LeMaitre AnastoClip VCS Instructions D'utilisation page 3

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 0.5 mm between clips (see illustration #7).
FAILURE TO COMPLETELY SQUEEZE THE LEVERS CAN RESULT IN CLIP
MALFORMATION AND POSSIBLE BLEEDING OR LEAKAGE.
6. Release the levers to disengage the clip from the AnastoClip
applier and remove the clip applier. (The closed clip is
disengaged automatically from the jaws.) The applier automatically
advances the next clip for successive applications.
7. Check tightness of clip placement. If desired, the clip can be removed with the
AnastoClip remover and a new clip can be placed with the AnastoClip applier.
8. After completion of the anastomosis, one or more clips, and/or sutures, may be
used to control bleeding or leakage from the anastomotic site (if necessary.)
A) e4000-05: Size S
1.4 mm
0.9 mm
2.3 mm
Approximate Span
Before Closure
0.9 mm
1.4 mm
The shape of the closed clip may vary according to tissue thickness.
3.3 mm
B) e4000-06: Size M
2.0 mm
4.93 mm
Approximate Span
Before Closure
3.0 mm
1.4 mm
The shape of the closed clip may vary according to tissue thickness.
C) e4000-07: Size L
Approximate Span
Before Closure
2.0 mm
The shape of the closed clip may vary according to tissue thickness.
2
Approximate Overall
Length
1.4 mm
1.4 mm
0.9 mm
2.3 mm
1.4 mm
1.4 mm
3.3 mm
Approximate
Overall Length
0.9 mm
2.3 mm
2.3 mm
2.0 mm
4.93 mm
1.4 mm
3.3 mm
3.0 mm
2.0 mm
4.93 mm
Approximate
Overall Length
3.3 mm
3.0 mm
1
G
2
I
I
4
2
5
5
A
Clips Per
Applier
40
B
Clips Per
Applier
35
C
Clips Per
Applier
35
H
J
4
I
J
2
5
4
7
5
7
J
4
7