The OTSC® Twin Grasper® is an application aid within the OTSC® System, designed for precise tissue approximation during endoscopic procedures. It features two jaw parts that enable the clinician to grasp opposing edges of a lesion or perforation. This assists in retracting the tissue into the cap for secure closure with a clip. The Twin Grasper® is especially useful for interventions such as perforation closures. It is a disposable instrument, intended for single patient use.