Bipolar endoscopic instrument for fragmentation of OTSC® and FTRD® clips.
Use of the remOVE DC Cutter
The remOVE DC Cutter is a bipolar endoscopic instrument which allows the fragmentation of OTSC® and FTRD® clips in the digestive tract when used in combination with a remOVE DC Impulse.
The remOVE DC Cutter
The remOVE DC Cutter consists of an insulated conducting wire with an exposed tip intended to be passed through the working channel of an endoscope. It is intended to conduct the direct current (DC) supplied by the remOVE DC Impulse, to a previously implanted clip, whereby separation of the clip occurs through resistive heating.
The remOVE DC Cutter is designed to be used only with the remOVE DC Impulse and flexible endoscopes.
The remOVE DC Cutter is part of the remOVE DC Cutter Set.
Dimensions and specifications
|Max. diameter||2.6 mm|
|Appropriate endoscope||Working channel diameter: min. 2.8 mm|
|Items per package||1|
|Reference number of the remOVE DC Cutter Set||400.02.01 (USA 400.02.01s) (incl. remOVE DC Cutter, remOVE SecureCap 12, remOVE Grasper and remOVE Shield)400.02.02 (USA 400.02.02s) (incl. remOVE DC Cutter, remOVE SecureCap 14, remOVE Grasper and remOVE Shield*)|
Application of the remOVE DC Cutter
Step 1: Introduce the remOVE DC Cutter through working channel and establish contact with the clip. When a continuous acoustic signal occurs, press the foot-activated switch once in order to cut the clip. Repeat the procedure at a point of the clip opposite of the first cut.
Step 2: Make sure by endoscopic visualization that fragmentation of the clip at two spots has been successfully accomplished.
Step 3: Mount the remOVE SecureCap onto the endoscope tip. Use the remOVE Grasper to pull the clip fragments into the remOVE SecureCap and remove it from the patient’s body.
Before application the endoscope has to be protected using the remOVE Shield.
Clip removal with AWC®
Clip removal with DC Cutter and an additional grasper through the AWC®
*Source: Prof. Dr. Marc O. Schurr, Ovesco Endoscopy AG, Tuebingen, Germany [In-vivo model]
Situation after endoscopic full-thickness resection with the FTRD® System in sigma. Clip removal for monitoring.
FTRD® clip in the sigmoid colon
remOVE DC Cutter is positioned at the clip bow
The clip bow is effectively cut
The clip is cut at a point opposite of the first cut
Extraction of a clip fragment by using the remOVE Grasper and the remOVE SecureCap
Extracted clip fragments
*Source: Prof. Dr. K. Caca und Dr. A. Schmidt, Klinikum Ludwigsburg, Dept. of Internal Medicine, Gastroenterology, Hämato-Oncology, Diabetes and Infectous Diseases, Germany