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 EndoscopeWorking 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 Slim 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, using either a syringe or irrigation pump. A variety of knife tip options and lengths are available, suitable for different needs, and each enabling ample suction capability and smooth scope insertion.

FlushKnife Ball Tip Type

Model Name	DK2620JI	DK2623JI
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	2000mm	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	DH-096ST	DH-28GR	DH-29CR	DH-30CR	DH-33GR	DH-34CR	DH-35GZ	DH-38CZ	DH-39CZ	DH-40GR
Distance from Endoscope tip	6.0mm	7.0mm	7.0mm	7.0mm	7.0mm	7.0mm	2.0mm	2.0mm	2.0mm	8.3mm
Inner diameter of distal end	8.0mm	8.0mm	8.0mm	8.0mm	7.0mm	7.0mm				7.0mm
Distal End of diameter of compatible endoscopes	9.2mm	9.6-9.9mm	10.5-11.1mm	11.7-12.8mm	9.8-10.5mm	11.5-12.0mm	9.9mm	11.5- 12.0mm	12.0- 12.8mm	9.8-10.5mm
Number of drains	2	2	2	2	1	1	1	0	0	1
Pieces Per Pack	5	5	5	5	5	5	10	10	10	5
Fujifilm Compatible endoscopes	EG-760R, GIF-H190	EG-760Z, EC-740T/L	EC-760P-V/L, EG-760CT	EC-600WL-v2, EC-600HL, EC-760R-V/L, EC-760Z-V/L, EC-760ZP-V/L, EC-760S-V/L	EG-760Z, EG-760CT, EC-740T/L	EC-760R-V/L, EC-600WL v2, EC-760ZP-V/L, EC-600LS	EG-760Z	EC-760R-V/L, EC-600WL v2, EC-760ZP-V/L, EC-600LS	EC-760Z-V/L, EI-740D/S, EC-760S-V/L	EC740T/L, EG-760Z, EG-760CT

EndoGel

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	65kPa 9.4psi or 488mmHg)
Applicable endoscopes	Fujifilm endoscopes for GI tract
Gas In Use	CO₂ gas for medical use