OTSC®neo System
OTSC®neo is the next step in the development of OTSC®, an innovative clip system for the endoscopic treatment of gastrointestinal bleeding and for the closure of acute and chronic wall lesions.

LATEST PRODUCTS

+49 (0) 7071 96528 160
service@ovesco.com

What is the OTSC®neo System?

OTSC®neo is based on the OTSC® System, an innovative and clinically established clip system for flexible endoscopy in the upper and lower gastrointestinal tract. Unlike conventional clips that are applied through the working channel (through-the-scope clips), the OTSC®neo System leaves the working channel free for the use of additional application aids.

The shape of the clip and the material properties of the superelastic, biocompatible Nitinol® ensure a larger compression surface and significantly increased tissue compression. The dynamic compression of the clips ensures permanent tissue adaption. At the same time, the shape of the clip protects the tissue, which continues to be supplied with blood.

The application aids, such as the OTSC® Twin Grasper® and the OTSC® Anchor, allow the mobilization of more complex lesions into the cap, such as scarred tissue, fistulas, or perforations, followed by closure with the OTSC®neo System.

Advantages of the OTSC®neo System

The exceptional features and therapeutic functions of the OTSC®neo System are due to its special material and design properties. Compared to through-the-scope clips it offers the following advantages:

  • Dynamic compression and continuous adaption to tissue thickness
  • Larger volume of captured tissue
  • Protection of the compressed tissue
  • Higher compression force at the lesion¹

The handling of the OTSC®neo System is - just like the OTSC® System - simple and comparable with other techniques (e.g. band ligation systems). The caps with clips are available in different sizes and configurations and can therefore be used with all common endoscopes.

OTSC®neo Clips are MR conditional, biocompatible, and can remain in the body as a long-term implant.

¹Kato, M, Jung, Y, Gromski M, Chuttani R, Matthes K. Prospective, randomized comparison of 3 different hemoclips for the treatment of acute upper GI hemorrhage in an established experimental setting Gastrointest Endosc. 2012 Jan;75(1):3-10. doi: 10.1016/j.gie.2011.11.003. PMID: 22196807.

OTSC®neo: Making a great device even better

OTSC®neo is the further development and total performance evolution of the clinically proven OTSC® System. In close dialogue with medical professionals worldwide, we have significantly improved the system with OTSC®neo in the three areas of clinical performance, application, and handling.

Clinical performance

  • Clip optimization leads to additional lateral compression and a larger compression area
  • Improved application even in difficult locations thanks to double-sided clip feed

Application

  • Visual confirmation of clip placement through blue application ring
  • Gentle passage of the cap due to rounded edges of the clip teeth
  • Optimized cap geometry thanks to new application mechanism for improved insertion

Handling

  • Easier access to the working channel, e.g. for rinsing with a syringe
  • Clip rotation during assembly is prevented by the new cap shape
  • Quick and easy assembly thanks to stable handwheel frame and new fixing strap
  • Improved grip thanks to the larger grip surface of the handwheel

Application

Hemostasis

OTSC®neo is superior to standard therapy for hemostasis in non-variceal upper GI bleeding. The vessel stump can be pulled into the cap with the aid of suction and securely closed with the clip, while protecting the tissue. In the case of fibrotic or hard tissue, the OTSC® Anchor can be used as an application aid to mobilize the tissue more easily into the cap.

Perforation closure

The OTSC® Twin Grasper® can be used as an application aid for closing perforations. It can grasp the lesion edges to be better mobilized into the cap and securely closed with the OTSC®neo Clip.

Fistula closure

OTSC®neo is also suitable for closing fistulas. The OTSC® Anchor is placed at the fistula opening, the tissue is then pulled into the cap and securely closed with the OTSC®neo Clip. When treating fistulas, it is advisable to remove the epithelial tissue, e.g. by using APC, a biopsy forceps, or a brush, before applying the clip. For optimized fistula closure, the target tissue can also be incised with the AqaNife® prior to clip application.

Preventive tissue compression after ablation

OTSC®neo can also be used for tissue compression after ablation in the lumen and aims to minimize complications such as bleeding after resection.

Clinical data

Since the market launch of OTSC® in 2008, over 600 clinical publications, including five randomized controlled trials (RCTs), have impressively demonstrated the effectiveness of OTSC®. In particular, the data from the RCTs focusing on hemostasis show the superiority of the system.

TOP