Endo GIA™ Black Reloads with Tri-Staple™ Technology

Endo GIA™ Black Reloads with Tri-Staple™ Technology
Endo GIA™ Black Reloads
with Tri-Staple™ Technology
Designed with Bariatric Surgery In Mind
Stapling Made Smarter
Enabling surgeons to confidently and consistently staple
in extra thick tissue applications previously beyond the
indications of any MIS stapler
Consistent Staple Formation in Thick Tissue Applications
We understand that consistent staple formation in thick tissue bariatric applications, such as laparoscopic sleeve
gastrectomy, can be challenging. That’s why we have designed the Endo GIA™ Black Reload with Tri-Staple™
Technology to provide superior staple formation in thick tissue applications.
G
350
F
PYLORUS
E
D
50 mm
A
C
B
300
250
Location
A
Distance from Pylorus (mm)
<100
B
101-150
C
151-200
D
201-250
E
251-300
F
301-350
G
>350
200
100
150
Individual Value Plot of % Staple Malforms*
by Location and Stapler
Side-by-Side Staple Formation Comparison
*Malformed staple is defined as any staple that had at least one leg less than
parallel to the back span or both legs parallel to the back span.
Stapler
AXT60
ECR60G
60
50
% Malforms
Staple line evaluation of two stapler designs (Endo GIA™
Black 60mm Reloads with Tri-Staple™ Technology and
Echelon Flex™* Green 60mm Reloads) in explanted
porcine stomachs.
Evaluation of staples
within staple lines.
Green represents the
competitor staple,
black represents
Covidien staples.
40
30
20
10
00
Stapler
A
B
C
D
E
F
G
Location
Increased Staple Line Strength
We know the importance of staple line strength in bariatric surgery, so we have designed the Endo GIA™
Black Reload with Tri-Staple™ Technology to provide a higher level of strength than any other reload
available on the market.
•
Thickest indicated tissue range for any stapler currently on the
market (2.25mm–3.00mm)
•
Designed for extra thick, dense tissues commonly found in
challenging bariatric procedures such as revisions and sleeve
gastrectomies
•
50% thicker tissue range when compared to the Echelon Flex™*
green reload1
•
Provides a smooth firing force through extra thick tissue due
to stronger knife bar, higher compression force and improved
firing mechanism
•
Variable staple heights (4.0 mm, 4.5 mm, 5.0 mm) and stepped
cartridge face increase the compressibility of tissue and provide
optimal staple formation in variable tissue thickness
Indicated tissue thickness range: Endo GIA™ Black Reload with Tri-Staple™ Technology (2.25 mm to 3.00 mm) vs. Echelon Flex™* green reload (2.00 mm) per respective product IFUs
1
Increased Staple Line Strength
We know the importance of staple line strength in bariatric surgery, so we have designed the Endo GIA™
Black Reload with Tri-Staple™ Technology to provide a higher level of strength than any other reload
available on the market.
Tyvek Pull: Average Maximum Load†
40
40
35
35
36.1
30
25
20
24.1
15
17.8
10
10.4
5
12.7
Maximum Load (lbf)
Maximum Load (lbf)
Tyvek Pull: Average Maximum Load†
25
20
15
0
13.5
10
5
6.7
36.1
30
7.9
8.7
9.3
Echelon™*
White
2.5 mm
Echelon™*
Blue
3.5 mm
Echelon™*
Gold
3.8 mm
0
Endo GIA™ Endo GIA™ Endo GIA™ Endo GIA™ Endo GIA™ Endo GIA™
Tri-Staple™
White
Tri-Staple™
Green
Tri-Staple™
Blue
2.5 mm
AVM
4.8 mm
3.5 mm
AMT
AXT
Cartridge type (n=10)
Echelon™*
Green
4.1 mm
Endo GIA™
Tri-Staple™
AXT
Cartridge type (n=10)
Test shows Endo GIA™ Black Reload with Tri-Staple™ Technology
demonstrates greater staple line strength than all other Endo GIA™ reloads.
Test shows Endo GIA™ Black Reload with Tri-Staple™ Technology
demonstrates greater staple line strength than all Echelon™* reloads.
Staple lines were fired into Tyvek® media and pulled apart until failure (n=10).
These tests demonstrated that the Endo GIA™ with Tri-Staple™ technology provides
superior (p < 0.004) staple line strength compared to Echelon™* and Endo GIA™
Universal™ stapling product. The Endo GIA™ AXT (black) reload with Tri-Staple™
Technology has more than double the strength compared to the Echelon™* green
reload.
Indicated Ranges Of Endoscopic Stapler Loads Available (Per Respective Product IFUs)
Extra-Thin Range
Thin Range
Medium Range
Thick Range
Extra-Thick Range
Vascular
Black Tri-Staple™ Reload
Thickest Indicated Tissue
Stapler on the Market
Endo GIA™ Reloads without Tri-Staple™ Technology (Staple Height)
2.0 mm
3.5 mm
2.5 mm
4.8 mm
New Endo GIA™ Reloads with Tri-Staple™ Technology
Extra-Thin/Vascular✝
Vascular/Medium
Medium/Thick
Ethicon Echelon™*/ETS Reloads
Thin/Mesenteric
Vascular/Thin
Regular
Regular/Thick
Thick
Fixed Anvil
Larger Anvil Buckets
New, Stronger Knife Blade
Stepped Cartridge Face
Reorder Code
Description
Color
Staple Size
EGIA45AXT
Endo GIA 45 mm Articulating
Extra-Thick Reload with
Tri-Staple™ Technology
Black
4.0 mm,
4.5 mm,
5.0 mm
EGIA60AXT
Endo GIA™ 60 mm Articulating
Extra-Thick Reload with
Tri-Staple™ Technology
Black
4.0 mm,
4.5 mm,
5.0 mm
™
For more information, please visit:
www.covidien.com/tristaple
www.bariatricspro.com
555 Long Wharf Drive
New Haven, CT 06511
™* Trademark of its respective owner
COVIDIEN, COVIDIEN with logo, Covidien logo and positive results for life are U.S. and/or internationally
registered trademarks of Covidien AG. Other brands are trademarks of a Covidien company.© 2011 Covidien.
12.11 P110112
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