Deutsch 
Français 
Description
Additional working channel (AWC®) for flexible endoscopes for insertion of instruments or suction and flushing.
Use of the AWC®
The AWC® is an endoscopic system for providing an additional working channel for flexible endoscopes.
The AWC® can be used for a variety of applications:
- EMR+: Resection of lesions with a combination of snare and anchor/grasper
- ESD+: Dissection of lesions with a combination of grasper and knife or Coag Dissector
- Clip removal: facilitated removal of OTSC® clips with the help of grasper and DC Cutter
- Bleedings (additional lumen for suction and flushing)
- Additional instrument; interesting for a variety of applications
Dimensions and specifications
| Attachment (1) | For endoscope diameter from 8.5 to 13.5 mm |
| Shaft (2) / (A) | Shaft length: 122 cm (endoscope insertion length: 103 – 110 cm) 185 cm (endoscope insertion length: 160 – 170 cm) |
| Adaptor for fixation at endoscope handle with Luer-lock (3) | |
| Valve (4) | |
| Sleeve (5) | |
| Appropriate instrument diameter | up to 2.8 mm |
| Items per package | 2 |
| Reference number | 200.57.01 (122 cm) 200.57.04 (185 cm) |
Application of the AWC®
EMR+
Injection into the submucosa
Positioning of snare and OTSC® Anchor or FTRD® Grasper
Elevation of the lesion and snare closure
Push-back* of the OTSC® Anchor or FTRD® Grasper while snare stays closed and subsequent resection
*Note: Anchor needles must not be captured with the snare during the push-back move. If in doubt, the anchor needles can be closed to avoid a short circuit.
Example*:
*Source: Prof. K. Caca Dr. B. Meier, Hospital Ludwigsburg, Germany [In-vivo model]
ESD+
Endoscopic submucosa dissection with AqaNife and additional grasper through the AWC®
Example*:
*Source Prof. Dr. A. Meining & Dr. B. Walter, University hospital Ulm (clinical case example)
Clip removal
Clip removal with DC Cutter and an additional grasper through the AWC®
Example*:
*Source: Prof. Dr. Marc O. Schurr, Ovesco Endoscopy AG, Tuebingen, Germany [In-vivo model]
Media
![<span class="lazy lazy-hidden medientitel">Video</span><p><strong>Clip removal with AWC®</strong><br />Shows facilitated clip removal with AWC®. Clip can be fixed during procedure to allow better positioning of DC Cutter [in-vivo]</p>](http://ovesco.com/wp-content/uploads/ewpt_cache/400x0_95_1_c_FFFFFF_1f630962c77a1ad558325bab8e3f14c3.jpg)
Clip removal with AWC®
Shows facilitated clip removal with AWC®. Clip can be fixed during procedure to allow better positioning of DC Cutter [in-vivo]
remOVE with AWC
Infoflyer
EMR with LiftUp®
Shows an EMR of a cecal adenoma with LiftUp® as injection solution
![<span class="lazy lazy-hidden medientitel">Video</span><p><strong>POEM with LiftUp®</strong><br />Shows a POEM using LiftUp® [in-vivo]</p>](http://ovesco.com/wp-content/uploads/ewpt_cache/400x0_95_1_c_FFFFFF_2fc92e81266de187011b86429a646986.jpg)
POEM with LiftUp®
Shows a POEM using LiftUp® [in-vivo]
![<span class="lazy lazy-hidden medientitel">Video</span><p><strong>ESD+</strong><br />Shows the ESD+ procedure using the AWC® [ex vivo model]</p>](http://ovesco.com/wp-content/uploads/ewpt_cache/400x0_95_1_c_FFFFFF_ed8999e8b1261f5d842bba98d42024a7.jpg)
ESD+
Shows the ESD+ procedure using the AWC® [ex vivo model]
Ovesco reference list
Overview of all Ovesco products sorted by product groups
Cap-assisted ESD with LiftUp®
Shows cap-assisted ESD procedure with LiftUp®
RESECT+ Brochure
More information about the RESECT+ can be found in our brochure
EMR+ | Polypoid lesion in the antrum
Shows removal of a polypoid lesion in the antrum with EMR+ procedure
EMR+ | Polypoid lesion in corpus ventriculi
Shows removal of a polypoid lesion in the corpus ventriculi with EMR+ procedure
Duodenal polypectomy with TPS
Shows duodenal polypectomy using Traction Polypectomy Snare
Cold snare polypectomy with TPS
Shows cold snare polypectomy using the Traction Polypectomy Snare
Cold snare polypectomy with TPS
Shows cold snare polypectomy using the Traction Polypectomy Snare
Hemostasis with Coag Dissector
Shows hemostasis by coagulation with the Coag Dissector
ESD+
Shows the ESD+ procedure in the stomach (distal corpus)
EMR+ in colon
Shows the EMR+ procedure in the colon
![<span class="lazy lazy-hidden medientitel">Video</span><p><strong>EMR+</strong><br />Shows the EMR+ procedure using the AWC® and LiftUp® [ex-vivo]</p>](http://ovesco.com/wp-content/uploads/ewpt_cache/400x0_95_1_c_FFFFFF_72f7b72c36da9c5f6e48fd0641b876ae.jpg)
EMR+
Shows the EMR+ procedure using the AWC® and LiftUp® [ex-vivo]
![<span class="lazy lazy-hidden medientitel">Video</span><p><strong>ESD+ and EMR+ combined</strong><br />Shows a combination of ESD+ and EMR+ [ex-vivo]</p>](http://ovesco.com/wp-content/uploads/ewpt_cache/400x0_95_1_c_FFFFFF_61b71f02ec11c33549dade646b3163ae.jpg)
ESD+ and EMR+ combined
Shows a combination of ESD+ and EMR+ [ex-vivo]
![<span class="lazy lazy-hidden medientitel">Video</span><p><strong>EMR+ procedure</strong><br />Shows the EMR+ procedure using the AWC® and LiftUp® [ex-vivo]</p>](http://ovesco.com/wp-content/uploads/ewpt_cache/400x0_95_1_c_FFFFFF_7c4b5ede1e7c2b86216496a89ab84022.jpg)
EMR+ procedure
Shows the EMR+ procedure using the AWC® and LiftUp® [ex-vivo]
AqaNife
Shows the Application of the AqaNife
ESD+ in rectum
Shows the ESD+ procedure using the AWC® in the rectum
ESD+ in stomach
Shows the ESD+ procedure using the AWC® in the stomach
![<span class="lazy lazy-hidden medientitel">Video</span><p><strong>EMR+ procedure</strong><br />Shows the EMR+ procedure with Pushback-technique using the AWC® and LiftUp® [in-vivo]</p>](http://ovesco.com/wp-content/uploads/ewpt_cache/400x0_95_1_c_FFFFFF_cb05a203b5cd70ead12ac074a1ab6d63.jpg)
EMR+ procedure
Shows the EMR+ procedure with Pushback-technique using the AWC® and LiftUp® [in-vivo]
RESECT+ case study
ESD+ case studie
RESECT+ Brochure
Coag Dissector Flyer
