Endoscopic Single-Use Devices

Third Space Endoscopy Devices

Simplifying TSE. Advancing Endoscopy.

Fujifilm offers devices designed for performance in a variety of Third Space Endoscopy (TSE) applications and emerging techniques. Fujifilm’s third space endoscopy single-use device portfolio includes TRACMOTION, ClutchCutter, FlushKnife, and a full line of distal end hoods, as well as a unique training simulator – EndoGel. Whether you are an experienced third space endoscopist, or you are starting to consider adding capabilities to conduct TSE procedures in your practice, Fujifilm devices support your endeavors.

The TRACMOTION single-use retraction device for Endoscopic Submucosal Dissection (ESD) is designed to facilitate enhanced visualization and simplify the lesion excision process to allow for greater control and maneuverability during ESD procedures.

TRACMOTION is equipped with 360° rotatable jaws, enabling easy grasping and re-grasping of large lesions during ESD, simplifying the lesion extraction process and offering the potential to reduce ESD procedure time.

With TRACMOTION, an endoscopist uses simple, single-hand movements to control the distal end of the  device independent of the endoscope’s movement. TRACMOTION can hold tissue during ESD without  complicated locking mechanisms to add efficiency during the procedure, and may allow for en bloc extraction while reducing the amount of lifting agent, the number of device exchanges, and the procedure time.

What sets TRACMOTION apart?

  • 360° rotation
  • Ability to grasp & re-grasp tissue
  • Precise movement in channel, independent of endoscope’s movement
  • No locking mechanisms needed
  • Single operator capability
  • Simple, intuitive, single-hand movements
  • Potential for easier, faster procedures with better visualization

TRACMOTION Product Specifications

Maximum Insertion Portion Outer Diameter Working Length
3.6mm 1,240mm

Compatible Endoscope Specifications

Number of Instrument Channels Minimum Instrument Channel Diameter Working Length
2 3.7mm 1,030mm


The ClutchCutter® is designed for incision, dissection and coagulation with a single instrument. Rotatable, toothed jaws help the device to easily and precisely grasp the mucosal tissue.


Identifier DP2618DT-35 DP2681DT-50
Jaw Length 3.5mm 5.0mm
Working Length 1800mm 1800mm
Max. Outside Diameter
of Insertion Portion
2.7mm 2.7mm
Scope Compatibility
Instrument Channel Diameter of Compatible Endoscope
Working Length
2.8mm or larger


1400mm or less

2.8mm or larger


1400 mm or less

Electrosurgical Unity Compatibility ERBE VIO 300 D, ERBE ICC 200 ERBE VIO 300 D, ERBE ICC 200

Versatile and efficient, the FlushKnife is capable of carrying out multiple ESD applications, from marking to coagulation. The tip flush function enables the supply of sterile water or saline to the distal end of the knife or target site, either using a syringe or irrigation pump. In addition, a variety of knife tip options and lengths are available, suitable for different needs.

Flushknife Ball Tip Type

Model Name DK2618J DK2623J
Identifier B15 | B20 | B25 | B30 B15 | B20
Knife Length 1.5mm | 2.0mm | 2.5mm | 3.0mm 1.5mm | 2.0mm
Sheath Color Green | Blue | Yellow | Black Green | Blue
Working Length 1800mm 2300mm
Max Diameter of Insertion Portion 2.7mm 2.7mm
Instrument Channel Diameter of Compatible Endoscope Θ2.8mm or larger Θ2.8mm or larger



Fujifilm’s sterilized hoods are designed to maintain a clear, unobstructed field of view during Third Space Endoscopy procedures. The soft silicone material used in Fujifilm hoods improves flexibility and makes hood attachment and detachment smooth. These devices are available in many shapes and sizes, offering compatibility with a wide range of endoscopes and TSE knives.

Included in the portfolio are Fujifilm ST Hoods (Small caliber Transparent) which are ideal for tunneling, and Fujifilm blackened hoods which are designed for magnification and exam. Refer to the product specifications table below for additional information.


Model Name DH28GR DH-29CR DH-30CR DH-34CR DH40GR DH-35GZ DH-38CZ
Outer Diameter 11.5mm 12.4mm 13.8mm 13.6mm 11.8mm 11.5mm 13.4mm
Distance from Endoscope tip 7.0mm 7.0mm 7.0mm 7.0mm 8.3mm 2.0mm 2.0mm
Distal End of diameter of compatible endoscopes 9.6-9.9mm 10.5-11.1mm 11.7-12.8mm 11.5-12.0mm 9.8-10.5mm 9.9mm 11.5-12.0mm
Number of drains 2 2 2 1 1 1 0
Hood Color/shape Clear/Tapered Clear/Tapered Clear/Tapered Clear/Guide Groove Clear/Asymmetrical Black/Straight Black/Straight
Pieces Per Pack 5 5 5 5 5 10 10
Fujifilm Compatible endoscopes EG-760Z

















EG-760Z EC-600LS

EC600WL v2




EndoGel: A Novel Simulator for TSE Procedure Training

EndoGel offers endoscopists a unique and innovative training model for Endoscopic Submucosal Dissection (ESD) and Peroral Endoscopic Myotomy (POEM) procedure types. EndoGel simulates the texture of human tissue involved in these kinds of procedures to help provide a life-like simulation.

EndoGel Simulator Benefits

  • EndoGel can be used to practice marking, local injection, circumferential incision, submucosal dissection, myotomy, and clipping
  • EndoGel can be used with a variety of medical devices intended for use during ESD and POEM procedure types, including high frequency apparatus
  • EndoGel is made with non-biological materials, eliminating risk of infection

CO2 Regulator

Endoscopic CO2 Regulator offering an optimized and easy to handle procedure.

Featuring a compact design, the GW-100 enables delivery of CO2 insufflation for a patient-friendly examination. Multiple medical gas sources are supported, including connection to CO2 gas cylinders as well as medical gas pipeline systems.

GW-100 CO2 Regulator

Power Supply 100-240VAC 50/60Hz
Power Consumption (rated) 0.3A
Dimensions 5.7’x6.7 x 15.4″ (WxHxD)
Weight 15.4 lbs
Maximum gas/water
supply pressure
9.4psi or 488mmHg)
Applicable endoscopes Fujifilm endoscopes for GI tract
Gas In Use CO2 gas for medical use


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