Features & Benefits
Designed to help physicians reconstruct the gastroesophageal valve (GEV) and restore its function as a reflux barrier, the EsophyX Z+ device is used during the TIF 2.0 procedure to create up to a 3 cm, 270° esophagogastric fundoplication, depending on the patient’s anatomy.
Compatible with gastroscopes 8.6 to 11.4 mm diameter
Simultaneous dual fastener deployment using trigger handle design
Tissue mold designed to shroud stylets during fastener delivery
Compatible with 7.5 mm SerosaFuse® Implantable Fastener cartridges
HELICAL RETRACTOR
- Engages and retracts tissue
- Anchors gastroesophageal junction during fundoplication
- Stows/locks safely inside tissue mold during insertion and removal
TISSUE MOLD AND CHASSIS
- Plicates and compresses tissue
- Rotates fundus around esophagus to create partial wrap
STYLETS AND SEROSAFUSE FASTENERS
- Provides durable tissue apposition
- Fasteners maintain tissue compression throughout healing process
INVAGINATOR
- Suctions esophageal tissue circumferentially
- Reduces small hiatal hernia (2 cm or less)
- Facilitates proper position of fundoplication caudal to diaphragm
SEROSAFUSE FASTENERS
- Non-resorbable, polypropylene (equivalent web strength to 3-0 suture)
- H-shaped fastener; does not trap or encircle nerves or blood vessels
- Low profile minimizes foreign body presence and enables mucosa to remodel over defect, protecting muscularis from digestive milieu
ESOPHYX Z+ IS PART OF A UNIQUE & INNOVATIVE THERAPEUTIC SOLUTION
Transoral Incisionless Fundoplication (the TIF 2.0 procedure) uses an endoscopic approach to restore anatomy and reconstruct the gastroesophageal valve (GEV) following the principles of traditional fundoplication with minimal side-effects.*
Endoscope is retroflexed and device is positioned at the gastroesophageal junction (GEJ) to rebuild the valve.
A full thickness tissue fold at the GEJ is retracted, wrapped and secured using SerosaFuse implantable fasteners (equivalent to 3-0 sutures) to create an esophagogastric plication.
TIF 2.0 reconstructs the primary components of the anti-reflux barrier, creating up to a 3 cm GE flap valve and a 270° wrap, depending on the patient’s anatomy.
REFERENCES
*Janu P, Shughoury AB, Venkat K, et al. Laparoscopic Hiatal Hernia Repair Followed by Transoral Incisionless Fundoplication With EsophyX Device (HH + TIF): Efficacy and Safety in Two Community Hospitals. Surgical Innovation. 2019;26(6):675-686. doi:10.1177/1553350619869449.
Order Information
| PRODUCT NUMBER | DESCRIPTION | QUANTITY |
| R2007 | EsophyX Z+ System | 1 |
| R2275 | SerosaFuse Implantable Fastener Kit | 1 |
| R2175 | SerosaFuse Fasteners Cartridge (includes 20 fasteners), 7.5 mm | 1 |
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