LeMaitre AnastoClip GC Instructions D'utilisation page 3

I) END-TO-SIDE: Horizontal mattress sutures heel and toe: stay sutures at 3 and 9 o'clock.
J) 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 the 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 tissue wall to ensure that the forceps do not damage tissue 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 fi ts completely within the confi nes of the jaws.
The tissue must comfortably fi t within the confi nes 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 fi rmly 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. Tissue should completely fi ll clip opening and
clip should not loosely rock side to side.
8. If desired, the clip can be removed with the AnastoClip Remover and a new clip
can be placed with the AnastoClip AC applier.
9. 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
Approximate Span
Before Closure
0.9 mm
The shape of the closed clip may vary according to tissue thickness.
The amount of Titanium that a patient is exposed to is 18 milligrams per Applier if the entire
load of the applier is implanted.
B) e4000-06: Size M
2.3 mm
1.4 mm
Approximate Span
Before Closure
1.4 mm
The shape of the closed clip may vary according to tissue thickness.
The amount of Titanium that a patient is exposed to is 46 grams per Applier if the entire load
of the applier is implanted.
A
Approximate Overall Clips Per
Length Applier
1.4 mm 40
B
Approximate Clips Per
Overall Length Applier
2.3 mm 35
3
2
4
5
8