Fig. 1. This figure illustrates two different techniques for the application of the over-the-scope clips (OTSC) system. The clip can be deployed by the suction technique shown in the top panel or by the anchor technique shown in the bottom panel. By applying endoscopic suction, the application cap secures the tissue and then hemostasis is attained by twisting the hand wheel which releases the entire clip. The anchor technique uses the tissue anchor to draw up the target tissue into the application cap prior to deploying the clip (used with permission, courtesy of Ovesco, Tübingen, Germany).
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