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Use of the OTSC® Anchor

The OTSC® Anchor can be used for better approximation of tissue especially when indurated (e.g. fistulae, chronic ulcer). It also facilitates targeting of lesions, e.g. in the treatment of hemorrhage, the OTSC® Anchor allows precise alignment between the target tissue and the applicator cap.

Dimensions and specifications

The OTSC® Anchor is available in two versions and lengths:

The OTSC® Anchor has a flexible shaft length of 165 cm
The OTSC® Anchor 220 tt has a flexible shaft length of 220 cm and is especially for thin tissue

Ordering Information
Item No.	Description	Needle width	Stitch depth	Length of instrument shaft
200.10	OTSC® Anchor (165 cm)	12 mm	4 mm	165 cm
200.11	OTSC® Anchor 220tt (220 cm)	9 mm	2 - 2,5 mm	220 cm

A working channel diameter of at least 3.2 mm is required when used in combination with the OTSC®

2c:T7fa,

The Mini OTSC® clip

The mini OTSC® clip is delivered by means of an applicator cap mounted to the tip of endoscopes. By turning the hand wheel, the white application ring is pulled towards the distal end of the cap and the clip is released.

The mini OTSC® clip for flexible endoscopy is a superelastic Nitinol® device for compression and approximation of tissue in the digestive tract.

Based on its unique design the clip closes itself and firmly anchors the tissue to be compressed for hemorrhage or closure of a GI organ wall lesion. Due to its smart material properties, the mini OTSC® clip delivers constant force at the application site securing the therapeutic effect. The mini OTSC® clip is made of a biocompatible and MR conditional material and can remain in the body as a longterm implant.

Use of the mini OTSC® System Set

The new compact design of the mini OTSC® System allows the use of the application technique of the proven OTSC® System for small lumen or difficult to access lesions in the gastrointestinal tract.

Dimensions and specifications

Features and sizes of the applicator caps:

The mini OTSC® applicator cap is suitable for endoscopes with a diameter from 8.5 – 10 mm and has a cap depth of 6 mm.

Features of the clips:

The mini OTSC® Clip is a smaller version of the OTSC® Clip 11 and is available in one size with two different shapes of teeth (types a and t).

Ordering Information
Item No.	Description	Thread length	Endoscope Dim. Ø	Cap depth
100.01	mini OTSC® System Set, mini/6a (165 cm)	165 cm	8.5 - 10 mm	6 mm - blunt teeth
100.02	mini OTSC® System Set, mini/6t (165 cm)	165 cm	8.5 - 10 mm	6 mm- pointed teeth

2d:T475,

Use of the OTSC® Twin Grasper®

The OTSC® Twin Grasper® is one of the OTSC® application aids and facilitates the approximation of gaping edges of a lesion before release of the OTSC® clip. It has two jaws which can be opened separately.

Dimensions and specifications

The OTSC® Twin Grasper® is available in flexible shaft length 165 cm and 220 cm.

Ordering Information
Item No.	Description	Length of instrument shaft
200.44	OTSC® Twin Grasper® (165 cm). Facilitates the approximation of gaping edges of a lesion. The twin Grasper has two jaws which can be opened separately	165 cm
200.45	OTSC® Twin Grasper® (220 cm). Facilitates the approximation of gaping edges of a lesion. The twin Grasper has two jaws which can be opened separately	220 cm

A working channel diameter of at least 3.2 mm is required when used in combination with the OTSC® System.

2e:T8e0,

OTSC®neo is a complete performance evolution of our proven OTSC® system in the areas of clinical efficiency, application and handling.

Clinical efficiency
• Clip optimization for additional lateral compression and a larger compression area
• Improved application even in difficult localizations thanks to double-sided clip advancement

Application
• Blue application ring for visual confirmation of clip placement
• Gentle insertion thanks to rounded teeth edges
• Optimized geometry of the cap due to adapted application mechanism for tissue-friendly application
• Thread guide on both sides increases the reliability of application even in difficult localizations

Handling
• Larger diameter of the handwheel for improved grip safety
• Easier access to the working channel
• New ring shape prevents clip rotation during assembly
• Easier and faster assembly thanks to stable handwheel frame and improved fixation band

Ref. No.	Description	Compression width a (mm)	Outer diameter b (mm)
100.03n	OTSC®neo System Set, 11/3a - (165 cm)	9.8	16
100.09n	OTSC®neo System Set, 11/6a - (165 cm)	9.8	16
100.10n	OTSC®neo System Set, 11/6t - (165 cm)	9.8	16
100.11n	OTSC®neo System Set, 12/6a - (165 cm)	10.7	17.4
100.12n	OTSC®neo System Set, 12/6t - (165 cm)	10.7	17.4
100.13n	OTSC®neo System Set, 14/6a - (220 cm)	12.5	20.1
100.14n	OTSC®neo System Set, 14/6t - (220 cm)	12.5	20.1
100.27n	OTSC®neo System Set, 12/6gc - (165 cm)	10.7	17.4
100.30n	OTSC®neo System Set, 12/6a - (220 cm)	10.7	17.4
100.31n	OTSC®neo System Set, 12/6t - (220 cm)	10.7	17.4

2f:T56e,

What is the stentFIX System?

The stentFIX System is an innovative solution for fixing metal stents in the digestive tract and can be used for both self-expanding metal stents (SEMS) and lumen-apposing metal stents (LAMS).

The stentFIX System is specially designed to meet the requirements of stent fixation. Its compact design allows it to be inserted through stents with a diameter of 18 mm or more, enabling the stents to be fixed both proximally and distally. The cap allows easy positioning at the edge of the stent, ensuring optimal engagement with the stent mesh and tissue. The design of the clip adapts perfectly to the gastrointestinal anatomy. This effectively prevents stent migration.

The clip is made of super-elastic Nitinol® and exerts a constant force on the tissue in the application area, thus securing the positioning of the stent. In addition, the clip is biocompatible and conditionally MR safe and can remain in the body as a long-term implant.

Reference	Manufacturer	Clip width = compression width (a)	Max. outer diameter (b)	Compatible endoscope diameter (c)	Cap depth (d)	Box
100.50	Ovesco	8.6 mm	15.9 mm	8.5–11 mm	7 mm	1

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The mini OTSC® System Set consists of an applicator cap with a mounted clip, thread, thread retriever and a hand wheel for clip release.

OTSC® application aid instrument for easy approximation of gaping edges of a lesion before release of the OTSC® clip.

Innovative clipping system intended for endoscopic treatment of gastrointestinal hemorrhage and closure of acute and chronic wall lesions.

Since its market launch in 2008, OTSC® has become firmly established in endoscopic care. Over 600 worldwide studies, including 5 randomized controlled trials (RCTs), show the efficacy of OTSC® for hemostasis and the closure of wall lesions and fistulas. At Ovesco, we focus on continuous development and product innovation to not only maintain our high standards, but to constantly improve them.

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Innovative solution for stent fixation in the digestive tract

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