Before inserting the instrument
into the trocar, the jaws must
be placed in the closed, neutral
position. To align the jaws in the
neutral position, the handles are
completely squeezed, and the
toggle levers are aligned with
the arrows on the instrument
body. The jaws are now ready
to be inserted into the trocar.
Once the instrument has been
inserted through the trocar,
the handles are squeezed and
either toggle lever is moved
completely forward or backward.
Once the needle has
been completely pulled
through the tissue, the jaws
of the instrument should
be returned to the closed,
neutral position. The closed,
neutral position should be
used any time that the
surgeon is pulling the
suture 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 needle
is always in the jaw on the
side which has the toggle
lever pushed forward.
Once the jaws are fully
closed, either toggle lever
is activated completely
forward or backward
(depending on their
original position) and
the needle is passed from
one jaw to the other jaw.
As the handles are
released, the jaws open,
and the needle is gently
pulled through the tissue.
The handles are then
released and the jaws
are opened, exposing the
needle. The instrument is
now ready to place a stitch.
The tissue to be sutured
is exposed by using an
Endo Grasp
™
instrument.
The jaws of the instrument
are placed around the
tissue to be sutured.
The handles are
completely squeezed
to close on the tissue.
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