This document is intended for internal use only and shall not be distributed outside of Boston Scientific.

ERCP

Playlist Order

Title

Description

1 Animation: Advanix™ Biliary Stent with NaviFlex™ RX Delivery System

Animation. Advanix™ Biliary Stent with NaviFlex™ RX Delivery System. This animation demonstrates the general deployment procedure for the Advanix biliary stent system.

2 Animation: Biliary access cannulation techniques

This animation demonstrates various biliary access cannulation techniques and the clinical benefits of each. Techniques include wire guided cannulation, catheter access and catheter engagement cannulation techniques.

3 Perspectives on wire-guided cannulation, Prof. Marco Bruno

Physician perspective on short wire systems and wire guided cannulation: techniques, benefits, tips and tricks. Prof. Marco Bruno.

4 Case Study Deployment of bi-lateral WallFlex® Biliary RX Stents, Thomas Kowalski, MD

In-Depth Case Study. Deployment of bi-lateral WallFlex® Biliary Metal Stents, presented by Dr. Thomas Kowalski of Thomas Jefferson University Hospital, Philadelphia, PA - takes you step by step through the deployment procedure for placing bi-lateral WallFlex Stents for biliary decompression.

5 Animation. WallFlex® Fully Covered Biliary Metal Stent animation with clinical footage

WallFlex® Fully Covered Biliary Metal Stent animation. This animation includes clinical footage and demonstrates the features of this stent as well as the deployment procedure. Footage courtesy of Dr. Thomas Kowalski.

6 Case Study. Deployment of a WallFlex® Duodenal Stent, presented by Dr. Irving Waxman

Case study. Deployment of a WallFlex® Duodenal Stent, presented by Dr. Irving Waxman, University of Chicago, Pritzker School of Medicine, Chicago, IL.

7 Q&A with MDs. When to Stent vs Surgery, Irving Waxman, MD (GI) & Kevin Roggin, MD (Surgeon)

Q&A with physicians. When to Stent vs Surgery - with Dr. Irving Waxman (GI) and Dr. Kevin Roggin (Surgeon), University of Chicago, Pritzker School of Medicine, Chicago, IL.

8 Q&A with MDs. Patient Selection for Duodenal Stents, Irving Waxman, MD & Kevin Roggin, MD

Q&A with physicians. Patient Selection for Duodenal Stents, with Dr.Irving Waxman (GI) and Dr. Kevin Roggin (Surgeon), University of Chicago, Pritzker School of Medicine, Chicago, IL.

This document is intended for internal use only and shall not be distributed outside of Boston Scientific.

9 Case study. Large stone therapy using Holmium Laser with SpyGlass® System, Sandeep Patel, DO

Case study on ERCP stone therapy using holmium laser lithotripsy with the SpyGlass® System, presented by Sandeep Patel, DO, Christus Santa Rosa Health System, San Antonio, Texas.

10 Case Study. Large stone therapy using EHL with SpyGlass® System, D. Pleskow, MD

Case Study. A procedural case study on large stone management using the SpyGlass System with electrohydraulic lithotripsy (EHL) in the bile duct, presented by Douglas Pleskow, MD, Beth Israel Deaconess Medical Center, Boston, MA.

11 Case Study. Tissue Acquisition using the SpyGlass® System, D. Adler, MD

Case study, Douglas Adler, MD, University of Utah School of Medicine, Salt Lake City, Utah, from the August 2009 live webcast on Large Stone Management (EHL) and Tissue Acquisition Using the SpyGlass® Direct Visualization System.

12 Presentation, Part 1 of 2, Pancreatoscopy with SpyGlass® System, Pete Stevens, MD

Part 1 of 2 - Presentation given by Peter D. Stevens, MD, Columbia University, New York Presbyterian Hospital, New York, New York, on Practical Pancreatoscopy using the SpyGlass® Direct Visualization System from the July 2010 SpyGlass® System live webcast.

13 Presentation. Part 2 of 2, Pancreatoscopy with SpyGlass® System, Pete Stevens, MD

Part 2 of 2 - Presentation given by Peter D. Stevens, MD, Columbia University, New York Presbyterian Hospital, New York, New York, on Practical Pancreatoscopy using the SpyGlass® Direct Visualization System, July 2010 SpyGlass® System live webcast.

14 Q&A from Webcast. What is your experience acquiring tissue in the pancreas using SpyGlass® System?

Q&A from the July 2010 live webcast on Therapeutic Cholangio-Pancreatoscopy using the SpyGlass® Direct Visualization System, Pete Stevens, MD, Columbia University, New York Presbyterian Hospital, New York, New York.

15 Q&A from Webcast. Are there concerns using the SpyGlass® System in the pancreas?

Q&A from the July 2010 live Webcast on Therapeutic Cholangio-Pancreatoscopy using the SpyGlass® Direct Visualization System, featuring Peter D. Stevens, MD, Columbia University, New York Presbyterian Hospital, New York, New York.

16 Presentation from Webcast. SpyGlass® System tissue acquisition clinical registry data, D. Adler, MD

Presentation, Douglas Adler, MD, University of Utah School of Medicine, Salt Lake City, Utah, from the August 2009 live Webcast on Tissue Acquisition using the SpyGlass® Direct Visualization System.

This document is intended for internal use only and shall not be distributed outside of Boston Scientific.

17 Overview of SpyGlass® System clinical registry data for stone management, Douglas Pleskow, MD

Presentation by Douglas Pleskow, MD, Beth Insrael Deaconess Medical Center, Boston, Mass., from the August 2009 live webcast on Large Stone Management and Tissue Acquisition Using the SpyGlass® Direct Visualization System.

18 Q&A from Webcast. How do you control fluid from irrigation during SpyGlass® System procedures?

Douglas Pleskow, MD, Beth Israel Deaconess Medical Center, Boston, Massachusetts, and Douglas Adler, MD, University of Utah School of Medicine, Salt Lake City, Utah, answer questions after a live webcast on the SpyGlass® Direct Visualization System, June 2009.

19 Q&A from Webcast. Why would you set up the SpyGlass® System for every case?

Douglas Pleskow, MD, Beth Israel Deaconess Medical Center, Boston, Massachusetts, and Douglas Adler, MD University of Utah School of Medicine, Salt Lake City, Utah, answer questions after a live Webcast on the SpyGlass® Direct Visualization System, June 2009.

20 Intraductal Footage. Direct visualization of biliary & pancreatic ducts using the SpyGlass® System

SpyGlass® System intraductal footage - direct visualization of the biliary and pancreatic ducts using the SpyGlass System. See the intrahepatic ducts, strictures and stones.

21 Intraductal Footage of Tissue Acquisition in the biliary & pancreatic ducts using SpyGlass® System

Intraductal footage of tissue acquisition in the biliary and pancreatic ducts using the SpyBite® forceps with the SpyGlass Direct Visualization System. See optically-guided biopsies of biliary strictures and IPMN strictures in the pancreas.

22 Intraductal footage using Holmium Laser with the SpyGlass® System for large stones in the CBD

Intraductal footage shows use of a Holmium Laser fiber with the SpyGlass® Direct Visualization System to manage large stones in the bile duct.

23 Intraductal footage using EHL with SpyGlass® System for large stones in the bile duct

Intraductal footage shows treatment of large stones in the bile duct using an EHL fiber with the SpyGlass® Direct Visualization System.

ERCP (continued)

This document is intended for internal use only and shall not be distributed outside of Boston Scientific.

Stricture Management

Playlist Order

Title

Description

1 WallFlex® Partially Covered Esophageal Stent Placement - Patient Video

A Patient Story - See how the WallFlex® Esophageal Stent, thanks to Dr. David Carr-Locke from Brigham & Women’s Hospital in Boston, MA, enabled a patient with esophageal cancer to eat again.

2 WallFlex® Fully Covered Esophageal Stent Placement - Patient Video

Hear how a multidisciplinary approach to esophageal cancer is critical when treating a patient with esophageal cancer. See how the WallFlex® Fully Covered Esophageal Stent, thanks to Dr.Costas Bizekis, a cardiothoracic surgeon from NYU School of Medicine, enabled a patient with esophageal cancer to eat again and keep food down.

3 Balloon Endoscopy with the CRE™ Balloon Dilator

This animation and short video clip shows how balloon endoscopy with the CRE™ Balloon is used to dilate strictures of the GI tract.

4 WallFlex® Esophageal Stent case studies and procedural footage - Dr. Ed Schafer

Procedural Footage and case study from Dr. Ed Schafer from Nebraska Medical Center featuring the placement of a WallFlex® Partially Covered Esophageal Stent for a recurrent tumor of the distal esophagus.

5 WallFlex® Partially Covered Esophageal Stent Placement - Dr. Meckstroth

Procedural Footage from Dr. Steven A. Meckstroth from North Naples Hospital in Naples, Florida featuring the placement of a WallFlex® Partially Covered Esophageal Stent for dysphagia and partial obstruction of the indwelling stent with overgrowth of the stent distally at the gastric cardia. There is dilation of the proximal esophagus with filling defects consistent with retained food.

6 WallFlex® Partially Covered Esophageal Stent Placement - Dr. Gerke

Procedural Footage from Dr. Henning Gerke from the University of Iowa Hospitals and Clinics featuring the endoscopic placement of a WallFlex® Partially Covered Esophageal Stent for palliation of locally advanced esophageal adenocarcinoma in the distal esophagus.

7 Polyflex® Esophageal Stent case studies and procedural footage - Dr. Snyder

Procedural Footage and case studies from Dr. Todd Snyder, Elms Endoscopy Center in Charleston, SC. Learn how the Polyflex® Esophageal stent was used to treat a patient with chronic dysphagia, and a refractory esophageal stricture even after multiple dilations.

This document is intended for internal use only and shall not be distributed outside of Boston Scientific.

8 Polyflex® Esophageal Stent case studies and procedural footage - Dr. Barthel

Procedural Footage and case studies using the Polyflex Esophageal Stent from Dr. James S. Barthel at the H. Lee Moffitt Cancer Center & Research Institute in Tampa, Florida.

9 Polyflex® Esophageal Stent case studies and procedural footage - Dr. Fang

Procedural Footage and case studies from Dr. John Fang, University of Utah Medical Center, Salt Lake City, Utah. Learn how the Polyflex® Esophageal stent was used to treat a patient with chronic dysphagia and an esophageal adenocarcinoma.

10 Case Study Deployment of bi-lateral WallFlex® Biliary RX Stents, Thomas Kowalski, MD

In-Depth Case Study. Deployment of bi-lateral WallFlex® Biliary Metal Stents, presented by Dr. Thomas Kowalski of Thomas Jefferson University Hospital, Philadelphia, PA - takes you step by step through the deployment procedure for placing bi-lateral WallFlex Stents for biliary decompression.

11 WallFlex® Colonic Stent case studies and procedural footage - Dr. Meisner

Procedural Footage and case study from Dr. Soren Meisner from Bispebjerg Hospital, Copenhagen, Denmark. Patient presented with constipation for several months, a distended abdomen and upon x-ray was found to have a total colonic obstruction. A WallFlex® Colonic Stent was placed. See how this was performed and why.

12 WallFlex® Colonic Stent case studies and procedural footage - Dr. Young

Procedural Footage and case study from Dr. Christopher Young at the Royal Prince Alfred Hospital in Sydney, Australia for an acute large bowel obstruction. Learn how and why the WallFlex® Colonic Stent was placed.

13 WallFlex® Colonic Stent case studies and procedural footage - Dr. Pleskow

Procedural Footage and case study from Dr. Douglas Pleskow from Beth Israel Deaconess Medical Center in Boston, MA. Patient presented with abdominal pain and distension. A large obstructing mass that was circumferential in nature was found upon colonoscopy and a WallFlex® Colonic Stent was placed.

14 Case Study. Deployment of a WallFlex® Duodenal Stent, presented by Dr. Irving Waxman

Case study. Deployment of a WallFlex® Duodenal Stent, presented by Dr. Irving Waxman, University of Chicago, Pritzker School of Medicine, Chicago, IL.

Stricture Management (continued)

This document is intended for internal use only and shall not be distributed outside of Boston Scientific.

15 Q&A with MDs. Patient Selection for Duodenal Stents, Irving Waxman, MD & Kevin Roggin, MD

Q&A with physicians. Patient Selection for Duodenal Stents, with Dr.Irving Waxman (GI) and Dr. Kevin Roggin (Surgeon), University of Chicago, Pritzker School of Medicine, Chicago, IL.

16 Q&A with MDs. When to Stent vs Surgery, Irving Waxman, MD (GI) & Kevin Roggin, MD (Surgeon)

Q&A with physicians. When to Stent vs Surgery - with Dr. Irving Waxman (GI) and Dr. Kevin Roggin (Surgeon), University of Chicago, Pritzker School of Medicine, Chicago, IL.

17 Animation. WallFlex® Fully Covered Biliary Metal Stent animation with clinical footage

WallFlex® Fully Covered Biliary Metal Stent animation. This animation includes clinical footage and demonstrates the features of this stent as well as the deployment procedure. Footage courtesy of Dr. Thomas Kowalski.

18 Animation: Advanix™ Biliary Stent with NaviFlex™ RX Delivery System

Animation. Advanix™ Biliary Stent with NaviFlex™ RX Delivery System. This animation demonstrates the general deployment procedure for the Advanix biliary stent system.

This document is intended for internal use only and shall not be distributed outside of Boston Scientific.

EUS

Playlist Order

Title

Description

1 Case study. EUS FNA of a mass in the tail of the pancreas, Shyam Varadarajulu, MD

EUS-FNA Case Study. Mass in Tail of the Pancreas. Provides instruction and best practices for performing EUS-FNA on a lesion in the body or tail of the pancreas using the Expect Ultrasound Needle, Dr. Shyam Varadarajulu, University of Alabama at Burmingham

Hemostatic Clipping

Playlist Order

Title

Description

1 Through-The-Peg J-Tube Placement with a Resolution® Clip

Procedural footage from Dr. J. Robert Evans from San Bernardino Community Hospital in California on placing a Through-The-Peg (TTP) J-Tube with a Resolution® Clip for jejunal feeding.

2 Resolution® Clip Hemostasis Video

This video shows how positioning and re-positioning hemostatic clips is critical when it comes to GI bleeds. Hear how the retention of clips is important for hemostasis and to accelerate healing. Physicians discuss the Resolution® Clip as an alternative to other modalities such as cautery for hemostasis.

This document is intended for internal use only and shall not be distributed outside of Boston Scientific.

Cholangioscopy/Pancreatoscopy

Playlist Order

Title

Description

1 Case study. Large stone therapy using Holmium Laser with SpyGlass® System, Sandeep Patel, DO

Case study on ERCP stone therapy using holmium laser lithotripsy with the SpyGlass® System, presented by Sandeep Patel, DO, Christus Santa Rosa Health System, San Antonio, Texas.

2 Case Study. Large stone therapy using EHL with SpyGlass® System, D. Pleskow, MD

Case Study. A procedural case study on large stone management using the SpyGlass System with electrohydraulic lithotripsy (EHL) in the bile duct, presented by Douglas Pleskow, MD, Beth Israel Deaconess Medical Center, Boston, MA.

3 Presentation, Part 1 of 2, Pancreatoscopy with SpyGlass® System, Pete Stevens, MD

Part 1 of 2 - Presentation given by Peter D. Stevens, MD, Columbia University, New York Presbyterian Hospital, New York, New York, on Practical Pancreatoscopy using the SpyGlass® Direct Visualization System from the July 2010 SpyGlass® System live webcast.

4 Presentation. Part 2 of 2, Pancreatoscopy with SpyGlass® System, Pete Stevens, MD

Part 2 of 2 - Presentation given by Peter D. Stevens, MD, Columbia University, New York Presbyterian Hospital, New York, New York, on Practical Pancreatoscopy using the SpyGlass® Direct Visualization System, July 2010 SpyGlass® System live webcast.

5 Q&A from Webcast. Are there concerns using the SpyGlass® System in the pancreas?

Q&A from the July 2010 live Webcast on Therapeutic Cholangio-Pancreatoscopy using the SpyGlass® Direct Visualization System, featuring Peter D. Stevens, MD, Columbia University, New York Presbyterian Hospital, New York, New York.

6 Q&A from Webcast. What is your experience acquiring tissue in the pancreas using SpyGlass® System?

Q&A from the July 2010 live webcast on Therapeutic Cholangio-Pancreatoscopy using the SpyGlass® Direct Visualization System, Pete Stevens, MD, Columbia University, New York Presbyterian Hospital, New York, New York.

7 Presentation from Webcast. SpyGlass® System tissue acquisition clinical registry data, D. Adler, MD

Presentation, Douglas Adler, MD, University of Utah School of Medicine, Salt Lake City, Utah, from the August 2009 live Webcast on Tissue Acquisition using the SpyGlass® Direct Visualization System.

8 Overview of SpyGlass® System clinical registry data for stone management, Douglas Pleskow, MD

Presentation by Douglas Pleskow, MD, Beth Insrael Deaconess Medical Center, Boston, Mass., from the August 2009 live webcast on Large Stone Management and Tissue Acquisition Using the SpyGlass® Direct Visualization System.

This document is intended for internal use only and shall not be distributed outside of Boston Scientific.

9 Case Study. Tissue Acquisition using the SpyGlass® System, D. Adler, MD

Case study, Douglas Adler, MD, University of Utah School of Medicine, Salt Lake City, Utah, from the August 2009 live webcast on Large Stone Management (EHL) and Tissue Acquisition Using the SpyGlass® Direct Visualization System.

10 Q&A from Webcast. How do you control fluid from irrigation during SpyGlass® System procedures?

Douglas Pleskow, MD, Beth Israel Deaconess Medical Center, Boston, Massachusetts, and Douglas Adler, MD, University of Utah School of Medicine, Salt Lake City, Utah, answer questions after a live webcast on the SpyGlass® Direct Visualization System, June 2009.

11 Q&A from Webcast. Why would you set up the SpyGlass® System for every case?

Douglas Pleskow, MD, Beth Israel Deaconess Medical Center, Boston, Massachusetts, and Douglas Adler, MD University of Utah School of Medicine, Salt Lake City, Utah, answer questions after a live Webcast on the SpyGlass® Direct Visualization System, June 2009.

12 Intraductal Footage. Direct visualization of biliary & pancreatic ducts using the SpyGlass® System

SpyGlass® System intraductal footage - direct visualization of the biliary and pancreatic ducts using the SpyGlass System. See the intrahepatic ducts, strictures and stones.

13 Intraductal Footage of Tissue Acquisition in the biliary & pancreatic ducts using SpyGlass® System

Intraductal footage of tissue acquisition in the biliary and pancreatic ducts using the SpyBite® forceps with the SpyGlass Direct Visualization System. See optically-guided biopsies of biliary strictures and IPMN strictures in the pancreas.

14 Intraductal footage using Holmium Laser with the SpyGlass® System for large stones in the CBD

Intraductal footage shows use of a Holmium Laser fiber with the SpyGlass® Direct Visualization System to manage large stones in the bile duct.

15 Intraductal footage using EHL with SpyGlass® System for large stones in the bile duct

Intraductal footage shows treatment of large stones in the bile duct using an EHL fiber with the SpyGlass® Direct Visualization System.

Cholangioscopy/Pancreatoscopy (continued)

This document is intended for internal use only and shall not be distributed outside of Boston Scientific.

Tissue Acquisition

Playlist Order

Title

Description

1 The importance of biopsy forceps for an accurate histological diagnosis

Experience with the Radial Jaw® 4 Biopsy Forceps: Hear from gastroenterologists and a pathologist on the ideal biopsy specimen, tips for tissue acquisition, the ideal biopsy forceps and small polyp removal.

2 Procedural Footage of Polyp removal utilizing the Captivator® II Snare

This procedural footage from Dr. Sri Komanduri from Northwestern Memorial Hospital features the Captivator® II Snare removing a polyp that was found upon colonoscopy.

3 Polyp retrieval with the TWISTER® Rotatable Polyp Retrieval device

This animation demonstrates how to remove a polyp with a Boston Scientific snare and retrieve it with the TWISTER® Rotatable Polyp Retrieval device which can also be used for food bolus and foreign body removal.

This document is intended for internal use only and shall not be distributed outside of Boston Scientific.

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20 May 2011

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This document is intended for internal use only and shall not be distributed outside of Boston Scientific.