Johnson & Johnson ECHELON ENDOPATH 45 Series, Manual

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2 Prior to loading, ensure the instrument is in the open position. (Illustration 2)
3 Examine the reload for the presence of a staple retaining cap. If the retaining cap is not in place,
discard the reload.
Caution:
When using a tissue or staple line buttressing material, the instructions of the manufacturer
of the buttress material should be followed. The use of staple line buttressing materials with the
instrument may require an increased force to close, an increased force to fire and may reduce the
number of times the device may be fired.
Caution:
Selection of the appropriate staple cartridge should be based upon the combined thicknesses
of both the tissue and the staple line buttressing materials.
Warning:
loading the incorrect reload for the instrument size or model may result in transecting the
tissue without sealing (e.g. loading a 60 mm reload into a 45 mm instrument).
4 Insert the new reload by sliding it against the bottom of the cartridge jaw until the cartridge alignment
tab stops in the reload alignment slot. Snap the reload securely in place. Remove the staple retaining
cap and discard. (note: The staple retaining cap ensures proper staple orientation and protects the
staple leg points during shipping and transportation.) The instrument is now loaded and ready for use.
(Illustration 3)
Caution: After removing the staple retaining cap, observe the surface of the new reload. The reload
must be replaced with another reload if any colored drivers are visible. (If colored drivers are visible,
the reload may not contain staples.)
5 Refer to the EChELon 45 Endoscopic linear cutter insert for instructions for using the instrument
after it is loaded.
Reloading the Instrument
1 Using sterile technique, remove the reload from the package. To avoid damage, do not flip the reload
into the sterile field.
2 Prior to reloading, ensure the instrument is in the open position. (Illustration 2)
3 Push upward (toward the anvil) to unsnap the reload from the cartridge jaw. Discard the used reload.
(Illustration 4)
Warning: Prior to reloading the instrument, hold the instrument in a vertical position, with anvil and
cartridge jaw completely submerged in sterile solution. Swish vigorously and then wipe the inside
and outside surfaces of the anvil and cartridge jaw to clean any unused staples from the instrument.
Do not use the instrument until it has been visually inspected to confirm there are no staples on the
anvil and cartridge jaw.
4 Examine the new reload for the presence of a staple retaining cap. If the retaining cap is not in place,
discard the reload.
Caution : Selection of the appropriate staple cartridge should be based upon the combined thicknesses
of both the tissue and the staple line buttressing materials.
Warning: loading the incorrect reload for the instrument size or model may result in transecting the
tissue without sealing (e.g. loading a 60 mm reload into a 45 mm instrument).
5 Insert the new reload by sliding it against the bottom of the cartridge jaw until the cartridge alignment
tab stops in the reload alignment slot. Snap the reload securely in place. Remove the staple retaining
cap and discard. The instrument is now reloaded and ready for use. (Illustration 3)
Caution: After removing the staple retaining cap, observe the surface of the new reload. The reload
must be replaced with another reload if any colored drivers are visible. (If colored drivers are visible,
the reload may not contain staples.)
6 Refer to the EChELon 45 Endoscopic linear cutter insert for instructions for using the instrument
after it is loaded.