Full-Thickness Resection Device for flexible endoscopy

The FTRD® System enables endoscopic full-thickness resection (EFTR) of lesions and diagnostic tissue acquisition in the colon and rectum (colonic FTRD®/diagnostic FTRD®) respectively in the stomach and duodenum (gastroduodenal FTRD®). It offers: • • • • Transluminal and minimally invasive technique Enhancing the spectrum of resection techniques1 Improving histological diagnosis2 Complete set for endoscopic full-thickness resection procedure FTRD® System Full-Thickness Resection Device for flexible endoscopy It is based on the well-established OTSC® System and enables the removal of suitable lesions...

The gastroduodenal FTRD® is a smaller FTRD® System for endoscopic full-thickness respectively deep partial-wall resection (especially in the stomach) and diagnostic tissue acquisition in the stomach and duodenum. For an easier and safer insertion of the system into the upper GI tract (esophageal / pyloric passage) the gastroduodenal FTRD ® Set is delivered with an insertion balloon and guide wire. The clip of the gastroduodenal FTRD ® has been modified especially for the application in the duodenum and stomach. The gastroduodenal FTRD ® can find application in: • not pretreated non-lifting adenoma...

The diagnostic FTRD® is a smaller FTRD® System for full-thickness biopsy in the colon and rectum e.g. for diagnostic purposes. It enables histology in functional diseases in the colonic wall e.g. for neuro- gastroenterological examination. Full-thickness biopsies allow accurate histological presentation of enteric neurons and can provide important insights into the diagnosis of motility disorders. Full-thickness biopsy finds application in: • Hypo- and aganglionosis (e.g. Hirschsprung’s disease) • Enteric ganglionitis • Visceral neuro- and myopathy (e.g. in chronic constipation) • Gastrointestinal...

The colonic FTRD® is an instrument for flexible endoscopy for full-thickness resection and diagnostic tissue acquisition through resection of suitable lesions in the colon and rectum. The colonic FTRD ® can find application in: • not pretreated non-lifting adenoma • non-lifting recurrent adenoma • adenoma at the base of the appendix • adenoma at/in diverticula • small subepithelial tumors • early carcinoma Endoscopic full-thickness resection in the colon Upper row: De novo resection after incomplete polypectomy in the descending colon (early carcinoma). Lower row: Resection of a recurrent adenoma...

Details and components The respective FTRD ® Sets (colonic, diagnostic, gastroduodenal) are delivered as procedural set and consist of the following products: • • • • • • • • • FTRD ® cap with preloaded clip and thread snare integrated into the distal end of the cap FTRD ® hand wheel thread retriever endoscope sleeve with fixation tapes FTRD ® Marking Probe FTRD ® Grasper insertion balloon (only gastroduodenal FTRD ®) guide wire (only gastroduodenal FTRD ®) HF coagulation probe for marking the target lesion before using the FTRD ® System. Marking will facilitate both finding the lesion and verify...