FTRD® Grasper

Special grasping forceps to retrieve target tissue during a FTRD® procedure To FTRD® Grasper
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Description

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Use of the FTRD® Grasper

Instrument for flexible endoscopy for grasping and manipulation of tissue and foreign bodies in the gastrointestinal tract, e.g. during interventions with the FTRD®.

The FTRD® Grasper

The FTRD® Grasper is used during endoscopic full-thickness resection with the FTRD®. The FTRD® Grasper are grasping forceps specially developed for the FTRD®. It facilitates both optimal grip on the target tissue and easy retrieval of the sample into the applicator cap of the FTRD®.

FTRD® Set

The FTRD® Grasper is included in each FTRD® Set; however, it can be ordered separately as well (5 items per package).

Dimensions and specifications

For use with the FTRD®For use alone
Max. instrument diameter2.3 mm2.3 mm
Range of the jaws130°130°
Appropriate endoscopesWorking channel diameter: min. 3.2 mmWorking channel diameter: min. 2.8 mm
Items per package1 included in colonic FTRD® Set5
Reference number200.70 (colonic FTRD® Set incl. FTRD® Marking Probe und FTRD® Grasper)200.73

Application of the FTRD® Grasper

  • 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)
  • Check resection site and specimen
  • Disposing of FTRD® components

Application with FTRD® prOVE Cap

  • Mounting of FTRD® prOVE Cap to endoscope
  • Insertion of endoscope to target lesion
  • Insertion of FTRD® Grasper into working channel of the endoscope
  • Checking with FTRD® Grasper if tissue can be mobilized completely into FTRD® prOVE Cap
  • Release tissue, retract FTRD® Grasper and endoscope with FTRD® prOVE Cap from lesion site
  • If possible, start full-thickness resection

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

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

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

Media

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