Novel endoscopic over-the-scope clip system

Figure 1 Hexagonal Padlock Clip™ (A) and the push-bottom Lock-It™ delivery system (B).

Figure 2 Post-polypectomy delayed bleeding. Permanent hemostasis was achieved by Padlock Clip™ application (A). At three-month endoscopic follow-up, persistence of the Padlock Clip™ under hyperplastic mucosal proliferation (B).

Figure 3 Rectal ulcer before (A) and after Padlock Clip™ application (B).

Figure 4 Endoscopic view after the Padlock Clip™ displacement (A). Computed tomography control (B) showing the clip (white arrow) positioned at the esophageal edge of the fistula. Rx control (C) after the esophageal self-expandable metal stent release.