January 2012.],[ANCHOR=],[LINK=]). (155751-201014) 4. The Endo GIA curved tip reload with Tri-Staple technology is designed with a curved tip at the distal end of the anvil to provide visibility and maneuverability around target tissues and vessels. Manufacturer. The 30 mm reload is also available in a curved tip option for access to vessels and anatomical structures in confined spaces. Pre-Clinical results may not correlate with clinical performance in humans. The first reload designed specifically for use in extra-thick tissue applications and the only extra-thick reload available in 45 mm and 60 mm linear lengths, the Endo GIA black reload with Tri-Staple technology is ideal for thick tissues commonly found in challenging bariatric and thoracic procedures. No single stapler can address the wide range of tissue management issues surgeons face on a daily basis. We determine above comparisons based on extensive analysis of closed staple heights. ([FOOTNOTE=Based on internal report #RE00218740, Signia stapling adaptive firing technology data calculations and references. Select Competitive Products: Medtronic GIA Auto Suture Stapler with . Ann Surg Innov and Res 2012; 6:1. ],[ANCHOR=],[LINK=]), ([FOOTNOTE=Based on analysis of internal Cognos monitoring from 2014 through April 2020. Benchtop testing in 3.2mm synthetic tissue comparing staple line compression between ECHELON+ Stapler with GST . This allows surgeons the flexibility to reposition the instrument after closing the jaws but before firing. In colorectal procedures, the Endo GIA radial reloadis setting new standards for access, maneuverability and staple line security in LAR procedures. The complete Endo GIA tissue management system has forward and backward compatibility. Features. Medtronic MITG #GIA6038L. Sept. 2, 2011. Staple Loading unit Endo GIA Titanium Staples Tan Cartridge ENDO GIA, ARTICULATING VAS SULU 45MM (6/BX) Product Images . The 4.8's cartridges (green) are 15 mm to accommodate the physical height of the 4.8 staple. The staple line continues well beyond the cut line. Exp: 11-2025 (or later) Units in stock: 268. Staple Loading unit DST Series GIA Titanium Staples Blue Cartridge. You may enter multiple email addresses separated by semicolons. The Endo GIA* UNIVERSAL stapler will accommodate any of the SULU sizes that are available in the 30 mm, 45 mm and . 2018. This provides consistent staple formation even at the distal end of the cartridge. Endo GIA 30 mm Reload with Tri-Staple Technology An extra-short reload designed for use in situations where space is limited. In this report, we describe the malfunctioning of an Endo-GIA stapler in a large bowel resection. Guide to choosing the right reload for your procedure Focusing on closed staple height instead of color helps you choose the most effective reload for your patient situation Reload comparison is based on closed staple height. Endo GIA Ultra Universal Stapler Product Support | Medtronic United States Medtronic / Support / Product Training & Support / Surgical Stapling / Endo GIA Ultra Universal Staplers Product Training & Support Endo GIA Ultra Universal Staplers Contact Us Frequently Asked Questions Caution: Placement of tissue proximal to the tissue stops (on the reload) may result in stapler malfunction. Staple Loading unit DST Series GIA Titanium Staples Blue Cartridge, Staple Loading unit TA 60 Titanium Staples Green Cartridge, Staple Loading unit Proximate Titanium Staples Blue Cartridge 56 Staples, Consumers: Please visit SimplyMedical.com, Medium/thick tissue purple reload can be introduced through a 12mm port, Forward/Backward compatibility with Endo GIA Universal and Endo GIA Ultra Universal staplers, Single-Use Loading Units for use with DST Series GIA (Single Use Rel , The GIA 80 Reloadable Staplers place two double staggered rows of tit , The GIA 60 Reloadable Staplers place two double staggered rows of tit , For use with Proximate Linear Cutter with Safety Lock-Out (100mm). Any tissue extending beyond the distal cut line will not be transected. The Endo GIA radial reloadmay produce less stress during compression and clamping([FOOTNOTE=Based on internal test report #PCG-007 rev 1, When compared to Echelon Flex* green reloads as part of an analysis comparing different stapler designs and their performance and impact on tissues under compression using two-dimensional finite element analysis. In colorectal procedures, the Endo GIA radial reload is setting new standards for access, maneuverability and staple line security in LAR procedures. March 2011. By design, all universal instruments (GIA universal, Endo GIA universal and Endo GIA universal XL) offer an atraumatic jaw closure. - New Knife Blade with every firing. Absolutely not! Operative time: P = 0.006. Data calculated with 95% confidence using Minitab * (p < 0.0001)]. ],[ANCHOR=],[LINK=]), ([FOOTNOTE=Based on internal test report #PCG-007 rev 1, When compared to Echelon Flex* green reloads as part of an analysis comparing different stapler designs and their performance and impact on tissues under compression using two-dimensional finite element analysis. More efficient. 60 mm Vascular/Medium reload with Tri-Staple Technology. Digital Millennium Copyright Act (DMCA) Notification, Proposition 65 Information for California Customers, Change to a new larger size stapler and cartridge, Choose a different angle of approach with a new larger staple, Choose a different means of transection/closure. To accomplish this sequential tissue compression, the instrument is fired in 15 mm increments with each full squeeze of the handle. March 2011. Once inside the cavity, open the jaws. Although the jaws may not appear tight upon closure, the tissue gap control mechanism physically pulls the cartridge and anvil together compressing tissue during firing. ],[ANCHOR=],[LINK=]), ([FOOTNOTE=Based on internal test report #RE00147607, 4.5 mm round staple pull-apart analysis report. June 2014.],[ANCHOR=],[LINK=]),. All other brands are trademarks of a Medtronic company. Recalling Firm/. Covidien Endo GIA Ultra Universal Stapler 12 mm-intended for resection, transection in general surgery. $165.00 EACH. You may enter multiple email addresses separated by semicolons. This manually operated device offers surgeons an additional option in laparoscopic tissue stapling. The 3.5 mm cartridge (blue) should be used on tissue that can comfortably compress to 1.5 mm - 2.0 mm. ([FOOTNOTE=Based on internal test report #PCG-019, Comparative Test of Medtronic Endo GIA Black Reloads with Tri-Staple Technology and Ethicon ECHELON FLEX* Black Reloads (data on file at Medtronic). May 2, 2020.],[ANCHOR=],[LINK=]). Caution: When using the stapler more than once during a SINGLE surgical procedure, be sure to remove the empty Endo GIA single-use reload and load a new one. Nov. 9, 2011. All cartridges, with the exception of the 4.8 reloads, are 12 mm. Provides visibility and maneuverability around target tissues and vessels. Disclaimers. ([FOOTNOTE=Based on internally-sponsored study conducted by ORC International, Survey of tissue reinforcement users to determine waste and time loss attributed to separately loaded buttress materials in the OR. ([FOOTNOTE=Based on internal test report #PCG-018, 2D FEA of Linear Staplers (data on file at Medtronic). Staple Loading unit: Color Code: Tan Cartridge: Size: 2.0 mm / 2.5 mm / 3.0 mm: Staple Material: Titanium Staples: Staples Used: Vascular / Medium Staples: UNSPSC Code: 42312011: Manufacturer: Medtronic Usa. Compared to nonbuttressed reloads with Tri-Staple technology. Resulting in a statistically significant compression uniformity, p<0.05. Its extra-short profile provides access and maneuverability in the tightest of cavities while still delivering the performance of Tri-Staple technology. **Please refer to the Instructions for Use (IFU) booklet for complete instructions. An extra-short reload designed for use in situations where space is limited. Endo GIA Black Reload with Tri-Staple Technology, Digital Millennium Copyright Act (DMCA) Notification, Proposition 65 Information for California Customers, Endo GIA 45 mm Articulating Extra Thick Reload, Endo GIA 60 mm Articulating Extra Thick Reload. Bleeding: P = 0.001. ],[ANCHOR=],[LINK=]), ([FOOTNOTE=Based on internal test report #PCG-006, Staple Formation Comparison between Medtronic EGIA60AXT and Ethicon ECR60G in an Ex-Vivo Tissue Model (data on file at Medtronic). ],[ANCHOR=],[LINK=]), Digital Millennium Copyright Act (DMCA) Notification, Proposition 65 Information for California Customers, 1-2 cm lower in pelvis compared to Ethicon Contour, Allows for coronal and sagittal approaches, Improved visibility in the pelvis when compared to Ethicon Contour, Unique design and 360 degree rotation allows for multiple access angles from both open and VATS approach, Design may allow for enhanced access in the chest cavity compared to linear reloads, Potential to spare healthy parenchyma compared to linear reloads, Generates less stress during compression and clamping, Allows greater perfusion into the staple line, Provides outstanding performance in variable thicknesses. #503061. Endogia Articulating Reload with Tri-Staple technologt 45mm Vascular/medium ref no-EGIA45AVM 1 BOX 6PCS Staple Loading unit Endo GIA . Intestinal staplers work by bringing the edges of wounds together along with blood vessels; essentially acting as a hemostat and sealer to the area . Closed staple size 1.5mm. - 60 mm Cartridges. ],[ANCHOR=],[LINK=]), ([FOOTNOTE=Based on internal test report #PCG-004, Undercrimp comparisons in increasing pads of foam between Echelon* and Tri-Staple technology (data on file at Medtronic). Ann Surg Innov and Res 2012; 6:1. Dec. 02, 2019. No, you only have to use one stapler handle as long as you do not complete more than 25 firings in the procedure. The 4.8's cartridges (green) are 15 mm to accommodate the physical height of the 4.8 staple. It may provide surgeons uncompromised access and visibility deep in the pelvis. The 4.8 mm cartridge (green) should be used on tissue that can comfortably compress to 2.0 mm. Device Specs & Comparison How to Use This Device P = 0.006. ([FOOTNOTE=Based on internal report #RE00240873, Mass, thickness, area measurements, pH measurements, and glycolic acid released for polyglycolic acid buttress (PGA) and Seamguard* buttresses. Medtronic Endo GIA 45mm Articulating Tri-Staple Reload: Medium/Thick, Purple. The 2.5 mm cartridge (white) should be used on tissue that can comfortably compress to 1.0 mm -1.5 mm. [Reinforcement buttress material tested using 2-sample t-tests. This action moves the tissue gap control mechanism 15 mm with each squeeze, to physically pull the anvil and staple cartridge together to sequentially compress the tissue as it fires. Using a new knife for each firing ensures that it will never dull through repeated use and reduces the risk of cross contamination that exists when reusing the same knife blade. Each reload incorporates proprietary features that deliver performance conventional staplers simply cant match. A 10-15 mm Versaport Plus trocar is available to accommodate the 4.8 cartridges, reorder code 179078. Should the handle snap, remove the instrument and cartridge and consider the following options: Get in touch with your local Medtronic rep to get answers fast. COVIDIEN LLC. Pull back on the black retraction knobs to open the jaws. When paired with the smart Signia stapler, it delivers: More consistent staple formation by adjusting firing speeds when stapling in across different tissue properties 6,7,,. - Tissue Gap Control physically pulls the anvil and . ECR60T Clip, Hemostatic clip/staple Ethicon Endo-Surgery, www.ethiconendosurgery.com . [Reinforcement buttress material tested using 2-sample t-tests. What is the shaft diameter of the Endo GIA universal stapler? Description. The tissue gap control mechanism compresses tissue while it simultaneously lays down a staple line and transects the tissue. Dec. 02, 2019. Continue to squeeze the handle until the cartridge has been fully fired. Lot Number: P9E0022Y. Endo GIA Ultra Universal Stapler. Absolutely not. Online U.S. national sample of 125 surgeons and 125 OR nurses. That's why we have developed a portfolio of specialty stapling solutions within the Tri-Staple technology portfolio to provide the right tool to meet each specific challenge. It may provide surgeons uncompromised access and visibility deep in the pelvis. Hemostatic Clips, Other Clips, Fasteners, and Staples More. Endo GIA Curved Tip Reload with Tri-Staple Technology, Digital Millennium Copyright Act (DMCA) Notification, Proposition 65 Information for California Customers, Endo GIA 45 mm Curved Tip Articulating Vascular Reload, Endo GIA 30 mm Curved Tip Articulating Vascular/Medium Reload with Tri-Staple Technology, Endo GIA 45 mm Curved Tip Articulating Vascular/Medium Reload with Tri-Staple Technology, Endo GIA 60 mm Curved Tip Articulating Vascular/Medium Reload with Tri-Staple Technology, Endo GIA 45 mm Curved Tip Articulating Medium/Thick Reload, Endo GIA 60 mm Curved Tip Articulating Medium/Thick Reload. The GIA 60 Reloadable Staplers place two double staggered rows of tit . ],[ANCHOR=],[LINK=]), ([FOOTNOTE=When compared to Ethicon Echelon Flex* uniform staple reloads as part of a bench study conducted in murine models, the vascular volume was statistically superior with Tri-Staple (p=.011). Press the green safety button. The size of the staples is determined by the selection of the 2.0 mm, 2.5 mm, 3.5 mm or 4.8 mm single-use loading unit SULU. ECHELON FLEX ENDOPATH Staplers are designed to deliver reliable performance across a wide range of tissue types and thicknesses on a one-handed, easy-to-use platform. h:Xg 3cXc@#"n$s_>>|=/~x}_|`71c#. Endo GIA Reloads Extra Thick, Staple Covidien, www.covidien.com. Tri-Staple technology reloads are designed to work in harmony with the natural properties of tissue before, during, and after stapling. Features. ],[ANCHOR=],[LINK=]),([FOOTNOTE=Based on internal test report #PCG-018, 2D FEA of Linear Staplers (data on file at Medtronic). ([FOOTNOTE=Deguchi H, Tomoyasu M, Shigeeda W, Kaneko Y, Kanno H, Saito H. Reduction of air leakage using linear staple device with bioabsorbable polyglycolic acid felt for pulmonary lobectomy. All straight and Endo GIA Roticulator cartridges can be used with all universal instruments (GIA universal, Endo GIA universal and Endo GIA universal XL). Order Information Order Information Technology Stapling made smarter Per the Instructions For Use (IFU) booklet, the 2.0 mm cartridge (gray) should be used on tissue that can comfortably compress to .75 mm - 1.0 mm. Get in touch with your local Medtronic rep to get answers fast. ],[ANCHOR=],[LINK=]),, Stronger reinforcement. No single stapler can address the wide range of tissue management issues surgeons face on a daily basis. When paired with the smart Signia stapler, it delivers: Comparing preloaded staple line reinforcement to the application of an aftermarket buttress. Medical professionals, medical facility employees 855.571.2100, Need help with SupplyManager?800.422.0280. Digital Millennium Copyright Act (DMCA) Notification, Proposition 65 Information for California Customers. Staple Loading unit: Color Code: White Cartridge: Size: 2.5 mm: Staple Material: Titanium Staples: Sterility: Sterile: UNSPSC Code: 42312011: The EndoWrist Staplers 30 and 45 are indicated for adult use, and the EndoWristStapler 30 is indicated . Squeeze the handle once to close the jaws on the tissue. Data calculated with 95% confidence using Minitab * (p < 0.0001)]. Tri-Staple reinforced reloads are the only endoscopic staplers with preloaded tissue reinforcement for improved ease of use and less waste in the OR.1,, That convenience comes with the confidence of Tri-Staple technology and stronger reinforcement than Seamguard*.2,, Plus, it may: The Tri-Staple 2.0 reinforced reload is compatible with all Medtronic handles. ([FOOTNOTE=Based on internally-sponsored study conducted by ORC International, Survey of tissue reinforcement users to determine waste and time loss attributed to separately loaded buttress materials in the OR. All three universal instruments (GIA universal, Endo GIA universal and Endo GIA universal XL) can be loaded and fired 25 times. No single stapler can address the wide range of tissue management issues surgeons face on a daily basis. Item Code: EGIAUSTND. All cartridges, with the exception of the 4.8 reloads, are 12 mm. ],[ANCHOR=],[LINK=]), ([FOOTNOTE=Based on internal report #RE00240873, Mass, thickness, area measurements, pH measurements, and glycolic acid released for polyglycolic acid buttress (PGA) and Seamguard* buttresses. 10. Cartridge Color Black Purple Same Staple Sizes 4,0mm, 4.5mm, 5.0mm 3.0mm, 3.5mm, 4.0mm Same Cartridge Geometry Curved Same Straight Staple Rows 3 rows Same Same . You may enter multiple email addresses separated by semicolons. With the thickest indicated tissue range for any stapler on the market (2.25 mm 3.00 mm)1, the Endo GIA radial reload delivers optimal performance, even in challenging cases. This means that the Endo GIA universal and Endo GIA ultra universal staplers are compatible with both Endo GIA universal gray, white, blue and green reloads as well as gray, tan, purple and black reloads with Tri-Staple technology. January 2012. There are two forms currently in . Covidien's Tri-Staple Technology provides Endo GIA reloads with outstanding performance across a broader range of tissue thickness, thereby simplifying the cartridge selection process. Articulating Staple Loading unit Endo GIA Titanium Staples Purple Cartridge 45 mm Articulating medium/thick reload with Tri-Staple Technology Tri-Staple Technology provides varied-height staples (two triple-stag Purple Reloads: Two triple-staggered, height-progressive rows of 3.0mm In-vitro tensile strength compared to Seamguard* at days 7 and 14. ],[ANCHOR=],[LINK=]),([FOOTNOTE=Based on internal test report #PCG-019, Comparative Test of Medtronic Endo GIA Black Reloads with Tri-Staple Technology and Ethicon ECHELON FLEX* Black Reloads (data on file at Medtronic). Signia Stapling System Endo GIA Ultra Universal Handle Endo GIA Reloads with Tri-Staple Technology technology. 6 staple rows . The ETHICON Linear Cutter 55/75mm and selectable reload has application in gastrointestinal, gynecologic, thoracic, and pediatric surgery for transection, resection, and the creation of anastomoses and can be used with staple line or tissue buttressing materials. EGIA45AMT - Size: GIA 45. ],[ANCHOR=],[LINK=]), , Consistently smart. The FDA has granted 510(k) clearance for Covidien's Endo GIA Reinforced Reload with Tri-Staple technology, the only endoscopic stapler featuring preloaded tissue reinforcement, the Dublin, Ireland devicemaker says. Endo GIA Universal 12 mm (Single Use Instrument) stapler has applications in abdominal, gynecologic, pediatric and thoracic surgery for resection, transection and creation of anastomosis. Closed staple size 1.5mm. Reloads offer outstanding performance across a broader range of tissue thickness, thereby simplifying the cartridge . 3: Conditional 6 More. Articulating Staple Loading unit Endo GIA Titanium Staples Tan Cartridge, Articulating Staple Loading unit Endo GIA Titanium Staples White Cartridge, Consumers: Please visit SimplyMedical.com, 45 mm Articulating medium/thick reload with Tri-Staple Technology, Tri-Staple Technology provides varied-height staples (two triple-staggered, height-progressive rows of titanium staples), Purple Reloads: Two triple-staggered, height-progressive rows of 3.0mm, 3.5mm and 4.0mm titanium staples, Purple Reloads are intended to be used on medium/thick tissues that compress to between 1.5 and 2.25mm thickness, 60 mm Vascular/Medium reload with Tri-Staple Technology, Covidiens Tri-Staple Technology provides Endo GIA reloads with outs , Tri-Staple Technology provides varied-height staples (two triple-stag , Covidien's Tri-Staple Technology provides Endo GIA reloads with outs , Covidien's unique curved tip reload (with optional flexible introducer . Product Specifications Features Medium/thick tissue purple reload can be introduced through a 12mm port Forward/Backward compatibility with Endo GIA Universal and Endo GIA Ultra Universal staplers Fixed anvil and larger anvil buckets Stepped cartridge face Professionals Also Viewed View Full Comparison #503062 Medtronic MITG #GIA8038L Nov. 9, 2011. Results based on n of 125 OR nurses and 125 surgeons by ORC International. 9. ],[ANCHOR=],[LINK=]),([FOOTNOTE=Based on internal test report #PCG-004, Undercrimp comparisons in increasing pads of foam between Echelon* and Tri-Staple technology (data on file at Medtronic). ],[ANCHOR=],[LINK=]),([FOOTNOTE=Based on internal test report #PCG-006, Staple Formation Comparison between Medtronic EGIA60AXT and Ethicon ECR60G in an Ex-Vivo Tissue Model (data on file at Medtronic). No single stapler can address the wide range of tissue management issues surgeons face on a daily basis. ],[ANCHOR=],[LINK=]), ([FOOTNOTE=Based on internal test report #R2146-151-0, Powered stapling firing speed DOE analysis and ASA parameters. January 2012. The loading unit can articulate at 22 and 45 in both directions by moving the proximal knob on the stapler. The EndoWrist Stapler 30 and 45 Instruments and Reloads are intended to be used with the da Vinci Xi surgical system (IS4000) for resection, transection, and/or creation of anastomoses in General, Thoracic, Gynecologic and Urologic surgery. ([FOOTNOTE=Based on internal test report #PCG-001, Tyvek pull-apart test comparing Echelon(TM*) and Tri-Staple technology (data on file at Medtronic). ],[ANCHOR=],[LINK=]), ([FOOTNOTE=Based on internal test report #PCG-001, Tyvek pull-apart test comparing Echelon(TM*) and Tri-Staple technology (data on file at Medtronic). Staple Loading unit Endo GIA Universal Roticulator Titanium Staples White Cartridge STAPLER, ENDO GIA RELOAD 60-2.5 (6/BX) Product Images Compare . The shaft diameter of the Endo GIA universal is 12 mm. Endo GIA 30 mm Reload with Tri-Staple Technology, Digital Millennium Copyright Act (DMCA) Notification, Proposition 65 Information for California Customers, Endo GIA 30 mm Articulating Vascular/Medium Reload, Endo GIA 30 mm Articulating Medium/Thick Reload, Endo GIA 30 mm Curved Tip Articulating Vascular/Medium Reload with Tri-Staple Technology, * EGIA30AV, while offering a slimmer fixed anvil, is a vascular reload that does not come with Tri-Staple technology. The knife slot on the cartridge does extend beyond the staples to house the tissue gap control mechanism. Access in-service videos, product guides, and frequently asked questions for the Endo GIA radial reload. To fire the instrument, squeeze the handle. To open the jaws of the instrument, pull back on the black retraction knobs. Order Information Contact Us Overview Designed to navigate and staple tissue in tight spaces The 30 mm reload with Tri-Staple technology is designed for use in situations where space is limited. GST60G) to Medtronic Signia and Endo GIA Staplers with Tri-Staple Reloads (EGIA60AMT). Medical professionals, medical facility employees 855.571.2100, Need help with SupplyManager?800.422.0280. Nov. 9, 2011. The Endo GIA universal stapling system compresses tissue as it is fired. Used for applications in abdominal, gynecologic, pediatric, and thoracic surgery for resection, transection and creation of anastomosis. June 2014. A surgeon tells General Surgery News why he uses Tri-Staple reinforced reloads in his bariatric procedures. That's why we have developed a portfolio of specialty stapling solutions within the Tri-Staple technology portfolio to provide the right tool to meet each specific challenge. Specifically, the jaws of the instrument can be repositioned on tissue prior to firing while minimizing bruising. ],[ANCHOR=],[LINK=]),, allows greater perfusion into the staple line([FOOTNOTE=When compared to Ethicon Echelon Flex* uniform staple reloads as part of a bench study conducted in murine models, the vascular volume was statistically superior with Tri-Staple (p=.011). January 2012. ],[ANCHOR=],[LINK=]), For thoracic procedures, the unique design and 360 degree rotation provides multiple angles and enhances access in the chest cavity for both open and VATS procedures compared to linear reloads. Ethicon Circular Stapler; Ethicon Code Description Closed Staple Height; ECS33A: 33mm Endoscopic Curved Intraluminal Stapler 1.5mm - 3.0mm ECS25A: 25mm Endoscopic Curved Intraluminal Stapler 1.5mm - 3.0mm ECS21A: 21mm Endoscopic Curved Intraluminal Stapler 1.5mm - 3.0mm ECS29A: 29mm Endoscopic Curved Intraluminal Stapler 1.5mm - 3.0mm CDH33A 2015. Preclinical results may not correlate with clinical performance in humans. Single Patient Use. A reduction in malformed staples by up to 84% in different tissue . The 30 mm reload with Tri-Staple technology is designed for use in situations where space is limited. ([FOOTNOTE=El Moussaoui I, Limbga A, Mehdi A. Staple line reinforcement during sleeve gastrectomy with a new type of reinforced stapler. Endo GIA Radial Reload with Tri-Staple Technology, ([FOOTNOTE=Rivadeneira DE, Verdeja JC, Sonoda T. Improved Access and Visibility During Stapling of the Ultra-low Rectum: A Comparative Human Cadaver Study Between Two Curved Staplers. 15 Hampshire St. Mansfield MA 02048-1113. . The shaft diameter of the Endo GIA universal is 12 mm. Endo GIA l Radial Reload with Tri-Staple'- Technology K132493 Page 4/4 MATERIALS: All components of the Endo GIA h Radial Reload with Tri-StapleN ENDOPATH EMS Endoscopic Multifeed Stapler EMS Ethicon Endo-Surgery Inc. The handle does have the potential to snap if it is fired into tissue that is outside the indicated range. Every cartridge comes with a new sterile knife blade. The Endo GIA Roticulator SULU articulate to 22 and 45 degrees in both directions. That's why we have developed a portfolio of specialty stapling solutions within the Tri-Staple technology portfolio to provide the right tool to meet each specific challenge. #455754. The Endo GIA stapler combines Tri-Staple technology with a preattached synthetic, porous buttress material that adds support to tissue.
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