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Description
OTSC® application aid for better approximation of tissue especially when indurated .
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
| OTSC® Anchor | OTSC® Anchor 220tt | |
|---|---|---|
 |  | |
| Needle width | 12 mm | 9 mm |
| Stich depth | 4 mm | 2 – 2.5 mm |
| Length | 165 cm | 220 cm |
| Appropriate endoscope | working channel diameter of minimum 2.8 mm to be used alone or 3.2 mm with the OTSC® System Set. | working channel diameter of minimum 2.8 mm to be used alone or 3.2 mm with the OTSC® System Set. |
| Items per package | 1 | 1 |
| Reference number | 200.10 | 200.11 |
Application
Clinical procedure: Use of OTSC® Anchor as a guiding instrument
OTSC® Anchor positioning and tissue fixation; align the OTSC® cap to the lesion by pulling the Anchor and advancing the endoscope
Mobilize the tip of the OTSC® Anchor shaft into cap. Anchor spikes may remain external. Clip release
After clip application detach the OTSC® Anchor from the tissue.
Example*:
Closure of persistent PEG-fistula using the OTSC® Anchor
*Source: Dr. Thomas Kratt, Interventional Endoscopy, Klinik für Allgemeine, Viszeral- und Transplantationschirurgie, University Hospital Tuebingen, Germany
Example of application: Optimized fistula closure
Mucosal incision (circular; not too deep, because of perforation risk) around the fistula opening with the AqaNife (Ø ~ 15 mm)
Positioning of the clip in the incision line
Clip application and closure of the fistula
Example*:
*Source: Meining A. et al. (2015) Erfolgreicher Verschluss einer großen ösophago-bronchialen Fistel durch mukosale Inzision vor OTSC-Clip-Platzierung. Endoskopie heute. Doi: 10.1055/s-0035-1545049
Media
OTSC® Perforation closure
Shows the perforation closure 12 days after POEM with the OTSC® System and the OTSC® Twin Grasper®
OTSC® hemostasis update 3
Research & clinical trials
Research update 28
Research & clinical trials
Application of the OTSC® Anchor
Shows the use of the OTSC Anchor in combination with the OTSC System
Operating mode of the OTSC® Anchor
Shows the use of the OTSC® Anchor (opening and closing)
Application of the OTSC® Twin Grasper®
Shows the use of the OTSC® Twin Grasper® in combination with the OTSC® System
Operating mode of the OTSC® Twin Grasper®
Shows the operation of the OTSC® Twin Grasper®
Follow-up after Clip application
Shows an example of a clinical follow-up after OTSC® clip application
Endoscopic application of the OTSC® System
Shows the usage of the OTSC System and what to watch out for
Set-up of the OTSC® System
Describes step-by-step the set-up of the OTSC System to the endoscope
OTSC® Anchor Video
OTSC application aid – for better approximation of tissue especially when indurate
OTSC® Twin Grasper® Video
OTSC® application aid – for easy approximation of gaping edges of a lesion
OTSC® System Set Video
Describes the OTSC® System Set and its components as well as different cap sizes that are available
OTSC® Clip Video
Description of the different types of clips and their usage
OTSC® System Video
Part II: Treatment of weight regain due to dilation of the gastrojejunostomy after bypass surgery
OTSC® System Video
Part I: Treatment of weight regain due to dilation of the gastrojejunostomy after bypass surgery
OTSC® System Video
Anastomotic fistula after laparoscopic sigmoid resection
OTSC® System Video
Persistent PEG fistula
OTSC® System Video
PEG stoma necrosis
OTSC® System Video
Optimized fistula closure technique
OTSC® System Video
Closure of tracheo-esophageal fistula
OTSC® System Video
Ileum perforation
OTSC® System Video
Rectum perforation from enema
OTSC® System Video
Closure of a leak following revisional sleeve gastrectomy
OTSC® System Video
Closure of colo-anal anastomotic leak
OTSC® System Video
Boerhaave syndrome
OTSC® System Video
Closure of acute iatrogenic sigmoid perforation
OTSC® System Video
Closure of a duodenal perforation
OTSC® System Video
Duodenal bleeding after ERCP
OTSC® System Video
Bleeding from PEG insertion site
OTSC® System Video
Bleeding anastomosis after laparoscopic sigmoid resection
OTSC® System Video
Mallory-Weiss syndrome
OTSC® System Video
Recurrent duodenal ulcer bleeding
OTSC® System Video
Peptic ulcer bleeding in gastric antrum
OTSC® System Video
Ulcer Dieulafoy: oozing bleeding
OTSC® System Video
Treatment of an arterial bleeding
OTSC® System Video
Treatment of relapse bleeding of arteria gastroduodenalis
OTSC® System Video
Overview of all products
OTSC® System
Clinical data
OTSC® System Brochure
More information about the OTSC® System can be found in our brochure
OTSC System® Brochure
Fistula closure
OTSC® System Clinical Bulletin
Information in the treatment of bariatric surgery complications
