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| NeoPapilla adapter with exchangeable chicken hearts |
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| Endoscopic View of NeoPapilla |
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| Simulation of postsphincterotomy bleeding |
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The Neo-Papilla™ was designed in 2002 by Matthes and Cohen as a modification of porcine ex-vivo simulators. Chicken heart tissue, attached to the duodenum, is used to simulate the sphincter of Oddi muscle. The modified version, the Neo-Papilla™ II, developed by Matthes, uses a plastic construction that attaches the chicken heart to the duodenum. This setup allows the rapid exchange of the chicken heart to facilitate multiple sphincterotomies in one model. Interventional ERCP techniques can be performed with direct visualization of the devices in the artificial CBD and PD simulated through the clear tubing. This method of training obviates the requirement of fluoroscopy.
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