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Dr. David Diehl outlines the scenarios where a needle knife may be required during ERCP. Dr. David Diehl was a paid consultant for Cook Medical at the time this video was made. This video features the following products: Fusion® OMNI™ Sphincterotome with DomeTip® INSTRUCTIONS FOR USE (IFU): https://www.cookmedical.com/data/IFU_... MORE INFO: https://www.cookmedical.com/products/... INTENDED USE: This device is used for cannulation of the ductal system and for sphincterotomy. If preloaded, also aids in bridging difficult strictures during ERCP. Acrobat® 2 Calibrated Tip Wire Guide INSTRUCTIONS FOR USE (IFU): https://ifu.cookmedical.com/data/IFU_... MORE INFO: https://www.cookmedical.com/products/... INTENDED USE: This device is used to assist in cannulation of the biliary and pancreatic ducts and to aid in bridging difficult strictures during ERCP. Zimmon® Pancreatic Stent with No Ductal Flap INSTRUCTIONS FOR USE (IFU): https://ifu.cookmedical.com/data/IFU_... MORE INFO: https://www.cookmedical.com/products/... INTENDED USE: This device is used to drain obstructed pancreatic ducts. Fusion® Wire Guide Locking Device INSTRUCTIONS FOR USE (IFU): https://ifu.cookmedical.com/data/IFU_... MORE INFO: https://www.cookmedical.com/products/... INTENDED USE: This device is an accessory to be used with endoscopic biliary devices to lock the wire guide(s) in place during ERCP procedures.