The OTSC Anchor is used for improved approximation of tissue particularly when indurate. The targeting of lesions is also facilitated by the device. The accurate alignment is allowed by the OTSC Anchor between the object tissue and the applicator cap. Two versions and lengths of the device are available that include 165 cm long flexible shaft and 220 cm long OTSC Anchor particularly used for thin tissue. OTSC Anchor has 0 Deployment at the lesion side. The device guides the endoscope above the Anchor to the lesion till the cap is in contact with the tissue. The tissue is pulled inside the cap devoid of the OTSC Anchor. It ensures the OTSC Anchor shaft is retracted into the cap 2-3.