Optimized technique for treatment of GI fi stulas

• reduced tissue tension around the fi stula opening

• more effective tissue compression

• increased healing probability of the fi stula

Fistula closure with the OTSC® System

www.ovesco.com

English version 1 | 2017-09-27

Ovesco Endoscopy AG

Dorfackerstr. 26

72074 Tuebingen

Germany

Phone +49 (0) 7071 96528-160

Fax +49 (0) 7071 96528-260

E-Mail service@ovesco.com

Optimized fistula closure

Application

New technique for a more effective fistula closure with the OTSC® clip by

primary superficial incision of the mucosa at the fistula opening

The OTSC® System is already used routinely for the treatment of fi stulas and achieves very good results.

However, in case of fi brotic tissue, clip application and therefore closure of the fi stula tract may be impeded.

For the treatment of otherwise refractory fi stulas, a new fi stula closure technique consisting of primary

superfi cial incision of the mucosa and subsequent OTSC application is available. This procedure offers

convincing advantages:

• Reduced tissue tension around the fi stula opening

• More effective tissue compression at the fi stula opening and the underlying fi stula tract

• Scoring the fi stula opening through incision creates a fresh lesion, which can potentially

promote healing

Mucosal incision (circular)

around the fi stula opening

with the AqaNife (Ø~15 mm).

Positioning of the clip in

the incision line.

superfi cial incision

Clip application and

closure of the fi stula.

OTSC® is a registered brand of Ovesco Endoscopy AG.

Source: Meining A. et. al (2015) Erfolgreicher Verschluss einer großen ösophago-bronchialen Fistel durch mukosale Inzision vor OTSC-Klipp-Platzierung. Endoskopie heute. doi: 10.1055/s-0035-1545049.

*The incision must not be too deep, because it bears the risk of perforation!

schematic

clinical example

Ovesco Endoscopy AG is a medical device company specializing in the fi elds of fl exible endoscopy and

endoluminal surgery. Ovesco develops, manufactures, and markets innovative products for the treatment

of gastrointestinal disease. Ovesco products stand for therapeutic effi cacy and effi cient application.