Bard EndoCinch: the device, the technique, and pre-clinical studies.

There is, of course, room for improvement. More work is needed to make endoscopic suturing easier, quicker and more reliable. The single most important next goal is to construct a device, which can place multiple stitches without the need to remove the endoscope between each stitch. Devices, which can place two stitches in one go, would be a start. The development of double stitch and multiple stitch devices has been described earlier. The authors are pleased to see two alternative commercial endoscopic sewing devices appear at the last DDW which place two stitches without needing to withdraw the endoscopes--they use a double needle method.