This exhibit shows an endoscopic retrograde cholangiopancreatography (ERCP) procedure. This procedure encompasses using an endoscope through the esophagus and down to the duodenum. Once the endoscope is down at the duodenum, a guide wire is put through the common bile duct and in this exhibit the cystic duct is clipped and the guide wire aberrantly perforates the posterior right hepatic duct.