Frequently asked questions
How does ENDOCUFF VISION® help to stabilise the endoscope?
The hinged arms on ENDOCUFF VISION® help to stabilise the endoscope tip in the centre of the lumen during examination, and during therapeutic procedures such as polypectomy, endoscopic mucosal resection and scar tissue assessment. It also improves control of the endoscope by preventing sudden slippage and aiding loop management.
How does the ENDOCUFF VISION® stay attached to the endoscope?
The device is held in place by the friction the materials create between the inside surface of the ENDOCUFF VISION® and the outside wall of the endoscope. The material in contact with the endoscope is soft, designed not to cause any damage to the endoscope, but to have sufficient friction to retain the ENDOCUFF VISION® on the endoscope during normal use.
Does ENDOCUFF VISION® contain latex?
The ENDOCUFF VISION® does not contain latex, so is suitable for use in patients with a latex allergy.
How do I know which size ENDOCUFF VISION® to use?
There are four sizes of ENDOCUFF VISION® designed to fit most diameters of endoscope and they are colour coded so it is easy to distinguish between them. On the side of the ENDOCUFF VISION® box, there is a list that states which endoscopes each ENDOCUFF VISION® is designed for. Do not forget that attachment of the wrong sized ENDOCUFF VISION® may cause damage to the endoscope or dislodgment during the procedure. Please refer to the Compatibility Schedule if you are unsure.
Can I use ENDOCUFF VISION® with a reconditioned endoscope?
Pull-off testing has been performed on all makes and models. Each make and model of endoscope has one ENDOCUFF VISION® size that fits it. The ENDOCUFF VISION® may become dislodged if applied to an inappropriate endoscope, so extra care should be taken to ensure the fit when applying the ENDOCUFF VISION® to a reconditioned endoscope.
What should I do if the ENDOCUFF VISION® falls off during the procedure?
The ENDOCUFF VISION® has been designed to fit securely on the end of the endoscope. It is important that you choose the ENDOCUFF VISION® that fits the model of endoscope you are using. In the unlikely event that the ENDOCUFF VISION® does come off during the procedure, it will evacuate through the anus without complication. However, the colonoscopist will likely wish to retrieve it and this is best performed by capturing it in a Roth net, or by grasping it with forceps and then withdrawing through the anus. Please refer to the Compatibility Schedule if you are unsure which ENDOCUFF VISION® to use.
How do I know when the ENDOCUFF VISION® is attached correctly?
If the edge of the ENDOCUFF VISION® can be seen on the video monitor slightly inhibiting the field of view it is probable that the cuff has been incompletely attached to the endoscope. This can be corrected by firmly pushing the ENDOCUFF VISION® onto the tip of the endoscope so that its tip is flush with the leading face of the endoscope. Please refer to the ‘How to Attach ENDOCUFF VISION®’ animation for guidance.
Can attaching the ENDOCUFF VISION® damage the endoscope?
Damage is unlikely because the ENDOCUFF VISION® has a soft surface that is in direct contact with the endoscope. However, the ENDOCUFF VISION® might damage the endoscope if forced onto a endoscope that is too large for it. Damage can be avoided by taking care to apply the correct sized ENDOCUFF VISION®. Please refer to the Compatibility Schedule if you are unsure which ENDOCUFF VISION® to use.
Can ENDOCUFF VISION® cause minor mucosal scratches?
There have been no reports of minor mucosal scratches from ENDOCUFF VISION®.
I have heard of / used the ENDOCUFF™ which has 2 rows of arms. What is the ENDOCUFF VISION®, and why does it only have one set of arms?
The ENDOCUFF VISION® is the next generation of ENDOCUFF™ designed to optimise the view of the entire colon. The ENDOCUFF VISION® has longer arms to increase the circumferential reach, providing an optimal view of the colon mucosa. This design improvement is especially important for the detection of hidden adenomas as well as giving greater tip control. The proximal row of arms on the ENDOCUFF™ could have caused minor mucosal scratches. The ENDOCUFF VISION® therefore has been designed with a single row of arms to avoid this potential effect without compromising efficacy or safety.
How does the ENDOCUFF VISION® compare to endoscopic caps?
The ENDOCUFF VISION® has been specifically designed to gently enhance visualisation of the colon using the specially designed hinged arms. A wide variety of endoscopic caps are available and are used for a variety of techniques to help in specific situations, but do not overcome some of the common problems with endoscopy. ENDOCUFF VISION® is specifically designed to help centralise the endoscope, give greater tip control, prevent sudden slip back, red‑out, find hidden adenomas by gently unfolding mucosal folds and can assist in optimising tip position during endoscopic interventions.
Can I use the ENDOCUFF VISION® with sigmoidoscopes?
The ENDOCUFF VISION® will fit on most endoscopes and sigmoidoscopes. Please refer to the Compatibility Schedule for details.
Is the ENDOCUFF VISION® suitable for all colonoscopies or just colorectal cancer related?
The ENDOCUFF VISION® is suitable for most colonoscopy procedures, including those related to cancer screening and diagnosis as well as other conditions. It should not be used for:
- Deep ileal intubation (see more information below)
- Cases with acute, severe colitis or where there is a known colonic stricture
- Complex sub-mucosal dissection where a separate distal attachment is required
How does ENDOCUFF VISION® affect intubation of the ileum?
It may be more difficult to intubate the ileum with the ENDOCUFF VISION® attached, but as the colonoscopist gains more experience and skill with the use of the ENDOCUFF VISION®, ileal intubation becomes less of a problem. The Hints and Tips video outlines how to improve intubation using ENDOCUFF VISION®.
Can ENDOCUFF VISION® be used for deep ileal intubation?
This procedure is contraindicated using ENDOCUFF VISION®. Some clinicians perform a colonoscopy primarily to inspect the ileum. The clinician might therefore want to try to intubate a significant distance into the ileum. We do not have enough evidence to support this procedure. Almost all clinicians will try to intubate the terminal ileum to have a quick look and demonstrate that they have completed a full colon examination. This is acceptable and is not contraindicated.
Can ENDOCUFF VISION® be used in patients who have diverticulitis or mild diverticular disease?
ENDOCUFF VISION® can be used in patients with mild diverticular disease but is not recommended for use in severe diverticulitis. The definition of severe diverticulitis is determined by the clinician who will have to make this clinical decision. Please go to the Hints and Tips video for more information.
Can ENDOCUFF VISION® be used for retroflexion?
It certainly can. This may be performed in the caecum and rectum, although many colonoscopists now don't perform retroflexing in the rectum, because the ENDOCUFF VISION® opens up the anal canal for inspection. Please go to the Hints and Tips video for more information.
According to ENDOCUFF VISION® Instructions for Use, it is mentioned that “Do not use other lubricants to fit because of risk of dislocation”. Does this safety precaution apply to all lubricants, or is the use of a specific lubricant for the endoscope possible?
This statement applies to ALL lubricants. Nothing should be applied before placement of ENDOCUFF VISION® and only a water‑based jelly (KY Jelly) after placement. The reason for not using any lubricants before placement is the risk that the device will fall off. After the application of ENDOCUFF VISION®, only the use of water‑based lubricants is advised.