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  1. CONTENTS • Description of ITKnife2 SpecificationsImprovements Features & Benefits WarningCompetitorsSummary

  2. DESCRIPTION • ITKnife2 KD-611LSingle Use ESD Knife

  3. SPECIFICATIONS • Naming RuleK D – 6 1 1 L(1) (2)(3) (4) (1) KD = Product Type - Diathermy Knife (2) 6 = Device Feature - Single Use Electrosurgical Knife (3) 1 = Distal End Feature – Electrosurgical Tipped Knife (4) L = Working length - (L=1650mm)

  4. SPECIFICATIONS • Colour Change KD-600 Series ITKnife2 (KD-611L) Easily differentiate from other ESD devices

  5. SPECIFICATIONS

  6. IMPROVEMENTS • Additional Electrode at the bottom of the insulated tip

  7. IMPROVEMENTS ①Approach ①Approach ② Incision ③ Incision ② Pressing knife Pressing knife is necessary Pressing knife isnotnecessary ⇒Incision is difficult if condition does not allow pressing ⇒Incision is possible even if condition does not allow pressing

  8. IMPROVEMENTS Improved points ② – Lateral incision ① Area where ITknife can incise easily Direction of incision Lesion ② Area where difficult for ITknife to incise Direction of incision ITknife2 facilitates incision in ② areas Direction of scope approach

  9. Electrode FEATURES & BENFEITS • Additional Electrode - wider dissectible area, wider range movement Facilitates Haemostasis – without pressing – less bleeding, better visual

  10. WARNING • Inform users of risk of ESD procedures and device  Higher performance cut than ITKnifeShort incision range Upper GI only

  11. WARNING Warning statement in instruction manual & on packaging

  12. COMPETITORS • All ESD knives copied from Olympus!

  13. COMPETITORS

  14. SUMMARY • Use ESD interest as ‘door opener’ Additional Electrode Facilitates Haemostasis