INSTRUCTIONS FOR USE
1.Take the stapler out of the package. Open the instrument by turning
the wing-nut
counterclockwise until the orange band is visible. Remove the protector.
2.Place purse-string sutures (A) in the organ to be anastomosed. The surgeon can alternatively use
a closed lumen technique (double or triple stapling technique) (B) based on his/her experience and
judgment.
3.If a double stapling technique is employed, open the instrument by turning the wing-nut
until the orange band is visible.
4.Remove the detachable anvil to expose the trocar.
5.Turn the wing-nut clockwise to retract the trocar until a stop is reached.
6.Check the trocar to verify that it is fully retracted before the next step. Note: The
instrument may also be inserted without removing the detachable anvil assembly if the
preferred application is a sutured purse-string technique. In this case, however, prior to
insertion, the detachable anvil assembly and the staple housing must be closed by rotating
the wing-nut clockwise.
7.Insert the detachable anvil into the lumen and secure the purse-string onto the anvil shaft
above the purse-string notch.
8.Insert the instrument up to the closed lumen with the trocar fully retracted. Extend the
trocar fully and rotate the wing-nut counterclockwise to pierce tissue. Push the tissue down
until the orange band is visible.
Caution: Keep the trocar visible at all times to prevent personal injury or inadvertent
trauma to adjacent structures.