EndoDrill® GI

The world’s first market-cleared electric-driven EUS-CNB instrument

EndoDrill® GI

Next Generation Endoscopic Ultrasound Core Needle Biopsy Device

EndoDrill® GI is the world’s first US FDA-cleared and EU CE-approved electric-driven core needle biopsy device for endoscopic ultrasound (EUS-CNB). EndoDrill® consists of a sterile core needle biopsy instrument with an associated drive system.

Powered rotation is the key to improved biopsies

Unlike conventional manual needle instruments, EndoDrill® features a motorized, rotating drill-tip cylinder. This design enables deep, precise tissue sampling. One or more solid core biopsies are extracted, providing the tissue architecture required for complete histological diagnosis, staging, and genetic analysis.

EndoDrill

Promising Clinical Results

Published clinical studies and case series from the U.S. and Europe using EndoDrill® GI for tissue acquisition in multiple GI indications (e.g., stomach, pancreas, and liver) show very promising results. Although the studies are limited in size, they consistently report a high diagnostic yield, often achieved already after the first needle pass.

1, 2, 3

Striving for 100% Diagnostic Accuracy

One Swedish clinical study¹ (n=7) and two U.S. case series²,³ (n=8; n=4) demonstrated 100% diagnostic accuracy for EndoDrill® GI across multiple GI indications.

1. Swahn F, Glavas R, Hultin L, Wickbom M. The advent of the first electric-driven EUS-guided 17G core needle biopsy – A pilot study on subepithelial lesions. Scand J Gastroenterol. 2024;59(7):852–858.
2. Mendoza Ladd A, Alsamman A, Meiklejohn K, et al. Initial experience with a new endoscopic ultrasound electric core needle biopsy device: A case series. Endosc Int Open. 2024.
3. Oliver M, Kabir K, Ognjanovski E, Barawi M. Endoscopic ultrasound-guided motorized fine needle aspiration (“EndoDrill”) liver biopsy: Case vignette. Abstract, 4th Annual Michigan GI Society Conference, 2025.

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Striving for One Needle Pass

In a U.S. case series¹ (n=8), diagnostic biopsies were obtained in all patients with EndoDrill® GI after a single needle pass. A retrospective U.S./EU multicenter trial² also demonstrated strong results, with diagnostic tissue obtained in 22 out of 28 patient cases (79%) after only one pass.

2. Mendoza Ladd A, Alsamman A, Meiklejohn K, et al. Initial experience with a new endoscopic ultrasound electric core needle biopsy device: A case series. Endosc Int Open. 2024.
4. Mendoza Ladd A, Pham KDC, Pavic T, Glavas R, Swahn F. EndoDrill® core needle biopsy: Preliminary multicenter experience. Endoscopy. 2025;57(Suppl 2):182–183.

Ultra-flexible design with a highly angled endoscope

Its flexible design allows for sampling at steep angulations, enabling high-quality tissue acquisition from hard-to-reach tumors that are often difficult to access with conventional, more rigid biopsy needles.

EUS-guided core biopsy with high visibility

Experience unparalleled clarity with EndoDrill® GI’s advanced EUS-guided core drilling. The system provides real-time visibility during biopsies, allowing clinicians to precisely control the depth and angle of tissue sampling under ultrasound guidance. This design significantly enhances procedural accuracy and confidence.

High-quality core biopsies for histological diagnosis and genetic analysis

EndoDrill® GI drills out core biopsy samples that preserve tissue architecture, often with low or no blood contamination. This approach can make sampling more reproducible and standardized (i.e., less user dependent due to the motorized sampling procedure).

Ordering Information

Article Name Article Number Order Quantity Needle Size (Gauge) Adjustable Needle Length (cm)* Minimum Accessory Channel (mm)*
EndoDrill® GI Biopsy Instrument 13001 3 17 0-6 2.8
EndoDrill® GI Biopsy Instrument 13002 5 17 0-6 2.8
EndoDrill® Drive System 3000-01 1 Complete reusable system including motor unit, power supply cable, foot pedal and drive cable

EndoDrill® GI is intended to be used with an ultrasound endoscope for ultrasonically guided fine needle sampling of submucosal- and extramural lesions within gastrointestinal tract, i.e. esophagus, mediastinal masses, stomach, pancreas, liver, small- and large intestines, lymph nodes and perirectal masses. This device is for diagnostic purposes only.

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Manufacturer: bibbinstruments

BiBBInstruments AB Medicon Village | SE-223 81 Lund, Sweden | www.bibbinstruments.com
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