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Technical Brief

A Novel Endoscopic Clipping Device for Closing Gastrointestinal Perforation1

[+] Author and Article Information
Chengli Song, Shuchen Ge, Mingyang Li, Shiju Yan, Yu Zhou

Shanghai Institute for Minimally Invasive Therapy,
School of Medical Instrument and Food Engineering,
University of Shanghai for Science and Technology,
Shanghai 200093, China

DOI: 10.1115/1.4033784Manuscript received March 1, 2016; final manuscript received March 17, 2016; published online August 1, 2016. Editor: William Durfee.

J. Med. Devices 10(3), 030905 (Aug 01, 2016) (2 pages) Paper No: MED-16-1102; doi: 10.1115/1.4033784 History: Received March 01, 2016; Revised March 17, 2016

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References

Hayashi, T. , Yonezawa, M. , and Kawabara, T. , 1975, “ The Study on Staunch Clip for the Treatment by Endoscopy,” Gastroenterol. Endosc., 17, pp. 92–101.
Raju, G. S. , and Gajula, L. , 2004, “ Endoclips for GI Endoscopy,” Gastrointest. Endoscopy, 59(2), pp. 267–279. [CrossRef]
Hepworth, C. C. , and Swain, C. P. , 2000, “ Mechanical Endoscopic Methods of Haemostasis for Bleeding Peptic Ulcers: A Review,” Baillieres Best Pract. Res. Clin. Gastroenterol., 14(3), pp. 467–476. [CrossRef] [PubMed]
Grupka, M. J. , and Benson, J. , 2008, “ Endoscopic Clipping,” J. Dig. Dis., 9(2), pp. 72–78. [CrossRef] [PubMed]
Sedarat, A. , 2015, “ Clips for Closure of Full Thickness Defects,” Tech. Gastrointest. Endoscopy, 17(3), pp. 129–135. [CrossRef]
Raju, G. S. , 2014, “ Endoscopic Clip Closure of Gastrointestinal Perforations, Fistulae, and Leaks,” Dig. Endoscopy, 26(S1), pp. 95–104. [CrossRef]
Chuttani, R. , Barkun, A. , Carpenter, S. , Chotiprasidhi, P. , Ginsberg, G. G. , Hussain, N. , Liu, J. , Silverman, W. , Taitelbaum, G. , and Petersen, B. , 2006, “ Endoscopic Clip Application Devices,” Gastrointest. Endoscopy, 63(6), pp. 746–750. [CrossRef]
Yeh, R. W. , Kaltenbach, T. , and Soetikno, R. , 2006, “ Endoclips,” Tech. Gastrointest. Endoscopy, 8(1), pp. 2–11. [CrossRef]
Kirschniak, A. , Subotova, N. , Zieker, D. , Königsrainer, A. , and Kratt, T. , 2011, “ The Over-the-Scope Clip (OTSC) for the Treatment of Gastrointestinal Bleeding, Perforations, and Fistulas,” Surg. Endoscopy, 25(9), pp. 2901–2905. [CrossRef]
Bittinger, M. , and Messmann, H. , 2008, “ Endoscopic Therapy With a Novel Multiple Clip Applicator (Clipmaster3) in the Upper and Lower GI-Tract,” Gastrointest. Endoscopy, 67(5), p. AB146. [CrossRef]

Figures

Grahic Jump Location
Fig. 1

Design of the novel endoscopic clipping device: (a) execution part (5 mm in outer diameter), including cartridge andclamp, (b) handle and outer sheath, and (c) four clips were linearly arranged in cartridge (8 × 2.5 × 1 mm3 for each clip)

Grahic Jump Location
Fig. 2

Operating steps of the device: (a) pulling the slot to open the clamp, (b) pushing the slot to squeeze the tissue, (c) pushing the button to advance a clip, and (d) releasing the succeeding clips by repeating the operations

Grahic Jump Location
Fig. 3

Burst pressures (median and range) for clips and hand suturing

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