OverStitch endoscopic suturing device (A). The handle is attached to the double-channel upper endoscope, and the anchor exchange catheter is advanced through the larger accessory channel (B). The distal attachment is secured to the tip of the endoscope, with needle and suture attached to the needle driver arm. A helical tissue grasper is positioned through the smaller accessory channel.
(Courtesy of Apollo Endosurgery, Incorporated, Austin, Texas; with permission)