remOVE DC Cutter

Bipolar endoscopic instrument for fragmentation of OTSC® and FTRD® clips To remOVE DC Cutter
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Description

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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

Length220 cm
Max. diameter2.6 mm
Appropriate endoscopeWorking channel diameter: min. 2.8 mm
Items per package1
Reference number of the remOVE DC Cutter Set400.02.01 (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.

0_Cutter-angelegt
1_Clip-durchtrennt_Cutter-angelegt

Step 2: Make sure by endoscopic visualization that fragmentation of the clip at two spots has been successfully accomplished.

2_Clipfragmente

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.

3_Clipfragment-in-SecureCap

Important notes:

Before application the endoscope has to be protected using the remOVE Shield.

Example 1*:

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]

Example 2*:

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

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