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Henry de Walpot, the first grand master, died at Acre, in 1200, and was succeeded by Otho de Kerpen, who was an octogenarian at the time of his election, but full of vigor and energy, which he displayed by devoted attention to the duties of his office, and personal attendance upon the sick in the hospitals.

The order seems, however, to have been confirmed by Pope Celestine III, the constitution and rules of the Templars and Hospitalers being taken as the model for the new order, Henry de Walpot being the first master. This appears to have happened about 1190, though some authorities maintain that it was not till 1191 or even later.

"Knights Hospitallers of our dear Lady of Mount Zion," that or something equivalent was their first title, under Walpot their first Grand-Master; which soon grew to be "German Order of St. John.

The Teutonic Knights continued their care of the sick soldiers till Acre was taken in July, 1191, by the united forces of Philip Augustus, King of France, and Richard Coeur de Lion, King of England. After the capture of Acre by the Christian army, Henry de Walpot purchased a site within the city, and built a church and hospital for his order, the first that it possessed.

A company of pious souls compassionate Lubeck ship-captains diligently forwarding it, and one Walpot von Bassenheim, a citizen of Bremen, taking the lead formed themselves into a union for succor of the sick and dying; "set up canvas tents," medicinal assuagements, from the Lubeck ship-stores; and did what utmost was in them, silently in the name of Mercy and Heaven.

"This Walpot as not by birth a nobleman," says one of the old Chroniclers, "but his deeds were noble." This pious little union proved unconsciously the beginning of a great thing. Finding its work prosper here, and gain favor, the little union took vows on itself, strict chivalry forms, and decided to become permanent.