Sialendoscopy starts with accessing the salivary duct through the papilla. A flexible Cook soft-tipped wire guide can be maneuvered into the duct. This wire guide allows you to gain and maintain ductal access throughout the procedure, which reduces trauma and maximizes efficiency.

Once you establish access with the Cook soft-tipped wire guide, you can introduce a series of flexible dilators over the wire guide in order to expand the papilla and to prepare the salivary duct for the introduction of procedural instruments.

After you expand the papilla with the dilator set, you can create an open working channel into the salivary duct by passing the sheath over the wire guide. The sheath also serves to protect the ductal wall as you insert and remove procedural instruments.

Once you have gained access to the duct, you can insert the NCircle® or NGage® nitinol baskets into the duct to remove salivary stones and fragments. The NCircle® Salivary Stone Extractor has a tipless configuration that allows you to position the basket against the mucosal lining.

Once you have gained access to the duct, you can insert the NCircle® or NGage® nitinol baskets into the duct to remove salivary stones and fragments. The NGage® Salivary Stone Extractor works as both a basket and grasper in one.

This flexible, soft-tipped catheter is inserted over a wire guide or through the Kolenda Introducer Sheath to irrigate the submandibular or parotid salivary ducts or flush stone fragments.

Once you have created a working channel in the duct, you can insert the balloon catheter over a wire guide and use alongside a sialendoscope for direct visualization to dilate at the stricture site.