside: Check the anastomosis from within the intestinal tract with an endoscope.
Outside: Check the anastomosis using near infrared observation with an intravascular injection of indocyanine green.

Read more about this approach and the technologies used to support it!

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Flexible Endoscopy in the Surgical Setting whitepaper

Elevating the Standard of IOE

The Olympus® EVIS X1™ endoscopy system is designed to elevate the standard of endoscopy, featuring next-generation scope design and advanced imaging technologies. Could these options play a role in your IOE practices?

The EVIS X1 endoscopy system center combines a video processor and a 5-LED light source in one box, resulting in a more compact and lightweight design than its predecessors.³

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).

Compatible endoscopes with EVIS X1™ CV-1500 processor

Ergonomic design
The GIF-1100 gastroscope and the CF-HQ1100DL/I colonoscope feature the ErgoGrip scope control section, which is 10% lighter than predecessor scopes.⁴

Current technology
EVIS EXERA III 190 series scopes are compatible with the video system.^*

Expand your reach with bronchoscopes
The BF-1100 series scopes have a redesigned image sensor, and a slimmer outer diameter compared to previous generations. It has a larger working channel which increases suction capabilities by 11% and 29% versus previous generations.^5,6

BF-H1100

BF-1TH1100

*See IFU for details on compatible scopes.

Improper use of endoscope may result in patient injury, infection, bleeding, and/or perforation. For complete indications, contraindications, warnings, and cautions, please reference full Instructions for Use (IFU) that accompanied your product.

Complications from bronchoscopy are rare and most often minor, but if they occur, may include breathing difficulty, vocal cord spasm, hoarseness, slight fever, vomiting, dizziness, bronchial spasm, infection, low blood oxygen, bleeding from biopsied site, or an allergic reaction to medications. Some patients may experience rare but more serious complications such as collapsed lung, respiratory failure, heart attack, and/or cardiac arrhythmia.

EVIS X1 Endoscopy System Imaging Technology

Texture and Color Enhancement Imaging

TXI™ technology is designed to emphasize imaging information to clearly define subtle tissue differences, intended to improve detection rates.⁷

Red Dichromatic Imaging

RDI™ technology improves the visibility and identification of the bleeding points within the mucosa and supports quick and easy hemostasis. It enhances the visibility of deep blood vessels compared to white light.⁸

BAI-MAC™ Technology

BAI-MAC technology is an 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.⁹

Narrow Band Imaging™ Technology

During endoscopic observation, NBI™ technology enhances visualization of the capillary network and mucosal morphology.⁸

TXI, RDI, NBI, and BAI-MAC technologies are not intended to replace histopathological sampling as a means of diagnosis.

Learn more about Olympus' support of IOE

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

Lee SW, Gregory D, Cool CL. Clinical and economic burden of colorectal and bariatric anastomotic leaks. Surg Endosc. 2020;34(10):4374-4381.
Hammond J, Lim S, Wan Y, Gao X, Patkar A. The burden of gastrointestinal anastomotic leaks: an evaluation of clinical and economic outcomes. J Gastrointest Surg. 2014;18(6):1176-1185.
Data on file with Olympus (DC00436067, DC00412083 and DC00623365).
Data on file with Olympus (DC00482729, DC00600786, DC00031984, DC00482747, DC00482867, DC00600794, DC00481878, and DC00841888).
Data on file with Olympus (DC00456511, DC00429207).
Data on file with Olympus (DC00548944).
Data on file with Olympus (DC00785702).
Data on file with Olympus (DC00489968).
Data on file with Olympus (DC00436067).

Complete instructions, indications, contraindications and warnings for use can be found in the product labeling that accompanied your product. CAUTION: Federal Law (USA) restricts these devices to sale by or on the order of a physician. Refer to package insert provided with the product for complete Indications for Use, Contraindications, Warnings, Precautions, and Adverse Events prior to using this product.

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