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Banding Bulletin – June 2016

Banding Bulletin – June 2016

I hope that this edition of the “Banding Bulletin” finds you well! In this edition, we’d like to introduce our NEW CRH O’Regan System, which has been upgraded with several new features!

The NEW CRH O’Regan System

In an effort to continue to help our Partners to provide the finest care to their patients, the CRH O’Regan System has been redesigned, making the procedure easier to perform for the provider, and more comfortable and safe for the patient.

What Has Changed?

• Integrated obturator – The “plunger” was completely redesigned to include an integrated obturator. This dramatically eases the insertion of the device, particularly in patients with a lot of spasm. The ligator can now be inserted without using your index finger to help “introduce” the technology.

• “Anti-pinch” feature – The new ligator is far less traumatic to use, as a new “anti-pinch” feature prevents the device from “grabbing” the patient’s anoderm, again making the introduction both easier for you and more comfortable for the patient.

• Locking “band pusher” – A subtle “lock” to help you keep the outer sheath in contact with the inner syringe, reducing inadvertent deployment of the band.

• Easy locking/unlocking plunger – In those cases where a patient experiences a pinching sensation when the ligator is twisted while the tissue is engaged, our new ligator is much easier to unlock, allowing you to reposition the device as needed.

What Hasn’t Changed:

• The size of the end of the ligator – some have commented that they thought that the aspirating end of the ligator is smaller now than it was in the previous edition. Actually, the end of the ligator is EXACTLY THE SAME as the technology that you’ve used previously!

• The amount of suction – The suction generated remains identical to the previous ligator. The barrel of the syringe has been enlarged to accommodate the new plunger/obturator, in order to make certain that there is no change in the suction developed! The new plunger is made of a different material, and so it feels much different when aspirating . . . . but the aspiration should be identical.

• The loading cone – We have included a loading cone in our new kits, as they still must be used in order to help load the band on the technology. It is precisely the same loading cone that we’ve been using, as again, the open end of the ligator is unchanged!

If you have any questions or concerns regarding the new technology . . . please let me know as I’m happy to help in any way possible!

Videos and Training Materials Updated

With the release of the NEW CRH O’Regan System, we have also updated all of our training and support videos! There are a number of topics covered, but I would direct you to a video reviewing some of the differences between the old and the new!

The link to this video is HERE.

Training and “Refresher” Sessions

For those of you already trained in the use of the device, we would love to come back to visit with you, to introduce the new ligator in person, to have a Q&A, and to help with any difficult patients that you might have! If you are interested in this, please let ME know and we’ll try to coordinate a good time to work with you!

If you haven’t been trained, or if it has been a while since you’ve taken advantage of the CRH O’Regan System, we would be thrilled to set you up for a training and/or “refresher” session! The advances in design have made the procedure much easier to perform, and considering that we are talking about a “gold standard” procedure, there is no better way to bring this valuable procedure to your patients and your practice. If you’d like more information about this, please send me an EMAIL.


Thanks so much for checking out this edition of the “Banding Bulletin” and please let ME know if we can help in any way.


Mitchel Guttenplan, MD, FACS
Medical Director
CRH Medical Corporation
C: 770.363.0125 F: 770.475.9953

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