In 2006 Dr Mangat recognised a clinical need for accurate diagnosis of biliary strictures. Utilising existing devices and in conjuntion with Cook Medical, a revolutionary new bile duct biopsy device was invented.  The Transluminal Biliary Biopsy Forceps combined with Dr Mangat’s novel ‘cross and push’ technique has become the gold standard for obtaining tissue samples from the bile duct for diagnostic purposes. 

 

The Transluminal Biliary Biopsy Forceps are typically used during procedures like percutaneous transhepatic biliary drainage (PTBD) or endoscopic retrograde cholangiopancreatography (ERCP). The forceps are designed for accessing and sampling tissue within the biliary system, often in cases of suspected malignant biliary obstruction. 

 

Dr Mangat obtained 94.2% accuracy in his first samples, far greater than previous methods. The Biliary Biopsy Forceps is part of Cook Medical’s current range of devices for minimally invasive procedures. 

 

More info here on Improved Accuracy of Percutaneous Biopsy Using "Cross and Push" Technique for Patients Suspected with

Malignant Biliary Structures