Making ESD Safer, Simpler & More Accessible

Speedboat-assisted Endoscopic Submucosal Dissection (S-ESD) enables precise dissection and controlled coagulation while reducing procedural complexity for endoscopists performing upper and lower GI procedures.

Clinical data shows:

  • Large polyps removed much faster than with monopolar for increased efficiency1
  • Complex procedures can be performed with one device not three2
  • Excellent safety profile and better bleeding control than monopolar2
  • Novice endoscopists can perform ESD procedures faster and safer3

Lower GI ESD - Prof Brian Saunders

Advanced Bipolar Resection of an LSL-G - using Speedboat Notch

A 52-year-old female patient with a 5cm by 4.5cm rectal G-type, laterally-spreading lesion, JNET 2a, with a dominant nodule. En-bloc resection achieved in 92 minutes with Speedboat Notch. View full case study.

Oesophageal ESD - Dr Adolfo Parra-Blanco

Squamous neoplasia – S-ESD (Speedboat Notch)

Elderly female patient with two nearly circumferential and full circumferential lesions, respectively. The upper lesion is shown in this video, in which white light, NBI, and lugol were applied (near focus had been applied in previous OGD. En-bloc S-ESD was achieved with the Notch device in 142 minutes.

 

Speedboat UltraSlim Device Features

Expanded Capabilities in Therapeutic Endoscopy

The CROMA Advanced Energy platform and Speedboat UltraSlim offer a novel solution: Speedboat Submucosal Dissection (SSD) - that takes endoscopic resection to new levels, bringing the control and precision of Advanced Energy to the Endoscopy suite for the first time.

 

S-ESD (Lower GI) Procedure Animation - Speedboat UltraSlim

Improved Access to the GI Tract

Speedboat UltraSlim delivers both advanced bipolar RF and microwave energy device for endoscopic submucosal dissection procedures designed for precise, on-demand and reproducible haemostatic effects in both the upper and lower gastrointestinal tract.

 

“The Speedboat UltraSlim, is my device of choice for Oesophageal ESD because of its safety profile."

Dr Adolfo Parra-Blanco, Consultant, Nottingham University Hospitals

Simpler Procedures. Safer Dissections. More Patients Treated

ESD is one of the most technically demanding procedures in therapeutic endoscopy. Speedboat technology changes the equation — combining advanced bipolar RF and super-high frequency microwave energy in a single multi-modal device, so you can dissect, coagulate and inject without switching instruments. 

ESD is a powerful technique for removing early GI cancers and complex lesions, but its adoption has historically been limited due to:

  • Technical complexity
  • Long learning curves
  • Risk of perforation and bleeding
  • Multiple devices required during procedures

This is why clinicians and endoscopy specialists around the globe are recommending S-ESD due to greater procedural control, a superior safety profile, and the ability to extend ESD practice further across the GI tract.

 

Speedboat Technology Capabilities:
  • Precision cutting and controlled coagulation
  • Reduced device exchanges
  • Designed to support safer dissection
  • Utilised in the upper and lower GI tract

“In the future, I hope more Health Boards will start doing this procedure, it will become gold standard.”

Dr. Alka Joshi
Consultant Gastroenterologist - NHS Wales

“Speedboat UltraSlim has been a gamechanger for the treatment of patients requiring a circumferential ESD in the oesophagus... it looks like the risk of stenosis is dramatically reduced with the application of bipolar energy.”

Dr. Adolfo Parra-blanco

“This platform is a leap in the advancement of colonic submucosal dissection, making the ESD procedure easier, faster and safer.”

Dr Zacharias Tsiamoulos
Endoscopy Clinical Lead, GI Endoscopy East Kent University Hospitals Trust

“To be able to sit the device on the muscle bed, and safely and securely coagulate vessels and tissue without causing injury or tissue damage was the wow factor as to why I want to use this product”

Dr. Eduardo Albeniz
Endoscopy Unit at Complejo Hospitalario de Navarra

Novice endoscopists can perform ESD procedures faster and safer

Clinical Paper: A Multicenter Asian Experience with SSD Knife - Simplifying Endoscopic Submucosal Dissection (ESD) for Novice Endoscopists with a Focus on Learning Curve and Safety

N Paibulsirijit, N Wiriyakulnun, J Wongyongsil, T Sukaram, P Tawaina

SSD demonstrates high efficacy and safety for colonic polypectomy, even in the hands of novice endoscopists. Its intuitive design facilitates rapid learning, making it a promising tool for broader clinical adoption. The international collaboration involved in training further underscores its global potential and adaptability.

Read clinical paper

Further Resources

Dr Adolfo Parra-Blanco interviews

Dr Adolfo Parra-Blanco shares his views on the impact of Speedboat Technology and Advanced Energy on his practice.

Watch interviews

Educational webinars

View our webinar series, hosted by leading gastroenterologists, which provides valuable insights into how our technology is used in patient cases.

View webinars

Case studies

Our clinical case studies, written by healthcare professionals, show how our products enhance everyday therapeutic endoscopy.

View case studies

References:

  1. Alexopoulos (284 pts): https://www.thieme-connect.com/products/ejournals/abstract/10.1055/s-0045-1806716
  2. Jawaid RCT: Single-device POEM vs multi-tool monopolar: https://www.giejournal.org/pb-assets/Health%20Advance/journals/ymge/DDW_2024_7YMGE-1715962125227.pdf
  3. Asian Multicenter: https://www.sciencedirect.com/science/article/abs/pii/S0016510725010685
  4. NHS Supply Chain Case Study: https://www.creomedical.com/en/healthcare-professionals/nhs-supply-chain
  5. A Multicenter Asian Experience with SSD Knife: Simplifying Endoscopic Submucosal Dissection (ESD) for Novice Endoscopists with a Focus on Learning Curve and Safety
    N Paibulsirijit, N Wiriyakulnun, J Wongyongsil, T Sukaram, P Tawainak, A Kubota, K Uchita, H Chi Yip, K Ohata, R Vega, P Kongkam (2025).

Find out more about using Speedboat for ESD procedures