Endoscopic Full Thickness Suturing of Mucosal, Submucosal and Perforation Defects Using Su2ura® GI System

This study will be performed in accordance with the design and specific provisions of this protocol, in accordance with the ethical principles that have their origin in the Declaration of Helsinki, that are consistent with Good Clinical Practice (GCP), Title 21 of the Code of Federal Regulations (21 CFR), part 812 (Investigational Device Exemptions), and the applicable regulatory requirements.

The study will be a prospective, single-center, open study, to evaluate the efficacy and safety of the Su2ura® GI System.

The study will be performed at the Tel Aviv Sourasky Medical Center, Israel. Up to 25 patients will be recruited to the study.

Following resection of the lesion using either endoscopic mucosal resection (EMR) or endoscopic submucosal dissection (ESD), the procedure involves endoscopic insertion of the Su2ura® GI system through the gastroscope working channel, followed by tissue grasping and approximation using sequential deployment of T-Tag Anchors in a predefined suturing pattern. Full-thickness anchors are placed in a controlled manner to achieve safe and effective tissue approximation, after which the suture is secured using the Su2ura® Knot device.

Postoperatively, the patient will be transferred to the recovery area and then to the surgical ward for standard monitoring, with an expected one-night postoperative stay and discharge the following day.

Inclusion criteria

• Age ≥18 years
• Patient is able to provide informed consent .
• Body mass index (BMI) 20-40 kg/m2
• Patient is referred for endoscopic mucosal resection (EMR) or endoscopic submucosal dissection (ESD) of a gastric neoplastic lesion
• Candidate for endoscopic defect closure based on the operating's endoscopist assessment.

Exclusion criteria

• Patient with severe comorbidities likely to limit survival to less than 2 years.
• Patients with INR>1.5
• Patients with PLT< 150
• Patient with known collagen or connective tissue disorders (e.g. scleroderma, marfan syndrome) .
• Pregnant women or those intending to become pregnant during the study period
• Patient with ascites on physical examination or CT scan.
• Patient with varices.
• Patient on peritoneal dialysis.
• Patient with wound-healing disorders.
• Patient with significant coagulation disorders or those requiring anti thrombotic or anticoagulation treatment other than aspirin .
• Patient with autoimmune disorder requiring more than 10 mg of corticosteroid daily .
• Patients in need of immunomodulatory therapy.
• Immunocompromised patients (e.g., HIV/AIDS, organ transplant, chemo- or radiation therapy 6 months prior to recruitment).
• Patient in need of concomitant surgical procedures other than those permitted in the protocol.
• Non-compliance with the study protocol.
• Patient requests to exist the study. -