The OverStitch™ Endoscopic Suturing System enables advanced endoluminal surgery using a flexible endoscope. This allows you to place durable, full-thickness sutures offering your patients stable constructs through a minimally invasive option. With the ability to customize suture patterns, OverStitch™ enables you to lead the way for new and enhanced treatment options for a wide range of bariatric and gastrointestinal procedures.

Key Resources

Explore More Resources

   ESG Physician Brochure
   ESG Clinical Leaflet

How OverStitch™ Endoscopic Suturing System works

Full-thickness sutures incorporate muscle layer to help increase tissue approximation durability.
Customize suture patterns to address simple or complex gastrointestinal and bariatric procedures.

Key Advantages & Features

  • Flexibility - Deploy both running and interrupted stitches allows you to treat a wide range of indications. 
  • Capture tissue - Curved-needle design allows for controlled depth of suture placement and enables the placement of durable, full-thickness sutures. 
  • Interprocedural loading - Deploying and reloading sutures while maintaining direct visualization of the operative site allows for better control and may help to minimize scope insertions/removals. 
  • Cinch - The knotless fixation design provides fast, secure closure without the need to the complex surgical knots.

Usage Recommendations

GI procedures

Traditional clips may offer a quick solution for closing small defects but are limited by their size and rely on mucosal fixation. Using multiple clips to close a larger defect may increase costs. The OverStitch™ Endoscopic Suturing System allows you to close defects and engage healthy tissue giving you advantage to address defects of many sizes and tissue qualities. Full thickness suturing incorporates the muscle layer and allows a stable construct during the healing process. With the ability to customize suture patterns, the OverStitch™ Endoscopic Suturing System allows you to place running sutures to approximate either a small or large area of tissue. Additional sutures can be placed as needed to enhance construct stability.

Bariatric procedures

The OverStitch™ Endoscopic Suturing System allows you to place durable full-thickness sutures in a wide range of endobariatric procedures such as Endoscopic Sleeve Gastroplasty (ESG) and Transoral Outlet Revision. When used to perform ESG, the OverStitch™ System is intended to be used by trained gastroenterologists or surgeons that perform bariatric procedures to facilitate weight loss by reducing stomach volume through ESG in adult patients with obesity who have not been able to lose weight, or maintain weight loss, through more conservative measures.

ESG Clinical Evidence

  • ESG procedure reduces stomach volume and delays gastric emptying, resulting in earlier satiety and weight loss.
  • Patients lose an average of 13.6% of total body weight at 1 year, according to a level 1 clinical evidence study*.
  • The body of evidence supporting the safety, effectiveness, and durability of the ESG procedure has been developed over 10 years and includes both level 1 evidence and large meta-analyses.
  • The Multicenter Endoscopic Sleeve Gastroplasty Randomized Interventional Trial (MERIT) evaluated the safety and effectiveness of ESG versus a medically monitored regimen of diet and healthy lifestyle over a 2-year period.

Ordering Information

Product FamilyCode

Description

Package Qty
OverStitch™ESS-G02-160 OverStitch™ Endoscopic Suture System3 Units
 ESS-G02-SX1OverStitch Sx™ Endoscopic Suturing System 3 Units
 PLY-G02-020-APLOverStitch™ 2-0 Polypropylene Suture 12 Units
 CNH-G01-000 OverStitch™ Suture Cinch 6 Units
 THX-165-028OverStitch™ Tissue Helix6 Units
AccessoriesOVT-027-160 OverTube™ Endoscopic Access System 3 Units
 ES26165-3Ensizor® Endoscopic Scissors (165cm length)3 Units
 ES26235-3Ensizor® Endoscopic Scissors (235cm length)3 Units
 * MERIT Study. The Lancet. 2022
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