Spot® Ex Endoscopic Tattoo

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Find Lesions Fast at Follow-Up Procedures

Darker tattoo enables fast and easy identification1

  • Easier to find at future endoscopy or surgery because Spot Ex is a darker tattoo2
  • Tattooing has been shown to reduce OR time by up to 40 minutes3

The #1 Endoscopic Tattoo Choice of Gastroenterologists

  • Robust clinical evidence documented through more than 30 peer reviewed published studies and society guidelines
  • Used in more than 5 million cases globally, with no reported adverse events4

Tattooing with Spot Ex is cost effective

  • Reimbursement more than covers the cost of a syringe

*See References tab for full citations.

Spot Ex helps clinicians take the next step in the fight against colon cancer by providing a lifetime of clinical surveillance for their patients.

  • Spot Ex comes in a pre-filled, pre-assembled syringe with a roll-proof cap to make it even easier and more convenient to use.
  • Spot Ex is sold in boxes of 10 syringes.

How is Spot Ex sold?
Spot Ex comes in a prefilled, pre-assembled, Zero-Step Prep™ syringe with a roll proof cap. Spot Ex is sold in boxes of 10 syringes.

How long is a Spot Ex tattoo visible in the body?
Spot Ex is permanent, affording clinicians a lifetime of follow-up procedures for their patients who are at future risk of colon cancer.

What is Spot Ex for?
Spot Ex is the first and only endoscopic tattoo indicated for both surgical localization and clinical surveillance.

What is clinical surveillance?
Clinical surveillance refers to a clinician’s choice to monitor, or follow-up with, a patient at future intervals based on practice guidelines. Endoscopic tattoos help ensure the providers identify the same area of interest at each surveillance interval.

What is surgical localization?
Surgical localization refers to the surgeon’s need to precisely locate an area of interest that was previously identified endoscopically. Endoscopic tattoos placed by the referring gastroenterologist are readily located at the time of surgery, facilitating quicker surgical localization1.

1. Arteaga-Gonzalez I, et. al., The use of preoperative endoscopic tattooing in laparoscopic colorectal cancer surgery for endoscopically advanced tumors: a prospective comparative clinical study. World J Surg . 2006. 30(4):605–611

When should Spot Ex be used?
Download Clinical Uses of Follow-Up Tattoos

Does Spot Ex need to be stored in the Pharmacy?
No. Spot Ex is an FDA-cleared medical device. It can be stored in the procedure room under normal conditions.

How do I store Spot Ex in the procedure room?
Spot Ex can be stored at room temperature for up to two years. For best results, do not store with the syringe tips pointing down.

How do I inject Spot Ex?
0.5-0.75ml of Spot Ex should be injected submucosally into four quadrants distal to the lesion of interest. Use a 23 or 25 gauge injection needle at an angle so that the beveled tip of the needle is entirely beneath the mucosa. If the needle is inserted perpendicular to the mucosa, there is a risk of penetrating the serosa and injecting the marker directly into the peritoneal cavity.
Download the Spot Ex Getting Started Guide

Why do I need to shake Spot Ex?
Shaking Spot Ex vigorously for 15-20 seconds prior to loading the injection needle insures a consistent color throughout injection.

Is tattooing with Spot Ex a reimbursable procedure?
Absolutely!
Download the Spot Ex 2019 CMS Reimbursement Guide

Need something else? Call (800) 451-5797 or fill out our online Contact Us form to request more information.

Spot® Ex Endoscopic Tattoo is covered by the following U.S. patent numbers: 6280702, 6599496, and pending patent 2018/0228920.

Why, When, and How to Effectively Tattoo during Colonoscopy Procedures
Proper endoscopic marking during colonoscopy procedures can be a powerful ally in the fight against colon cancer. In this video, Dr. Douglas K. Rex of the Indiana University School of Medicine explains the Why, When and How of effective endoscopic tattooing.

Methods to Inject Endoscopic Tattoo into the Submucosal Space with Dr. Douglas K. Rex
Two methods that can be used to effectively administer endoscopic tattoos into the submucosal space are the direct and bleb techniques. In this video, Dr. Douglas K. Rex of the Indiana University School of Medicine demonstrates how to tattoo using a direct injection technique, and how to tattoo by using a saline bleb.

Endoscopic Tattooing Best Practices with Professor Bhandari
Professor Pradeep Bhandari reviews best practices for endoscopic tattooing that align to ESGE Clinical Practice Guidelines for Polypectomy and EMR.

Spot Ex Demonstration at ImageLIVE 2018
Following a polypectomy, Professor Cesare Hassan demonstrates the use of Spot Ex Endoscopic Tattoo in preparation for clinical surveillance follow-up colonoscopies.

ESGE Days Symposia: What Should Every Endoscopist Know About Colonic Tattooing?
In this educational lecture & Q/A session, Dr. Rodrigo Jover, Professor Pradeep Bhandari, and Professor Evelien Dekker discuss: – When & Where to Place a Tattoo based on ESGE Guidelines & Best Practices, and – How & How Not To Place a Tattoo

1. Spot Ex Luminosity Lab Results. Northwestern Biological Imaging Facility. Nov 2017.
2. Lee. P., Finding Endoscopic Tattoos: The Impact of Contrast. GI Supply. 2018.
3. Arteaga-Gonzalez I, et. al., The use of preoperative endoscopic tattooing in laparoscopic colorectal cancer surgery for endoscopically advanced tumors: a prospective comparative clinical study. World J Surg. 2006. 30(4):605–611.
4. Data on file.

Give us a call or send an email/fax to our Customer Service team.

Call (800) 451-5797 (8:30am – 5:00pm EST Monday – Friday)

E-mail orders@gi-supply.com

Fax (717) 761-0216

Tattooing with Spot Ex is cost effective with dedicated reimbursement

  • Tattooing is reimbursed as a submucosal injection CPT code 45381
  • Download the 2019 Reimbursement Guide

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