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Endo Stitch

Suturing Instrument Intracorporeal Knot Tying Manual

Summary of Contents for Endo Stitch

Page 1: ...Endo Stitch Suturing Instrument Intracorporeal Knot Tying Manual...

Page 2: ...l includes instructions for use of the instrument as well as instructions for loading and following the step by step instructions and with just a little practice this manual will enable you to master...

Page 3: ...36cm in length to provide enhanced access to the tissue site The large 4mm tissue gap combined with the jaw s ability to compress tissue allows the Endo Stitch instrument to accommodate a wide variety...

Page 4: ...just the amount that the jaws are opened by simply varying the amount that the handles are squeezed This allows for enhanced access to tight operative sites The needle is passed back and forth between...

Page 5: ...through tissue To pass the needle through tissue the jaws of the Endo Stitch instrument must first be placed in the open position i e either toggle lever is activated to the forward position Note The...

Page 6: ...ion 4 Instructions for Use Continued Third the neutral position fully supports the needle If the jaws are not in the neutral position and you pull on the suture you may run the risk of having the need...

Page 7: ...P 1 Insert the jaws into the single use loading unit SULU with the Autosuture logo facing up Press down at the apex of the jaws to ensure that the jaws are fully seated If the instrument is not in the...

Page 8: ...jaws will release from the SULU Pull the SULU away from the jaws to unreel the suture from the spool When using longer lengths of suture ensure that the suture does not fall from the sterile field Sut...

Page 9: ...STEP 2 Keeping the handles squeezed together simultaneously press the two black reloading buttons which are located on the front and rear of the instrument Slide the buttons forward exposing the red i...

Page 10: ...ture which extends directly from the needle over the top of the empty jaw STEP 3 Grasp the suture tail with an Endo Grasp instrument Bring the suture tail in between the jaws of the instrument Close t...

Page 11: ...ed neutral position STEP 10 Cinch the knot with the jaws in a closed position Repeat steps to place additional throws STEP 9 Pull the jaw with the needle back through the loop of suture STEP 8 Bring t...

Page 12: ...the opposite jaw STEP 3 Lay the suture which extends from the needle over the top of the empty jaw STEP 4 Bring the suture tail in between the jaws of the device Close the jaws and pass the needle to...

Page 13: ...he empty jaw in the loop adjacent to the tissue Close the jaws and pass the needle to the opposite jaw STEP 9 To complete the Surgeon s Knot Square continue with a single throw of the Square Knot STEP...

Page 14: ...ull the jaw back out from the loop STEP 5 Pass the needle to the opposite jaw STEP 4 Insert the empty jaw into the loop adjacent to the tissue STEP 3 Pull the tail in between the jaws just behind the...

Page 15: ...secure and tie off this Modified Fisherman s Knot use a single throw of the Square Knot STEP 10 Tighten the knot with the jaws closed and the toggle levers in the neutral position STEP 9 Pull the jaw...

Page 16: ...Knot STEP 6 Cinch the knot with the jaws in the closed and neutral position STEP 5 Pull the jaw with the needle out of the tail suture loop STEP 4 Pass the needle to the opposite jaw STEP 3 Wrap sutu...

Page 17: ...STEP 7 Bring the tail in between the open jaws needle in the same jaw as in step 5 STEP 8 Wrap the suture once around the empty jaw STEP 9 Pass the needle to the opposite jaw STEP 10 Pull the jaw with...

Page 18: ...to the penultimate pass The loop that this last pass forms can be now held up with an Endo Grasp instrument to make a tail for tying off the run STEP 2 Anchor the starting point by tying a Square Knot...

Page 19: ...d Brd Nylon 2 0 3 Black 48 120cm 170011 Bralon Ctd Brd Nylon 2 0 3 Black 7 18cm 170003 Sofsilk Ctd Brd Silk 0 3 5 Black 48 120cm 170001 Sofsilk Ctd Brd Silk 0 3 5 Black 7 18cm 170004 Sofsilk Ctd Brd S...

Page 20: ...ue Norwalk CT 06856 www covidien com COVIDIEN COVIDIEN with Logo and marked brands are trademarks of Covidien AG or its affiliate 2008 Covidien AG or its affiliate All rights reserved 385420 SS 4 5M 0...

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