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Caution: The instrument can only achieve a maximum articulation of angle of 50º. When the maximum angle is reached, the
articulation lever force will increase, indicating the maximum angle has been reached.
Caution: Attempting to articulate beyond the stop in either direction, or while the instrument jaws are within the trocar, may result in
instrument damage.
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Position the instrument around the tissue to be stapled, ensuring that the tissue is proximal to the cut line markings, which represent
the minimum cut distance (Illustration 13).
Caution: Ensure that the tissue lies flat and is positioned properly between the jaws. Any "bunching" of tissue along the reload,
particularly in the crotch of the jaws, may result in an incomplete staple line.
WARNING: Do not use the instrument on the parenchyma of the liver, pancreas, kidney, or spleen, or other tissues which cannot
comfortably compress to the closed staple height.
WARNING: Do not use the instrument if, upon closing, the tissue extends beyond the cut line marking, which represents the
minimum cut distance, such as in creating an anastomosis (Illustration 13). If this occurs, open and reposition the instrument. Firing
with tissue in the tip of the jaws may result in incomplete cutting action, and/or improperly formed staples.
Caution: When positioning the stapler on the application site, ensure that no obstructions such as clips, stents, guide wires, etc. are
within the instrument jaws. Firing over an obstruction may result in incomplete cutting action, improperly formed staples, and/or
inability to open the instrument jaws.
Caution: If using other devices to guide instrument placement on the tissue, such as catheters that are attached to the anvil or reload,
those other devices should be removed prior to clamping and firing. Any device or tissue that is clamped within the tip of the
instrument can cause improperly formed staples, or be stapled to the targeted tissue.
Caution: Crossing of staple lines may shorten the life of the instrument.
After positioning the instrument jaws, close the jaws by squeezing the closing trigger until it locks (Illustration 5). An audible click
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indicates that the closing trigger and the jaws are locked. When the jaws of the instrument are closed, the red firing trigger lock and
firing trigger are exposed.
Caution: Ensure tissue has not extended (extruded) proximal to the proximal black line on the instrument (Illustration 1). Tissue
forced into the instrument proximal to the black line may be transected without staples.
Caution: If the closing trigger is difficult to lock, reposition the instrument and take a smaller amount of tissue. Ensure that the
proper reload and instrument selection has been made. (Refer to the Reload Product Code Chart.)
Caution: If the clamping mechanism becomes inoperative and the jaws do not clamp on tissue, do not fire the instrument. Remove
and do not continue to use instrument.
Note: When firing across thick tissue, holding the jaws in place for 15 seconds after closing and prior to firing may result in better
compression and staple formation.
Note: Applying pressure to the articulation lever during closure may cause the device to articulate.
Pull back the red firing-trigger lock to enable the firing trigger to be pulled (Illustration 14).
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Fire the instrument by pulling the firing trigger; the motor will activate audibly (Illustration 15). Continue to depress the trigger until
the motor stops (audible feedback), in order to reach the end of the transection.
Caution: Since the motor may stop if it stalls, it is important to do a visual check to ensure that the knife is visible in the knife blade
windows, and has reached the end of the transection.
Caution: Attempting to force the device to complete the firing stroke with too much tissue between the jaws, or with dense/thick
tissue between the jaws, may result in motor stall and the knife will stop. If this happens, release the firing trigger, slide the knife
reverse switch forward (Illustration 7), and remove and reload the instrument. Then, reposition the instrument and take a smaller
amount of tissue. Ensure that the proper reload and instrument selection has been made. (Refer to the Reload Product Code
Chart).
Note: The motor will slow down when device encounters more force.
To complete the firing sequence, release the firing trigger to activate the motor and automatically return the knife to home position
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where the motor will stop. In this position, the instrument is locked out until the jaws are opened and re-closed.
Note: If it is necessary to interrupt the firing sequence or it is interrupted inadvertently by releasing the trigger during the firing
sequence, pull the firing trigger again to continue. The status of the transection can be determined by observing the knife blade
window on the underside of the channel jaw throughout the firing action (Illustration 1). This can be done as often as necessary until
the knife reaches its end where releasing the trigger automatically returns the knife to home position.
Caution: If the instrument locks out, the motor will stop. Release the firing trigger and slide the knife reverse switch forward to
return the knife to the home position (Illustration 7). In this position, the instrument should be removed, opened, and reloaded in
order to continue. To open the jaws, squeeze the closing trigger, then simultaneously press the anvil release button on either side of
the instrument (Illustration 8a). While pressure is still on the anvil release button, slowly release the closing trigger (Illustration 8b).
Follow the instructions for Reloading the Instrument.
Note: At any time, if the knife reverse switch does not return the knife to home position (Illustration 11b or 11c), and the jaws will
not open:
a. First, ensure the battery pack is securely installed and the instrument has power (Illustration 9). Then, try the knife reverse switch
again (Illustration 7).
b. If the knife still does not return (Illustration 11b or 11c), use the manual override.
To use the manual override, remove the access panel labeled "Manual Override" on the top of the instrument handle. The manual
override lever will be exposed. Move the lever forward and backward until it can no longer be moved (Illustration 10). The knife will
now be in the home position. This can be verified by viewing the position of the knife in the knife lockout window (Illustration 11a).
Discard the instrument and dispose of the battery pack.
Caution: After the manual override system is used, the instrument is disabled and cannot be used for any subsequent firings.
Caution: Incomplete firing may result in malformed staples, incomplete cut line, bleeding, and/or difficulty removing the device.
Caution: If the firing mechanism becomes inoperative, do not continue to use the instrument.
To open the jaws, squeeze the closing trigger, then simultaneously press the anvil release button on either side of the instrument.
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While pressure is still on the anvil release button, slowly release the closing trigger (Illustrations 8a and 8b).
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