Devices, systems, and methods for an instrument accessory

The present disclosure, in its various aspects, is directed to instrument accessory devices, implementation methods, and related delivery systems. Embodiments according to the present disclosure, including as described herein, may increase the effectiveness and efficiency of endoscopic procedures, such as Endoscopic Retrograde Cholangiopancreatography (ERCP). In one example, an embodiment includes an instrument accessory device with an expandable member, the device configured to receive an instrument through an instrument lumen, wherein the outer surface may comprise an expandable material. The device may comprise a constrainment element disposed about the outer surface of the expandable member, the constrainment element comprising a proximal end, a distal end, an inner surface, and an outer surface.