Entering the Abdomen:
The ‘Half Closed’ Position
A feature of the Sterishot II Applicator is a white visual guide located within
the trigger housing, designed to help signal the ‘Half Closed’ position and
hence avoid prematurely closing or distorting the Filshie Clip so that it may
fail to close properly. To ensure the ‘Half Closed’ position is not exceeded, the
edge of the black polished section of the trigger should not pass beyond the
white visual guide located inside the black trigger housing.
Application of the Filshie Clip
• Identify and inspect the Fallopian tube thoroughly.
• Ensure that the Filshie Clip can accommodate the whole diameter of the
Fallopian tube.
• Locate the Filshie Clip over the isthmic portion of the Fallopian tube, 1-2cm
from the cornu.
• Having established the best location for the Filshie Clip after insertion
through the trocar, the applicator should be re-opened and advanced a few
millimeters to move the Fallopian tube gently to the back of the Filshie Clip,
close to the hinge.
• Close the Filshie Clip into position by applying firm, but gentle pressure on
the trigger in a smooth action until the trigger reaches its mechanical stop.
• When the Filshie Clip is secured in position, gently release the trigger and the
Filshie Clip will automatically free itself from the applicator ‘Clip Tray’.
• Do not use an abrupt closure action or the tube might be transected. Should
this occur, apply a second Filshie Clip on the proximal (uterine) side of the
transection.
Digital photography and video recording of the closure process are encouraged to
support the patient record case file.
Removal of the Applicator from the Abdomen
Before the Sterishot II Applicator can be withdrawn from the
abdomen it must be returned to the ‘Half Closed’ position so it
can pass through the cannula.
Correct Closure
Polished Trigger
Section
White Visual Guide
Trigger Housing
Clip with applicator
half closed
Clip open over tube
Clip closed on tube
Applicator jaws in
‘Half Closed’ position
(clip not prematurely closed or distorted)
