BACKGROUNDEndoscopic removal of pancreatic stones in patients with chronic pancreatitis is still challenging. With a conventional basket catheter, introduction to the target area or catching pancreatic stones is sometimes difficult.OBJECTIVETo evaluate a novel double-lumen basket catheter composed of nitinol wires with fine reticular structures in the distal end and loose mesh in the proximal part.DESIGNA prospective feasibility study.SETTINGTertiary-care center.PATIENTSThis study involved 10 patients with main pancreatic duct stones of 5 mm or less in the shorter diameter of the largest stone.INTERVENTIONIn the first 5 cases, a nitinol basket catheter was used as salvage after stone extraction with a conventional basket catheter and retrieval balloon (salvage group). In the following 5 cases, stones were initially removed by using a nitinol basket catheter, and the presence of residual stones was evaluated by pancreatogram along with balloon sweep (initial group).MAIN OUTCOME MEASUREMENTSSuccess rate of removal of the target stones and procedure-related adverse events.RESULTSA nitinol basket catheter was easily introduced to the target stone in all patients. In the salvage group, additional stones were retrieved with a nitinol basket catheter in 3 of 5 patients. In the initial group, stone extraction by a nitinol basket catheter was successful, and no residual stones were extracted by additional balloon cleaning in any patients. Basket impaction or after-ERCP pancreatitis was not observed.LIMITATIONSA small sample size without a control group.CONCLUSIONThis novel nitinol basket catheter is useful for the extraction of small pancreatic stones. A randomized, controlled trial is warranted to confirm its efficacy.