Dr. Torsten Beyna, Evangelisches Krankenhaus Duesseldorf, Germany, demonstrates his performance of a peroral endoscopic myotomy (POEM) with the HybridKnife® I-type using the preciseSECT mode for submucosal dissection. Dr. Beyna emphasizes how to operate instrument and mode to make use of the dissective or coagulative properties.
Due to the revolutionary microprocessor technology of VIO® 3, the preciseSECT mode intelligently alternates between pronounced coagulation or dissection, depending on the contact surface of the instrument tip with the tissue. Therefore, it is well suited for submucosal dissection in POEM or ESD. The lateral thermal spread is minimal supporting sparing the adjacent layers in POEM or preservation of resection margins in ESD.