The OTSC system consists of the OTSC clip, the OTSC applicator mechanism with respective accessories and specific OTSC application aids.

The OTSC applicator cap is mounted to the tip of the endoscope. Different sizes are available for gastroscopes and colonoscopes. The clip is preinstalled on the cap and is released at the target site by means of a thread connected to the hand wheel at the handle of the endoscope. Reloading the cap is possible in the same procedure.

To facilitate targeting of lesions, e. g. in the treatment of hemorrhage, the OTSC tissue anchor allows precise alignment between the target tissue and the applicator cap.

The OTSC twin grasper has two separate jaws and can be used for approximating digestive organ wound margins before release of the OTSC clip.

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