German IRC (Infrared Coagulator)

IRC uses the direct application of heat to induce coagulation and fibrosis in the submucosal layer. The Precision Endoscopic Infrared Coagulator (Precision Endoscopic Technologies, Sturbridge, Mass) uses a single-use, 3.2-mm outer diameter, 300 cm deep flexible fiberoptic probe that is transferred through an endoscope channel. The distal tip of the probe is located in contact with the hemorrhoid tissue, ideally at the pedicle of hemorrhoids and short 1- to 5-second bursts of infrared radiation are passed to by depressing a foot pedal.

IRC is considered as a safe, painless and straightforward OPD procedure for the treatment of hemorrhoidal disease.