OTSC System Inservice Slides 012919

Designed to ensure you are prepared to treat all GI bleeding or closure
situations, wherever you are in the GI tract.

The OTSC® System is intended for:
• Endoscopic treatment of
gastrointestinal hemorrhage
• Closure of acute wall lesions
• Closure of chronic wall lesions

Tried, Tested & Trusted
• The OTSC® System has been featured on the cover of
multiple peer-reviewed journals
• To date, there have been over 400 clinical publications
on the OTSC® System confirming clinical effectiveness
in a multitude of clinical situations (peptic ulcers,
dieulafoy lesions, Mallory Weiss tears, fistula and
perforation closures, etc…)
• Clinical evidence indicates that OTSC® is superior to
standard treatment for high risk NVUGIB and authors
recommend OTSC® as first-line treatment for HR-AO
bleeding.

Case example: 11/6t for acute, spurting (F1a) duodenal ulcer bleeding

Functional principles of the OTSC®: dynamic compression
• The OTSC® clip is a superelastic nitinol clip which
compresses the tissue in between its teeth and enables
dynamic closure rather than static closure.
• Unlike fixed sutures, the OTSC® clip maintains
consistent compression while adapting continuously to
the thickness of the tissue; even when the volume of the
tissue is shrinking over the healing course.
• The space between the teeth allow micro-perfusion of
the clipped tissue. Therefore no necrosis of the tissue
occurs.

OTSC® Specifications
because one size doesn’t fit all……

OTSC® Specifications
because one size doesn’t fit all……

OTSC® Specifications
because one size doesn’t fit all……

OTSC® Specifications- Labeling
because one size doesn’t fit all……

mini OTSC
• Smaller version of the OTSC System
• Applications – access difficulties and smaller anatomical considerations
• Designed with the ring deployment mechanism of the FTRD System
• Reduced OD maximum width of 17.13 mm (OTSC size 11) to 14.65 mm
• Compatible with endoscopes: 8.5 – 9.8 / 10 mm
• Smaller size OTSC clip: 10a und 10t – 3mm depth cap only
OTSC 11t
mini OTSC 10t
mini OTSC System (left)
OTSC System 11 (right)

OTSC® Application: Suction Technique
In most GI bleeding situations, tissue can be mobilized and
securely pulled inside the application cap by simply applying
endoscopic suction. Once the target tissue is captured inside
the cap, hemostasis is achieved by simply turning the
handwheel to release the OTSC® clip around the captured
tissue.

OTSC® Application: Suction Technique
Case example: hemostasis of diverticula bleeding in the sigmoid colon (using suction)
Source: Dr. Thomas Kratt, Interventional Endoscopy, Klinik für Allgemeine, Viszeral- und Transplantationschirurgie, University Hospital Tübingen, Germany

OTSC® Application: Anchor Technique
In cases of fibrotic or hard tissue (e.g. ulcers) or
tangential application, the OTSC® Anchor can be
valuable in precisely pulling the targeted tissue
inside the cap and keeping it fixed during clip
release.

OTSC® Application: Anchor Technique
Grasping of fistula opening
(here pre-treated with
APC) with OTSC® Anchor
Cap is positioned on the
lesion (Anchor is used as a
guide)
Retracting the shaft of the
OTSC® Anchor into cap; clip
application
Closure of fistula opening with
the OTSC® clip
Case example: closure of persistent PEG-fistula using the OTSC® Anchor
Source: Dr. Thomas Kratt, Interventional Endoscopy, Klinik für Allgemeine, Viszeral- und Transplantationschirurgie, University Hospital Tübingen, Germany

OTSC® Application: Twin Grasper® Technique
The OTSC® Twin Grasper® facilitates the
approximation of opposing edges of a lesion (e.g.
perforations) before release of the OTSC® clip. The
Twin Grasper® has two jaws that can be opened
independently of each other.

OTSC® Application: Twin Grasper® Technique
Locate the perforation
Grasp each edge of the perforation, each with one jaw of the
OTSC® Twin Grasper®
Closure of perforation with the
OTSC® clip
Case example: closure of a colonic perforation using the OTSC® Twin Grasper®
Source: Dr. Thomas Kratt, Interventional Endoscopy, Klinik für Allgemeine, Viszeral- und Transplantationschirurgie, University Hospital Tübingen, Germany

OTSC® v. The Competition (Padlock)
There is a reason why OTSC is the market leader!!
• Proven clinical results
• 100,000+ clinical cases
• 400+ Clinical Publications
• Ovesco–OTSC product family portfolio
(Padlock - 2 cap sizes do not fit all clinical needs)
• 4 cap and clip sizes (mini, 11,12,14)
• 2 cap depth designs (3mm, 6mm)
• 3 clip configurations (A, T, GC)
• Proprietary tissue grasping devices
• Ovesco is the FTRD® company
• Ovesco has the remOVE System
• Ovesco has more to come………

Ovesco Endoscopy USA Contact information
Ovesco Endoscopy USA
120 Quade Dr.
Cary, NC 27513
Phone: 919 651 9449
customerservice@ovesco-usa.com
www.ovesco.com