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Padlock Clip® Defect Closure System

  • Features an over-the-scope endoscopic clip designed to encircle, lift, close, and heal tissue defects
  • Attaches to the outside of the endoscope
  • Provides an open and free instrument channel for optimal endoscope suction and utilization of through-the-scope devices
  • Deploys via a "push of the thumb",  one hand actuation
  • GI (gastrointestinal) clip lays flat against the tissue once deployed
  • Labeled magnetic resonance (MR) conditional – a patient can be safely scanned in an MR system with static magnetic field of 1.5. and 3 Tesla

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The Padlock Clip defect closure system is an endoscopic hemostatic clip that facilitates full circumferential tissue closure. This over-the-scope clip features a hemostatic clip designed to encircle, lift, close, and heal tissue defects.

How the Padlock Clip Defect Closure System Works

Endoscopic clips or hemostatic clips are widely used in GI endoscopy to treat bleeds and tissue defects. The over-the-scope Padlock Clip system features one endoscopic clip that works by lifting and compressing tissue to provide defect closure:

The Padlock Clip system lifting and compressing tissue from a target lesion to provide defect closure.

Dating back to 2010, the Padlock Clip system was initially investigated for closure of gastrotomies for natural orifice surgery (NOTES) procedures. Since then, this over-the-scope endoscopic clip has successfully been used for the treatment of a variety of conditions including:

  • GI Bleeds: Rectal ulcers, polypectomy and endoscopic mucosal resection (EMR) sites, post-band ulcerations, angiodysplasias, duodenal ulcers, and gastric ulcers
  • Fistulas: Enterocutaneous fistulas, rectovesical fistulas, rectocutaneous fistulas, gastrocutaneous fistulas following PEG tube removal, tracheo-esophageal fistulas
  • Latrongenic perforations: Duodenal perforation following biliary stent migration, diverticular perforation during screening colonoscopy
  • Anastomotic leaks: Following anterior resection, total colectomy, sigmoid colectomy

Please reference the videos tab for more information on how to set up the Padlock Clip system or to view the device in use during multiple clinical situations.

Why the Padlock Clip Defect Closure System?

The over-the-scope Padlock Clip system...

  • Features an over-the-scope endoscopic clip designed to encircle, lift, close, and heal tissue defects
  • Attaches to the outside of the endoscope
  • Provides an open and free instrument channel for optimal endoscope suction and utilization of through-the-scope devices
  • Deploys via a "push of the thumb" one hand actuation
  • Lays flat against the tissue once deployed
  • Labeled MR conditional – a patient can be safely scanned in an MR system with static magnetic field of 1.5. and 3 Tesla*

*

A patient with this device can be safely scanned in an MR system meeting the following conditions. Failure to follow these conditions may result in injury to the patient.

Non-clinical testing has demonstrated the Padlock Clip® defect closure system and Padlock Clip Pro-Select® defect closure system implants are MR Conditional

Name/Identification of device

Padlock Clip® defect closure system
Padlock Clip Pro-Select® defect closure system

Nominal value(s) of Static Magnetic Field [T]

1.5T and 3.0T

Maximum Spatial Field Gradient [T/m and gauss/cm]

19T/m (1900 gauss/cm)

Maximum MR System Whole-Body averaged specific absorption rate (SAR) [W/kg]

2.0 W/kg

Limits on Scan Duration

Under the scan conditions defined above, the device is expected to produce a maximum temperature rise of less than or equal to 3°C after 15 minutes of continuous scanning.

MR Image Artifact

In non-clinical testing, the image artifact caused by the device extends radially up to 0.6cm and 0.9cm (respectively) from the device when imaged with a gradient of echo pulse sequence in a 1.5T MR system and a gradient echo pulse sequence in a 3.0T MR system

Product Number Description Length Endoscope Tip Diameter Tissue Chamber Diameter Tissue Chamber Depth Unit/Box


C910001 Padlock Clip® Defect Closure Device 162cm 9.5-11mm 1.1cm 1.0cm 1
C913131 Padlock Clip Pro-Select® Defect Closure Device 162cm 11.5, 12.0, 12.5, 13.0, 13.5, 14.0mm 1.1cm 0.4, 0.8, 1.1, 1.3, 1.5, 1.9cm 1

Mind the Gap: Evolving Role of Over-the-Scope Clips (the Padlock Clip®)

 


Endoscopic Treatment of Leaks and Fistulas: the Padlock Clip® System

 


Endoscopic Defect Closure: Clinical Scenarios & Technical Tips

 


Padlock Clip® defect closure system - closure of a tracheoesophageal fistula

 


Padlock Clip® defect closure system – closure of a iatrogenic duodenal perforation

 


Padlock Clip® defect closure system – closure of a enterocutaneous fistula

 


Padlock Clip® defect closure system – closure of a gastrocutaneous fistula

 


Padlock Clip® defect closure system – closure of colonoscopic perforation

 


Padlock Clip® defect closure system - endoscopic closure of an esophageal perforation

 


Padlock Clip® defect closure system - mounting and deployment

 


Padlock Clip® defect closure system - colon closure

 


Padlock Clip® defect closure system - gastric closure

 

INSTRUCTIONS FOR USE
Document # Document Title
PADLOCK CLIP IFU
BROCHURE
Document # Document Title
NEW & FEATURED BROCHURE US 2020
NEW & FEATURED BROCHURE INTL 2020
ADVANCED POLYPECTOMY AND ELECTROSURGERY BROCHURE
SELL SHEET
Document # Document Title
PADLOCK CLIP US SS
PADLOCK CLIP INTL SS
QUICK START GUIDE
Document # Document Title
PADLOCK CLIP QRG
ARTICLE ABSTRACT
Document # Document Title
PADLOCK CLIP ARTICLE ABSTRACT - GASTROTOMY CLOSURE WITH THE LOCK-IT SYSTEM AND THE PADLOCK-G CLIP
PADLOCK ARTICLE ABSTRACT - NATURAL ORIFICE TRANSLUMINAL ENDOSCOPIC SURGERY
PADLOCK ARTICLE ABSTRACT - NOVEL ENDOSCOPIC OVER-THE-SCOPE CLIP SYSTEM
PADLOCK ARTICLE ABSTRACT - SUCCESSFUL ENDOSCOPIC CLOSURE OF IATROGENIC DUODENAL PERFORATION
PADLOCK ARTICLE ABSTRACT - YES, WE CAN: RELIABLE COLONIC CLOSURE WITH THE PADLOCK
PALDOCK ARTICLE ABSTRACT - ENDOSCOPIC CLOSURE OF A REFRACTORY GASTROCUTANEOUS FISTULA
PADLOCK ARTICLE ABSTRACT - ENDOSCOPIC CLOSURE OF ANTERIOR RESECTION ANASTOMOTIC DEHISCENCE
PADLOCK ARTICLE ABSTRACT - SUCCESSFUL ENDOSCOPIC CLOSURE OF A GASTROCUTANEOUS FISTULA
PADLOCK ARTICLE ABSTRACT - ENDOSCOPIC CLOSURE OF A PERSISTENT ANASTOMOTIC LEAK
PADLOCK ARTICLE ABSTRACT - A NOVEL ENDOSCOPIC TREATMENT FOR ANASTOMOTIC LEAKAGE POST ANTERIOR RESECTION
PADLOCK ARTICLE ABSTRACT - A NOVEL METHOD FOR CLOSURE OF A PERSISTENT GASTROSTOMY FEEDING SITE
PADLOCK ARTICLE ABSTRACT - FIRST CLINICAL EXPERIENCES WITH A NOVEL ENDOSCOPIC OVER-THE-SCOPE CLIP
CASE STUDY
Document # Document Title
PADLOCK CLIP CASE REPORT - CLOSURE OR A LARGE GASTRIC ULCER
PADLOCK CLIP CASE REPORT - ENDOSCOPIC CLOSURE OF AN ACCIDENTAL ESOPHAGEAL PERFORATION
PADLOCK CLIP CASE REPORT - ENDOSCOPIC CLOSURE OF AN ANASTOMOTIC LEAK
PADLOCK CASE SERIES - DR. HODGDON
PADLOCK CASE REPORT - DR. DIEHL - COLON PERFORATION CLOSURE
PADLOCK CASE REPORT - DR. TZIMAS - ENDOSCOPIC MANAGEMENT OF POST-BAND ULCERATION
PADLOCK CASE REPORT - DR. DIEHL - ENDOSCOPIC CLOSURE OF A BLEEDING POLYPECTOMY SITE

The product descriptions and information appearing on this webpage (and the associated web links) are for informational purposes and relate solely to Padlock Clip Defect Closure Systems advertised and sold in the US and International markets outside of Germany. For descriptions and information relating to STERIS Endoscopy products advertised and sold in Germany, see https://www.steris.com/healthcare/products/endoscopy-devices/german.

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