Product Technique	Educational Materials	Training Courses	Reimbursement Codes
ENDOSAPH® INTRODUCTION

	Saphenous Vein Harvest with GSI's ENDOSAPH® system offers the physician a: Gentle harvesting method using balloon dissection technology and ancillary instruments created specifically for the minimally invasive surgery (MIS) environment Enables the surgeon to work with both hands for instrument manipulation. Cost-effective alternative to traditional open surgery It offers the patient, in comparison with traditional open surgery: Less pain, less blood loss Less wound morbidity Earlier return to ambulation Shorter healing time Improved cosmesis Long incisions in the leg to harvest the saphenous vein for peripheral or coronary artery bypass grafting have been associated with high wound morbidity and significant patient pain. With the advent of minimally invasive surgical techniques, the saphenous vein can now be harvested through a few 3-4 cm incisions offering dramatic patient benefits. GSI's ENDOSAPH® vein harvest system offers distinct advantages over other competitive vein harvest products. Minimally invasive surgery, facilitated by the ENDOSAPH® vein harvest system, may significantly decrease wound morbidity, and result in shorter healing time, earlier time to ambulation, and less patient discomfort. There is generally less blood loss and less pain to the patient, contributing to a better post-operative course. GSI is setting the standard in minimally invasive harvesting of the saphenous vein with the introduction of the ENDOSAPH® vein harvest system. The ENDOSAPH® system utilizes balloon dissection technology to provide a gentle means of creating an operative working space above the saphenous vein. Users of the system are fully supported throughout the learning experience to help assure harvesting is cost effective. The Saphfinder surgical balloon dissector is first used in either the thigh or the calf to create the endoscopic operative space. An endoscope is inserted into the device to allow visualization of the vein and precise tracking of the saphenous vein. The SAPHfinder balloon dissector is inserted subcutaneously over the anterior surface of the vein. The small tip of the balloon dissector is designed to straddle the vein, optimizing instrument-to-vein interface, and reducing the likelihood of vein trauma. It allows the surgeon easy maneuvering around side branches. As the balloon is inflated, the tissue anterior to the saphenous vein is gently separated to create a clean operative space. Once the space has been created by the Saphfinder™ balloon, the dissected space is maintained by the SPACEKEEPER™ retractor. The distal hood of the retractor is self-retaining, a feature that allows the surgeon to work with both hands for instrument manipulation. The slim profile of the GSI Hook and Fork dissectors allows finer manipulation than competitive products and improved visualization for dissection of the vein and its tributaries. These instruments are reusable, making the system cost-effective for the payor.