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What is Spot Ex?

Expanded Indications | Expedite Localisation | Extra Efficiency from new features

Expanded indications support adoption of guidelines1

Expedite localisation at follow-up procedures2

Extra efficiency from new features

  • 1ESGE Clinical Guideline. Colorectal polypectomy and endoscopic mucosal resection (EMR). 2017.
  • 2Easier identification at follow-up procedures as compared to no tattoo.

Expanded Indications Support Adoption of Guidelines

Spot Ex is the only endoscopic tattoo indicated for clinical surveillance and surgical localisation1.

  • 1Spot Ex Indication. Instructions For Use. G46-006 Rev02. April 2018.
Spot® Ex tube and syringe
*Spot Ex is FDA Cleared and CE marked

Tattoos are Society Recommended

“Colonoscopic tattooing is performed to enable future identification, at colonoscopy or surgery, of malignant lesions (proven or suspected), polypectomy, EMR, or ESD sites, difficult-to-detect polyps, or dysplastic areas. All such lesions, other than those definitely located in the cecum, adjacent to the ileocecal valve, or in the low rectum, should be tattooed.

A sterile and biocompatible pre-packaged suspension …(Spot) has been developed…and this has enhanced the accessibility, ease of use, and safety of the procedure." 1
  • 1Ferlitsch M, Moss A, Hassan C, et al. Colorectal polypectomy and endoscopic mucosal resection (EMR): ESGE Clinical Guideline. 2017.

Society Guidelines Recommend Tattooing for Clinical Surveillance

Long-term Visibility of Endoscopic Tattoos Using Sterile Carbon Suspension in a Pre-filled Syringe

Jackson FW. Long-term Visibility of Endoscopic Tattoos Using Sterile Carbon Suspension in a Pre-filled Syringe. AM Gastroenterol 2017; 112:S1-S45

Spot Ex is long lasting1, enabling patient follow-up for 36 months.

In 31 follow-up exams of patients previously tattooed with Spot, 100% were visible – up to 10 years later.2

  • 1Spot Ex Indication. Instructions For Use. G46-006 Rev02. April 2018.
  • 2Cano A, et al. Durability analysis of an endoscopic marker for the identification of locations in the colon. SEED. Toledo, Spain. 2017

Spot Ex is Used for Both Clinical Surveillance and Surgical Localisation

Use this protocol to confirm when to tattoo for each.

Common Clinical Uses of Endoscopic Tattoos for Surgical Localisation and Clinical Surveillance

  • 1Arteaga-Gonzalez I, et. al., The use of preoperative endoscopic tattooing in laparoscopic colorectal cancer surgery for endoscopically advanced tumors: a prospective comparative clinical study. World J Surg. 2006. 30(4):605–611.
  • 2Acuna SA, et. al., Preoperative localization of colorectal cancer: a systematic review and meta-analysis. Surg. Endosc. 2017; 31:2366-2379.