Our Solution:
A Triangulation Platform

The solution is comprised of two CE-marked products : (1) endomina® triangulation platform and (2) TAPES suturing unit. This combination of products is called the “endomina.”

Currently, endoscopists are limited in their surgical possibilities; as traditional endoscopes have the therapeutic channels ‘locked’ in the endoscope axis, leaving the endoscopist single-handed. The endomina provides degrees of freedom comparable to the hands of a surgeon, enabling enhanced maneuverability.

The endomina is the only triangulation technology that can be assembled and disassembled at will inside the stomach for a greater working space and easy introduction of instruments into the esophagus.³

The triangulation platform enables an endoscopist to position different instruments relative to one another.

Forceps can be used to grab and pull tissue inside endomina to make a plication.

With endomina, pairs of tissue plications can be approximated and stitched to one another.

The Benefits: Enabling True Transoral Surgery

Extending one’s reach through the endomina platform, an endoscopist will be able to perform suturing similiar to a laparoscopic intervention, but through a natural body orifice: the mouth.


  • Easy-to-use¹ platform² that provides a bendable therapeutic channel, which can move independently from the endoscope for unmatched degrees of freedom


  • Perform therapeutic interventions under direct visualization
  • Full thickness suturing enabling tissue healing ³


  • Incisionless technique, leaving no external scar with a low rate of serious adverse events (<1%)
  • Minimally invasive procedure with a short hospitalization and improvement in quality of life⁴

The Clinical Benefit: Weight loss

The endomina is indicated for obese patients. Restrictive surgery without a surgical opening is now possible. Using an endoscope and endomina, a trained endoscopist can suture the interior walls of the stomach to create volume reduction.

This procedure will help a patient develop satiety quicker to reduce food intake. Supported by lifestyle counseling post-procedure, patients might expect to lose excess weight of 42.7% 12 months following a procedure with endomina⁴

State-of-the-art Training for Healthcare Professionals

Endo Tools Therapeutics is proud to offer best-in-class training of healthcare professionals, including physicians and nurses, who will perform procedures with endomina. A structured training program, leading to certification, will ensure that you and your team develop the necessary skills and experience to master endoscopic gastroplasty with endomina.

Please contact us for more information about our professional education programs.

Please see the Instructions for Use for risks and contra-indications.

¹ Internal data; Analysis-human-factors
² Compatible with 8.5 to 11mm validated endoscope models
³ Internal data
⁴ Huberty V, et al. Gut 2020;0:1–7. doi:10.1136/gutjnl-2020-322026

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