Any tissue extending beyond the distal cut line will not be transected. [Reinforcement buttress material tested using 2-sample t-tests. The Tri-Staple 2.0 reinforced reload is compatible with all Medtronic handles. Features. Ethicon Circular Stapler; Ethicon Code Description Closed Staple Height; ECS33A: 33mm Endoscopic Curved Intraluminal Stapler 1.5mm - 3.0mm ECS25A: 25mm Endoscopic Curved Intraluminal Stapler 1.5mm - 3.0mm ECS21A: 21mm Endoscopic Curved Intraluminal Stapler 1.5mm - 3.0mm ECS29A: 29mm Endoscopic Curved Intraluminal Stapler 1.5mm - 3.0mm CDH33A Its extra-short profile provides access and maneuverability in the tightest of cavities while still delivering the performance of Tri-Staple technology. That's why we have developed a portfolio of stapling solutions designed to meet specific needs and challenges. Benchtop testing in 3.2mm synthetic tissue comparing staple line compression between ECHELON+ Stapler with GST . Endo GIA Black Reload with Tri-Staple Technology, Digital Millennium Copyright Act (DMCA) Notification, Proposition 65 Information for California Customers, Endo GIA 45 mm Articulating Extra Thick Reload, Endo GIA 60 mm Articulating Extra Thick Reload. March 2011. 2018. That's why we have developed a portfolio of specialty stapling solutions within the Tri-Staple technology portfolio to provide the right tool to meet each specific challenge. Endo GIA 30 mm Reload with Tri-Staple Technology An extra-short reload designed for use in situations where space is limited. Endo GIA Reloads Extra Thick, Staple Covidien, www.covidien.com. Compared to manual and fixed speed powered staplers. All other brands are trademarks of a Medtronic company. Endogia Articulating Reload with Tri-Staple technologt 45mm Vascular/medium ref no-EGIA45AVM 1 BOX 6PCS Staple Loading unit Endo GIA . Staple Loading unit: Color Code: White Cartridge: Size: 2.5 mm: Staple Material: Titanium Staples: Sterility: Sterile: UNSPSC Code: 42312011: Pre-Clinical results may not correlate with clinical performance in humans. ([FOOTNOTE=Based on internal test report #PCG-018, 2D FEA of Linear Staplers (data on file at Medtronic). Nov. 9, 2011. More efficient. The ETHICON Linear Cutter 55/75mm and selectable reload has application in gastrointestinal, gynecologic, thoracic, and pediatric surgery for transection, resection, and the creation of anastomoses and can be used with staple line or tissue buttressing materials. The Endo GIA Ultra Universal Short, Endo GIA Ultra Universal and Endo GIA Ultra Universal XL staplers when used with the Endo GIA curved tip single use reloads can be used to blunt dissect or separate target tissue from other tissue. The size of the staples is determined by the selection of the 2.0 mm, 2.5 mm, 3.5 mm or 4.8 mm single-use loading unit SULU. ],[ANCHOR=],[LINK=]),([FOOTNOTE=Based on internal test report #PCG-019, Comparative Test of Medtronic Endo GIA Black Reloads with Tri-Staple Technology and Ethicon ECHELON FLEX* Black Reloads (data on file at Medtronic). - Tissue Gap Control physically pulls the anvil and . Intestinal staplers work by bringing the edges of wounds together along with blood vessels; essentially acting as a hemostat and sealer to the area . ],[ANCHOR=],[LINK=]), ([FOOTNOTE=Based on internal test report #R2146-151-0, Powered stapling firing speed DOE analysis and ASA parameters. This manually operated device offers surgeons an additional option in laparoscopic tissue stapling. Articulating Staple Loading unit Endo GIA Titanium Staples Purple Cartridge 45 mm Articulating medium/thick reload with Tri-Staple Technology Tri-Staple Technology provides varied-height staples (two triple-stag Purple Reloads: Two triple-staggered, height-progressive rows of 3.0mm In-vitro tensile strength compared to Seamguard* at days 7 and 14. The 30 mm reload is also available in a curved tip option for access to vessels and anatomical structures in confined spaces. ],[ANCHOR=],[LINK=]),([FOOTNOTE=Based on internal test report #PCG-006, Staple Formation Comparison between Medtronic EGIA60AXT and Ethicon ECR60G in an Ex-Vivo Tissue Model (data on file at Medtronic). Surgical staplers have been in widespread usage since the 1970s. h:Xg 3cXc@#"n$s_>>|=/~x}_|`71c#. ],[ANCHOR=],[LINK=]),([FOOTNOTE=Based on internal test report #PCG-018, 2D FEA of Linear Staplers (data on file at Medtronic). The first reload designed specifically for use in extra-thick tissue applications and the only extra-thick reload available in 45 mm and 60 mm linear lengths, the Endo GIA black reload with Tri-Staple technology is ideal for thick tissues commonly found in challenging bariatric and thoracic procedures. ],[ANCHOR=],[LINK=]), ([FOOTNOTE=Based on internal test report #RE00147607, 4.5 mm round staple pull-apart analysis report. All cartridges, with the exception of the 4.8 reloads, are 12 mm. 2015. Aug. 7, 2019. ],[ANCHOR=],[LINK=]),, and provides outstanding performance in variable tissue thicknesses. Using a new knife for each firing ensures that it will never dull through repeated use and reduces the risk of cross contamination that exists when reusing the same knife blade. ],[ANCHOR=],[LINK=]), Digital Millennium Copyright Act (DMCA) Notification, Proposition 65 Information for California Customers, Save an average of 7 to 10 minutes of OR time per procedure, Reduce operating time and acute bleeding at the staple line in sleeve gastrectomies, Significantly reduce the likelihood of air leaks in pulmonary lobectomies, More consistent staple formation by adjusting firing speeds when stapling in across different tissue properties, A reduction in malformed staples by up to 84% in different tissue thicknesses compared to manual and fixed-speed powered staplers. Absolutely not. Item Code: EGIAUSTND. That's why we have developed a portfolio of specialty stapling solutions within the Tri-Staple technology portfolio to provide the right tool to meet each specific challenge. ],[ANCHOR=],[LINK=]), ([FOOTNOTE=Based on analysis of internal Cognos monitoring from 2014 through April 2020. Endo GIA 30 mm Reload with Tri-Staple Technology, Digital Millennium Copyright Act (DMCA) Notification, Proposition 65 Information for California Customers, Endo GIA 30 mm Articulating Vascular/Medium Reload, Endo GIA 30 mm Articulating Medium/Thick Reload, Endo GIA 30 mm Curved Tip Articulating Vascular/Medium Reload with Tri-Staple Technology, * EGIA30AV, while offering a slimmer fixed anvil, is a vascular reload that does not come with Tri-Staple technology. The first reload designed specifically for use in extra-thick tissue applications and the only extra-thick reload available in 45 mm and 60 mm linear lengths, the Endo GIA black reload with Tri-Staple technology is ideal for thick tissues commonly found in challenging bariatric and thoracic procedures. March 2011. Code Information: RANGES OF LOT NUMBERS (all lot numbers within each range are affected) Lot # starting with P3C . It may provide surgeons uncompromised access and visibility deep in the pelvis. #455754. Tri-Staple Technology provides varied-height staples (two . When paired with the smart Signia stapler, it delivers: More consistent staple formation by adjusting firing speeds when stapling in across different tissue properties 6,7,,. No single stapler can address the wide range of tissue management issues surgeons face on a daily basis. To fire the instrument, squeeze the handle. ],[ANCHOR=],[LINK=]), ([FOOTNOTE=Based on internal test report #PCG-007 rev 1, When compared to Echelon Flex* green reloads as part of an analysis comparing different stapler designs and their performance and impact on tissues under compression using two-dimensional finite element analysis. Operative time: P = 0.006. Tri-Staple technology reloads are designed to work in harmony with the natural properties of tissue before, during, and after stapling. Nov. 9, 2011. This means that the Endo GIA universal and Endo GIA ultra universal staplers are compatible with both Endo GIA universal gray, white, blue and green reloads as well as gray, tan, purple and black reloads with Tri-Staple technology. Order Information Contact Us Overview Designed to navigate and staple tissue in tight spaces The 30 mm reload with Tri-Staple technology is designed for use in situations where space is limited. You may enter multiple email addresses separated by semicolons. ECHELON FLEX ENDOPATH Staplers are designed to deliver reliable performance across a wide range of tissue types and thicknesses on a one-handed, easy-to-use platform. ([FOOTNOTE=Based on internally-sponsored study conducted by ORC International, Survey of tissue reinforcement users to determine waste and time loss attributed to separately loaded buttress materials in the OR. Compared to nonbuttressed reloads with Tri-Staple technology. The EndoWrist Stapler 30 and 45 Instruments and Reloads are intended to be used with the da Vinci Xi surgical system (IS4000) for resection, transection, and/or creation of anastomoses in General, Thoracic, Gynecologic and Urologic surgery. Manufacturer. - New Knife Blade with every firing. By design, all universal instruments (GIA universal, Endo GIA universal and Endo GIA universal XL) offer an atraumatic jaw closure. Resulting in a statistically significant compression uniformity, p<0.05. June 2014. November 2012. ([FOOTNOTE=El Moussaoui I, Limbga A, Mehdi A. Staple line reinforcement during sleeve gastrectomy with a new type of reinforced stapler. Covidien's Tri-Staple Technology provides Endo GIA reloads with outstanding performance across a broader range of tissue thickness, thereby simplifying the cartridge selection process. Disclaimers. Order Information Order Information The GIA 60 Reloadable Staplers place two double staggered rows of tit . Order Information Order Information Technology Stapling made smarter EGIA45AMT - Size: GIA 45. What is the shaft diameter of the Endo GIA universal stapler? Sept. 2, 2011. Guide to choosing the right reload for your procedure Focusing on closed staple height instead of color helps you choose the most effective reload for your patient situation Reload comparison is based on closed staple height. When paired with the smart Signia stapler, it delivers: Comparing preloaded staple line reinforcement to the application of an aftermarket buttress. 07/2021- US-ST-2100120 -[WF#2835774] Endo GIA Reloads with Tri-Staple Technology ECR60T Clip, Hemostatic clip/staple Ethicon Endo-Surgery, www.ethiconendosurgery.com . Endo GIA Radial Reload with Tri-Staple Technology, ([FOOTNOTE=Rivadeneira DE, Verdeja JC, Sonoda T. Improved Access and Visibility During Stapling of the Ultra-low Rectum: A Comparative Human Cadaver Study Between Two Curved Staplers. The staple line continues well beyond the cut line. Used for applications in abdominal, gynecologic, pediatric, and thoracic surgery for resection, transection and creation of anastomosis. Continue to squeeze the handle until the cartridge has been fully fired. Nov. 9, 2011. The Endo GIA universal stapling system compresses tissue as it is fired. Bleeding: P = 0.001. All of our stapling reloads incorporate our proprietary Tri-Staple technology with its design elements including a strong fixed anvil, stepped cartridge face and staggered staple heights. The shaft diameter of the Endo GIA universal is 12 mm. Data calculated with 95% confidence using Minitab * (p < 0.0001)]. Medtronic Endo GIA 45mm Articulating Tri-Staple Reload: Medium/Thick, Purple. . Hemostatic Clips, Other Clips, Fasteners, and Staples More. Data calculated with 95% confidence using Minitab * (p < 0.0001)]. ENDOPATH EMS Endoscopic Multifeed Stapler EMS Ethicon Endo-Surgery Inc. You may enter multiple email addresses separated by semicolons. Medical professionals, medical facility employees 855.571.2100, Need help with SupplyManager?800.422.0280. Per the Instructions For Use (IFU) booklet, the 2.0 mm cartridge (gray) should be used on tissue that can comfortably compress to .75 mm - 1.0 mm. To accomplish this sequential tissue compression, the instrument is fired in 15 mm increments with each full squeeze of the handle. Every cartridge comes with a new sterile knife blade. Results based on n of 125 OR nurses and 125 surgeons by ORC International. November 2012. - 6 rows of staples on all cartridge sizes. Endo GIA Universal 12 mm (Single Use Instrument) stapler has applications in abdominal, gynecologic, pediatric and thoracic surgery for resection, transection and creation of anastomosis. Absolutely not! January 2012.],[ANCHOR=],[LINK=]). A surgeon tells General Surgery News why he uses Tri-Staple reinforced reloads in his bariatric procedures. ([FOOTNOTE=Based on internal test report #PCG-019, Comparative Test of Medtronic Endo GIA Black Reloads with Tri-Staple Technology and Ethicon ECHELON FLEX* Black Reloads (data on file at Medtronic). Color: White: Size/Dimension: 45MM: Packaging Type: 1BOX 6PCS: . - 60 mm Cartridges. Articulating Staple Loading unit Endo GIA Titanium Staples White Cartridge, Articulating Staple Loading unit Endo GIA Titanium Staples Purple Cartridge, Consumers: Please visit SimplyMedical.com, 60 mm Vascular/Medium reload with Tri-Staple Technology, Covidiens Tri-Staple Technology provides Endo GIA reloads with outstanding performance across a broader range of tissue thickness, thereby simplifying the cartridge selection process, Tri-Staple Technology provides varied-height staples (two triple-staggered, height-progressive rows of titanium staples), All Endo GIA Reloads with Tri-Staple Technology provide articulation at the wrist, Covidien's Tri-Staple Technology provides Endo GIA reloads with outs , Covidien's unique curved tip reload (with optional flexible introducer , 45 mm Articulating medium/thick reload with Tri-Staple Technology, Tri-Staple Technology provides varied-height staples (two triple-stag , Purple Reloads: Two triple-staggered, height-progressive rows of 3.0mm . [Reinforcement buttress material tested using 2-sample t-tests. Sept. 2, 2011. ],[ANCHOR=],[LINK=]), ([FOOTNOTE=When compared to Ethicon Echelon Flex* uniform staple reloads as part of a bench study conducted in murine models, the vascular volume was statistically superior with Tri-Staple (p=.011). * Third party brands are trademarks of their respective owners. The Endo GIA curved tip reloadwith Tri-Staple technology is designed with a curved tip at the distal end of the anvil to provide visibility and maneuverability around target tissues and vessels. The complete Endo GIA tissue management system has forward and backward compatibility. That's why we have developed a portfolio of specialty stapling solutions within the Tri-Staple technology portfolio to provide the right tool to meet each specific challenge. ],[ANCHOR=],[LINK=]),([FOOTNOTE=Based on internal test report #PCG-004, Undercrimp comparisons in increasing pads of foam between Echelon* and Tri-Staple technology (data on file at Medtronic). No single stapler can address the wide range of tissue management issues surgeons face on a daily basis. Obesity & Metabolic Health, Lung Health, Colorectal Surgery. ([FOOTNOTE=Based on internal report #RE00240873, Mass, thickness, area measurements, pH measurements, and glycolic acid released for polyglycolic acid buttress (PGA) and Seamguard* buttresses. Specifically, the jaws of the instrument can be repositioned on tissue prior to firing while minimizing bruising. This allows surgeons the flexibility to reposition the instrument after closing the jaws but before firing. ],[ANCHOR=],[LINK=]),, allows greater perfusion into the staple line([FOOTNOTE=When compared to Ethicon Echelon Flex* uniform staple reloads as part of a bench study conducted in murine models, the vascular volume was statistically superior with Tri-Staple (p=.011). Covidien Endo GIA Ultra Universal Stapler 12 mm-intended for resection, transection in general surgery. The loading unit can articulate at 22 and 45 in both directions by moving the proximal knob on the stapler. Staple Loading unit Endo GIA Titanium Staples Tan Cartridge ENDO GIA, ARTICULATING VAS SULU 45MM (6/BX) Product Images . The Endo GIA stapler combines Tri-Staple technology with a preattached synthetic, porous buttress material that adds support to tissue. All straight and Endo GIA Roticulator cartridges can be used with all universal instruments (GIA universal, Endo GIA universal and Endo GIA universal XL). Tri-Staple reinforced reloads are the only endoscopic staplers with preloaded tissue reinforcement for improved ease of use and less waste in the OR.1,, That convenience comes with the confidence of Tri-Staple technology and stronger reinforcement than Seamguard*.2,, Plus, it may: The Tri-Staple 2.0 reinforced reload is compatible with all Medtronic handles. Should the handle snap, remove the instrument and cartridge and consider the following options: Get in touch with your local Medtronic rep to get answers fast. You may enter multiple email addresses separated by semicolons. The Endo GIA* UNIVERSAL stapler will accommodate any of the SULU sizes that are available in the 30 mm, 45 mm and . ],[ANCHOR=],[LINK=]), Digital Millennium Copyright Act (DMCA) Notification, Proposition 65 Information for California Customers, 1-2 cm lower in pelvis compared to Ethicon Contour, Allows for coronal and sagittal approaches, Improved visibility in the pelvis when compared to Ethicon Contour, Unique design and 360 degree rotation allows for multiple access angles from both open and VATS approach, Design may allow for enhanced access in the chest cavity compared to linear reloads, Potential to spare healthy parenchyma compared to linear reloads, Generates less stress during compression and clamping, Allows greater perfusion into the staple line, Provides outstanding performance in variable thicknesses. ([FOOTNOTE=Deguchi H, Tomoyasu M, Shigeeda W, Kaneko Y, Kanno H, Saito H. Reduction of air leakage using linear staple device with bioabsorbable polyglycolic acid felt for pulmonary lobectomy. Code Information. Closed staple size 1.5mm. Product Specifications Features Medium/thick tissue purple reload can be introduced through a 12mm port Forward/Backward compatibility with Endo GIA Universal and Endo GIA Ultra Universal staplers Fixed anvil and larger anvil buckets Stepped cartridge face Professionals Also Viewed View Full Comparison #503062 Medtronic MITG #GIA8038L Description. The 4.8's cartridges (green) are 15 mm to accommodate the physical height of the 4.8 staple. The FDA has granted 510(k) clearance for Covidien's Endo GIA Reinforced Reload with Tri-Staple technology, the only endoscopic stapler featuring preloaded tissue reinforcement, the Dublin, Ireland devicemaker says. The 4.8 mm cartridge (green) should be used on tissue that can comfortably compress to 2.0 mm. Squeeze the handle once to close the jaws on the tissue. ],[ANCHOR=],[LINK=]), ([FOOTNOTE=Based on internal test report #PCG-004, Undercrimp comparisons in increasing pads of foam between Echelon* and Tri-Staple technology (data on file at Medtronic). ([FOOTNOTE=Based on internally-sponsored study conducted by ORC International, Survey of tissue reinforcement users to determine waste and time loss attributed to separately loaded buttress materials in the OR. P = 0.006. To open the jaws of the instrument, pull back on the black retraction knobs. A 10-15 mm Versaport Plus trocar is available to accommodate the 4.8 cartridges, reorder code 179078. All three universal instruments (GIA universal, Endo GIA universal and Endo GIA universal XL) can be loaded and fired 25 times. Ann Surg Innov and Res 2012; 6:1. The 2.5 mm cartridge (white) should be used on tissue that can comfortably compress to 1.0 mm -1.5 mm. With the thickest indicated tissue range for any stapler on the market (2.25 mm 3.00 mm)1, the Endo GIA radial reload delivers optimal performance, even in challenging cases. ],[ANCHOR=],[LINK=]), ([FOOTNOTE=Based on internal report #RE00240873, Mass, thickness, area measurements, pH measurements, and glycolic acid released for polyglycolic acid buttress (PGA) and Seamguard* buttresses. January 2012. ([FOOTNOTE=Based on internal test report #PCG-001, Tyvek pull-apart test comparing Echelon(TM*) and Tri-Staple technology (data on file at Medtronic). The 30 mm reload with Tri-Staple technology is designed for use in situations where space is limited. Caution: When using the stapler more than once during a SINGLE surgical procedure, be sure to remove the empty Endo GIA single-use reload and load a new one. Cartridge Color Black Purple Same Staple Sizes 4,0mm, 4.5mm, 5.0mm 3.0mm, 3.5mm, 4.0mm Same Cartridge Geometry Curved Same Straight Staple Rows 3 rows Same Same . #503061. No single stapler can address the wide range of tissue management issues surgeons face on a daily basis. The 3.5 mm cartridge (blue) should be used on tissue that can comfortably compress to 1.5 mm - 2.0 mm. Bench test results may not necessarily be indicative of clinical performance. No single stapler can address the wide range of tissue management issues surgeons face on a daily basis. Provides visibility and maneuverability around target tissues and vessels. May 2, 2020.],[ANCHOR=],[LINK=]). The Endo GIA curved tip reload with Tri-Staple technology is designed with a curved tip at the distal end of the anvil to provide visibility and maneuverability around target tissues and vessels. Once inside the cavity, open the jaws. Surgeons can operate with confidence across a broader range of tissue thickness and lower in the pelvis compared to Ethicon Contour*([FOOTNOTE=Rivadeneira DE, Verdeja JC, Sonoda T. Improved Access and Visibility During Stapling of the Ultra-low Rectum: A Comparative Human Cadaver Study Between Two Curved Staplers. Although the jaws may not appear tight upon closure, the tissue gap control mechanism physically pulls the cartridge and anvil together compressing tissue during firing. The handle does have the potential to snap if it is fired into tissue that is outside the indicated range. The 4.8's cartridges (green) are 15 mm to accommodate the physical height of the 4.8 staple. Closed staple size 1.5mm. Preclinical results may not correlate with clinical performance in humans. Single Patient Use. Access in-service videos, product guides, and frequently asked questions for the Endo GIA radial reload. There are two forms currently in . Ann Surg Innov and Res 2012; 6:1. Each reload incorporates proprietary features that deliver performance conventional staplers simply cant match. Online U.S. national sample of 125 surgeons and 125 OR nurses. Online U.S. national sample of 125 surgeons and 125 OR nurses. In this report, we describe the malfunctioning of an Endo-GIA stapler in a large bowel resection. Device Specs & Comparison How to Use This Device ],[ANCHOR=],[LINK=]), ([FOOTNOTE=Based on internal test report #R2146-173-0, ASA verification testing with slow speed force limit evaluation. Digital Millennium Copyright Act (DMCA) Notification, Proposition 65 Information for California Customers. GST60G) to Medtronic Signia and Endo GIA Staplers with Tri-Staple Reloads (EGIA60AMT). Staple Loading unit DST Series GIA Titanium Staples Blue Cartridge, Staple Loading unit TA 60 Titanium Staples Green Cartridge, Staple Loading unit Proximate Titanium Staples Blue Cartridge 56 Staples, Consumers: Please visit SimplyMedical.com, Medium/thick tissue purple reload can be introduced through a 12mm port, Forward/Backward compatibility with Endo GIA Universal and Endo GIA Ultra Universal staplers, Single-Use Loading Units for use with DST Series GIA (Single Use Rel , The GIA 80 Reloadable Staplers place two double staggered rows of tit , The GIA 60 Reloadable Staplers place two double staggered rows of tit , For use with Proximate Linear Cutter with Safety Lock-Out (100mm). An extra-short reload designed for use in situations where space is limited. 9. Reloads offer outstanding performance across a broader range of tissue thickness, thereby simplifying the cartridge .
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