colonic FTRD®

colonic FTRD® for full-thickness resection in colon and rectum To colonic FTRD®
Category:

Description

07071 96528 160
service@ovesco.com

Use of the colonic FTRD®

Instrument for flexible endoscopy, for full-thickness resection and diagnostic tissue acquisition through removal of suitable lesions in the colorectum.

The colonic FTRD®

The colonic FTRD® consists of an applicator cap with a ready-to-use mounted FTRD® clip, integrated HF snare and thread. Included are the thread retriever for easy retrieval of the release thread, the endoscope sleeve with fixation tapes and FTRD® hand wheel.

For application, the applicator cap is mounted on the endoscope with the snare running on the outside of the scope and the sleeve preventing entrapment of any tissue between scope and snare. By turning the hand wheel, the thread is tensioned and the clip released. Using the integrated snare, the target tissue is cut above the clip.

The size of the colonic FTRD® is suitable for endoscopes with a diameter of 11.5 – 13.2 mm and a working channel diameter of at least 3.2 mm.

The colonic FTRD® Set

The colonic FTRD® is delivered as one procedure set and consists of the following products:

  •  colonic FTRD®
    – elongated OTSC® System cap (size 14) with preloaded clip and thread
    – FTRD® snare integrated into cap’s distal end
    – FTRD® hand wheel
    – thread retriever
    – endoscope sleeve with fixation tapes
  •  FTRD® Marking Probe
  •  FTRD® Grasper

Dimensions and specifications

Cap diameter (outside)21 mm
Cap depth23 mm
Appropriate endoscopesEndoscope diameter: 11.5 – 13.2 mm
Working channel diameter: min. 3.2 mm
Packaging unit1 piece included in colonic FTRD® Set
Reference number of the colonic FTRD® Set (incl. FTRD® Marking Probe und FTRD® Grasper)200.70

Important notes

The colonic FTRD® is compatible with all commercially available colonoscopes. All FTRD® products are disposable and designed for single patient use.

Before purchase and use of the colonic FTRD®, it is obligatory to participate in one of our FTRD® training courses.

Application of the colonic FTRD®

Application Process: Full-Thickness Resection

  • Marking of lesion (FTRD® Marking Probe)
  • Mounting of FTRD® to endoscope
  • Insertion of endoscope to resection site
  • Connect snare and HF generator
  • Positioning on resection site with endoscope
  • Grasping of tissue and mobilizing into cap (e.g. with FTRD® Grasper)
  • Ensure marked tissue is completely in cap
  • Fix FTRD® Grasper
  • Application of clip
  • Removal of security lock of FTRD® snare
  • Close snare
  • Resection of tissue with HF
  • Removal of endoscope with resection specimen (in cap)
  • heck resection site and specimen
  • Disposing of FTRD® components

Example 1*:

Procedural sequence eFTR of a recurrent sessile adenoma (non-lifting sign) in the descending colon

Markierung der Läsion (mit FTRD® Marking Probe) bevor das FTRD® montiert wird

Marking of the lesion (with FTRD® Marking Probe) before mounting the FTRD®

 

Greifen der Läsion mit dem FTRD® Grasper

Grasping of the target tissue with the FTRD® Grasper

 

Sicherstellen, dass sich das Zielgewebe vollständig in der FTRD® Kappe befindet und Clipapplikation durch Drehen des Handrads.

Retrieval of target tissue into cap and fixation

 

Gewebe in die Kappe hineinziehen und fixieren

Confirm that target tissue is completely within the FTRD® cap and release clip by turning the hand wheel

 

Schließen der Schlinge und HF-Resektion des Zielgewebes; Bergen des Resektats und Überprüfen der Resektionsstelle

Closure of snare and electrical cut of tissue; retrieval of resected sample and, check of resection site

*Source: Prof. Dr. K. Caca and Dr. A. Schmidt, Klinikum Ludwigsburg, Dept. of Internal Medicine, Gastroenterology, Hemato-Onkology, Diabetes and Infektious Diseases, Germany

Example 2*:

De novo resection after incomplete polypectomy in the descending colon (early carcinoma)

Zustand nach inkompletter Polypektomie im Colon descendens (Frühkarzinom

Status after incomplete polypectomy in the descending colon (early carcinoma)

 

Mit Koagulationspunkten markierte Läsion

Tissue marked with FTRD® Marking Probe

Resektionsstelle nach FTRD®-Einsatz (Gewebe zuvor mit Tusche markiert)

Resection site after FTRD® procedure (tissue previously marked with Indian ink)

 

*Source: Prof. Dr. K. Caca and Dr. A. Schmidt, Klinikum Ludwigsburg, Dept. of Internal Medicine, Gastroenterology, Hemato-Onkology, Diabetes and Infektious Diseases, Germany

Example 3*:

Resection of a relapsed adenoma (HGIEN) in the descending colon (non-lifting sign)

Adenomrezidiv im Colon descendens, Non-lifting sign

Relapsed adenoma in the descending colon, non-lifting sign

 

Zustand nach Vollwandresektion mit FTRD®, alle Darmwandschichten sind im Querschnitt zu sehen

FTRD® resection site: all layers of the bowel wall to be identified in cross section

 

Vollwandresektat, ca. 2,5 cm

Full-thickness sample, approx. 2.5 cm

 

Histologie zeigt komplett entferntes Adenomrezidiv, HGIEN

Histology: completely resected recurrent adenoma, HGIEN

 

*Source: Prof. Dr. K. Caca and Dr. A. Schmidt, Klinikum Ludwigsburg, Dept. of Internal Medicine, Gastroenterology, Hemato-Onkology, Diabetes and Infektious Diseases, Germany

Media

Other products of the FTRD® System product family

TOP