| CPC A61B 17/1285 (2013.01) [A61B 1/00137 (2013.01)] | 6 Claims |

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1. A tissue-clip application fitting or retrofitting cap attachment for mounting on a distal end portion of a medical endoscope of a shaft type, the cap attachment comprising:
a mounting or placement portion configured to be mounted on the distal end portion of the medical endoscope; and
a tissue-clip holding portion having:
an internal cavity, which is open at least in a distal direction extending away from the mounting or placement portion,
a peripheral surface surrounding the internal cavity and facing radially outwards from the internal cavity,
a tissue clip radially supported on the peripheral surface, and axially slidable along the peripheral surface in the distal direction,
a pull-off ring axially slidably mounted on the peripheral surface,
and a pull-off string configured to actuate the pull-off ring to move the pull-off ring and the tissue clip in the distal direction, wherein the pull-off ring string is directly in sliding-force introduction contact with the pull-off ring in at least two engagement points.
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