Its capture cycle depends on controlled movement of the catheter and basket. The operator opens the flexible wire basket within the duct, positions it around the obstructive material, and then retracts the catheter so the basket closes around the target. This coordinated opening and closure helps hold material securely during extraction.
Mechanical fragmentation can support removal when a biliary stone is too large for straightforward extraction. Certain basket designs help break the stone into smaller pieces before or during withdrawal. This capability extends the technique beyond simple capture and may assist efforts to clear obstructive material from the bile duct.
Controlled retraction brings the basket and captured material back through the endoscope while maintaining the basket’s grip. The catheter links the operator’s movement to the device inside the duct, allowing the target to be surrounded, held, and withdrawn. This sequence is central to converting capture into actual removal.
Successful removal can help reestablish biliary drainage, which is the flow of bile through the ducts. Improved drainage may reduce obstruction-related jaundice, infection, and pain. The clinical value therefore extends beyond retrieving a stone or other material: clearing the blockage addresses the underlying source of these complications.
During ERCP, the device is guided through the endoscope toward the obstructed bile duct. The operator opens the basket at the target, positions it around the stone or other material, and retracts the catheter to close and capture it. The basket is then withdrawn so the material can be extracted.
Clinicians may use an ERCP spiral basket when obstructive material is located in the bile ducts and requires endoscopic removal. It is particularly relevant to therapeutic, rather than purely diagnostic, ERCP because the device supports an intervention aimed at clearing the obstruction and improving biliary drainage.