da Vinci SP Instruments and Accessories
Medium-Large Clip Applier
23
DR
AFT/PRE-RELEASE/C
ONFIDENTIAL
12/5/19
CAUTION: The clip must be latched to ensure proper ligation of the vessel or tissue.
Inspect the ligation site after application to ensure proper closure of the clip.
Teleflex Medical recommends ligation of the renal artery, in procedures other than
laparoscopic donor nephrectomy (see
), with more than
one clip on the patient side with a minimum distal artery cuff of 2-3 mm beyond the
distal clip. Application of a second clip on all other vessels should be dictated by the
surgeon’s judgment. Security of the closure should be confirmed after ligation. The
Hem-o-lok Litigating Clips are not designated for use as a tissue marker. Before
applying a clip, verify the structural size and condition of the vessel or structure and
use the proper clip size. Ligating clip systems differ in closure characteristics
according to clip design and other variables. It is the responsibility of the user to
select structures for the application of clips and confirm clip security after
placement, and after the use of other surgical devices in the immediate area of the
application.
4.2 Preoperative Preparation
Use only the compatible Hem-o-lok Ligating Clips cartridge. Intuitive Surgical does not
assume responsibility for unsatisfactory results caused by the use of any instrument and clip
that are not compatible. For information on compatible clips, refer to
CAUTION: Inspect the jaws for damage, bent components, or misalignment before
use. If damage is observed, replace the instrument. Instrument could be damaged
from mishandling during use or reprocessing.
1. Rotate the Grip Release Dial on the instrument housing and fully open the instrument
jaws, then grasp the instrument at the intersection point of the two jaws to stabilize the
jaws during clip loading.
2. Carefully insert the jaws into the clip cartridge slot, making sure the jaws are
perpendicular to the base of the cartridge. Gently press the jaws over the clip until there
is a tactile and audible click.
Slightly rocking the jaws back and forth may assist in loading the clip. Do not force the
instrument into the cartridge or onto the clip. The instrument should enter and withdraw
from the cartridge easily (
).
Figure 4.1 Clip loaded in clip applier
3. Remove the instrument from the cartridge and confirm that the clip is securely held
within the jaws.
