LeMaitre AnastoClip GC Instructions D'utilisation page 2

AnastoClip GC® Vessel Closure System
and Tissue Everting Forceps and AnastoClip® Remover
(Model Numbers 4009-06, 4009-07, 4009-08, e4009-06, e4009-07, and e4009-08)
English — Instructions for Use
IMPORTANT!
This booklet is designed to assist in using the AnastoClip GC® Vessel Closure System with titanium clips. It is not a refer-
ence to surgical stapling techniques.
BEFORE USING PRODUCT, READ THE FOLLOWING INFORMATION THOROUGHLY.
Indications
The AnastoClip GC is intended for use in the closure of arteriotomies and veinotomies, the attachment of synthetic
vascular prostheses, and the creation of everting anastomoses in blood vessels and other small tubular structures. The
AnastoClip GC applier is available in three (3) clip sizes: medium-1.1 mm, large-1.7 mm and extra large-2.5 mm.
Effects
The AnastoClip GC applier consists of a rotating shaft and an integral cartridge containing titanium clips. As the levers
of the applier are squeezed together, the clip is closed around the everted tissue edges. As the levers are released, a new
clip is automatically loaded into the clip applier jaws. It is recommended, with each procedure, to use the Tissue Everting
Forceps to aid in the everting of the tissue edges. They are available
in two (2) lengths. It is also recommended, with each procedure, to
use the AnastoClip Remover for the removal of any AnastoClip GC
®
clips (if necessary).
Schematic View And Nomenclature
A) Clips
B) Jaws
C) Shaft
D) Rotation Knob
E) Levers
F) Handle
G) AnastoClip Remover
H) Everting Forceps
I) Atraumatic Everting Forceps
Tissue everting forceps, sizes and designs available:
Length
18 cm (7.0")
NOTE: Atraumatic Tissue Everting Forceps are designed to minimize potential damage to blood
vessels or other small tubular structures.
Instructions For Use
NOTE: It is recommended to wear loupes. A 2.5X magnification is suggested.
The tissue everting forceps must be cleaned and sterilized prior to use! (Refer to cleaning and
sterilization method).
1. Preparation of tissues is recommended as follows:
J) ARTERIOTOMY OR VENOTOMY: One optional stay suture at mid-incision.
K) END-TO-END: Horizontal mattress sutures at 3 and 9 o'clock.
L) END-TO-SIDE: Horizontal mattress sutures heel and toe: stay sutures at 3 and 9
o'clock.
M) SIDE-TO-SIDE: Horizontal mattress sutures at 12 and 6 o'clock: stay sutures at 3 and 9
o'clock.
NOTE: Additional sutures may be placed depending on the length of the closure, in order to
facilitate a symmetrical eversion.
2. Symmetrically evert all tissue layers for secure nonpenetrating clip placement. Evert the
tissue edges of the vessel with either design of tissue everting forceps. Ensure that all tissue
edges are symmetrically everted prior to applying the clip. Failure to symmetrically evert
the tissue edges properly can result in possible bleeding or leakage.
3. Inspect the vessel wall to ensure that the forceps do not damage vessel during manipulation.
NOTE: Atraumatic Tissue Everting Forceps are designed to minimize potential damage to blood
vessels or other small tubular structures.
4. Place the instrument jaws onto the everted tissue edges to be anastomosed, making certain
that the tissue fits completely within the confines of the jaws. The tissue must comfortably
fit within the confines of the jaws, or the use of the instrument is contraindicated.
5. Squeeze the levers together fully until a discernible click is felt. As the levers are squeezed, the clip is held firmly in
the jaws and closed around the tissue. Clip placement should be as close as possible. There should not be more than
B
A
D
C
H
B
A
H
Atraumatic Everting Forceps
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