Spot® Ex Endoscopic Tattoo

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.

Spot Ex is the first and only endoscopic tattoo indicated for both surgical localization and 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.

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 localization (1.)

Arteaga-Gonzalez ¹ 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

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.

Spot Ex come in boxes of 10 pre-filled syringes.

Spot Ex is indicated for 36 months

Store the product at room temperature. Store the syringe with the syringe tip pointed upward or lying on its side. Do not store with the syringe tip pointing down. Storing the syringe tip down may allow a portion of the carbon pigment to settle into the narrow syringe outlet and prevent it from being re-suspended.