The size of the tubular stapler in millimeters

[Scope of Application]

Used for end-to-end, end-to-side and side-to-side anastomosis of the digestive tract during reconstruction operations of the digestive tract such as the esophagus, stomach, and intestines.

[How to use]

1. Before use, make sure that the red safety button is in the closed state, remove the blue protective cover, and check that there should be no omissions in the titanium nails in the nail bin;

2. Put the staple holder and the body of the stapler into the two ends of the organ tissue to be anastomosed, and make a purse-string suture around the organ tissue at both ends of the staple holder and the guide shaft of the body respectively; 

3. In the end-to-end anastomosis and end-to-side anastomosis, the purse-string extension rod can be used for the convenience of purse-packing. Insert the purse-string extension rod into the circlip tube of the abutment socket, then put the abutment socket into the tissue to be anastomosed, make a purse-string suture around the circlip tube, and then use the forceps to clamp the circlip tube to take out the purse-string Extension;

4. Insert the nail abutment seat into the guide shaft of the body, at this time, you can hear a clear sound, and then turn the adjusting nut clockwise to make the two broken ends of the anastomotic tissue close and press tightly to ensure that there is no nail seat and the nail chamber. Excess tissue, and the indicator needle has entered the green area in the window, determine the firing position according to the thickness of the tissue;

5. Confirm that the anastomosed tissues at both ends have been respectively embedded in the cavities of the nail seat and the body, open the red safety button, firmly grasp the handle, and fire at one time. At this time, a crisp "click" can be heard. The sound indicates that the firing has been completed, and hold the handle tightly for 30 to 60 seconds.

6. Rotate the adjusting nut counterclockwise for 2 to 3 turns, then gently shake the instrument left and right and slowly withdraw it outward;

7. Pull out the nail seat and check the circular integrity of the cut tissue. If any incompleteness is found, several stitches must be added to the corresponding part.