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Indications
The C
Curved Cutter Stapler is intended for transection, resection, and/or creation of anastomoses.
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The instrument has application in multiple open or minimally invasive general (gastrointestinal and skeletal
muscle), gynecologic, urologic, and thoracic surgical procedures.
Contraindications
•
This instrument is not intended for use when surgical stapling is contraindicated.
•
Do not use the instrument with blue reload on any tissue that requires excessive force to compress
to 1.5 mm or on any tissue that compresses easily to below 1.5 mm.
•
Do not use the instrument with green reload on any tissue that requires excessive force to compress
to 2.0 mm or on any tissue that compresses easily to below 2.0 mm.
•
Do not use on ischemic or necrotic tissue.
•
Do not use on major vessels without provision for proximal and distal control.
•
Do not use the instruments on any portion of the aorta, the coronary, carotid, or pulmonary arteries or
veins, the superior or inferior vena cava, common, internal or external iliac arteries and veins and the
brachiocephalic trunk.
•
Do not use the instrument on the vaginal cuff.
Device Description
The C
Curved Cutter Stapler is a multifire, single patient use device with a curved head that cuts
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and staples. The device delivers four staggered rows of titanium staples, with a knife between the second
and third row of staples, and creates a 40 mm curved transection. The device is designed with a feature
which prevents closing if a used reload or no reload is in the instrument. Another feature is provided to
prevent firing unless the closure trigger is latched in the closed position. A retaining pin holds tissue in place
and can be positioned either manually or by squeezing the closure trigger.
The instrument may be reloaded five times, for a maximum of six firings per instrument during a single
procedure. Each reload cartridge module includes a knife blade with two staggered rows of staples on each
side, an anvil, a cutting washer, a retaining pin, and a staple retainer. Reload cartridges are available in two
sizes. Refer to the table below.
The product codes for the C
Instrument
Reload
CS40B
CR40B
CS40G
CR40G
NOTE: The blue (standard) and green (thick) reloads can be used interchangeably with the instruments.
Illustration and Nomenclature (Illustration 1)
1.
Curved Head
2.
Cartridge Module
3.
Retaining Pin
4.
Push Rod
5.
Retaining Pin Actuator
6.
Release Button
General Instructions for Use
Verify compatibility of all instruments and accessories prior to using the instrument.
(Refer to Warnings and Precautions.)
1
Using sterile technique, remove the instrument from the package. To avoid damage, do not flip the
instrument into the sterile field.
2
Remove the staple retainer from the instrument by pushing on the pad labeled "Push to Remove".
(Illustration 2). Hold the cartridge when removing the retainer. Check that the cartridge is fully
Curved Cutter Stapler and reloads are as follows:
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Description
Standard
Thick
Number
of Staples
46
46
7.
Handle
8.
Closure Trigger
9.
Firing Trigger
10.
Cartridge Module
11.
Cartridge Anvil
12.
Staple Retainer
4
Reload
Tissue
Color
Thickness
Blue
1.5 mm
Green
2.0 mm
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