Johnson & Johnson Ethicon Endo-Surgery LIGACLIP Instructions page 3

Indications
The L Endoscopic Clip Applier has application for use on tubular structures or vessels wherever
IGACLIP
metal ligating clips are indicated. The tissue being ligated should be consistent with the size of the clip.
Contraindications
• Do not use the instrument for contraceptive tubal occlusion.
• Do not use the instrument on tissue structures or vessels upon which metal ligating clips would not
normally be used.
Device Description
The L Endoscopic Clip Applier is a reusable instrument designed to deliver and close metallic
IGACLIP
ligating clips. This instrument is for use with L
titanium. The clips are designed for the ligation of tubular structures where a nonabsorbable ligating device
is indicated.
The ligating clips are positioned around a tubular structure and closed by applying pressure to the trigger of
the applier.
Illustration and Nomenclature (Illustration 1)
1. Jaws
2. Shaft
3. Rotation Knob
Instructions for Use
Verify compatibility of all instruments and accessories prior to using the instrument (refer to Warnings and
Precautions).
Remove the protective cap from the instrument prior to sterilization.
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Using sterile technique, remove the instrument from the sterile wrapping. To avoid damage, do not
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flip the instrument into the sterile field.
Select the appropriate size L
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With the cartridge slots facing away from the base, insert the cartridge into one of the channel
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openings of the LC800 stainless steel cartridge base. Ensure that the cartridge is past the channel
opening and securely held in place (Illustration 2).
Grasp the applier by the handle and trigger and insert the jaws of the instrument into the individual
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cartridge slot, making sure the tips of the applier are perpendicular to the surface of the cartridge
(Illustration 3). Insert the applier until it stops. Do not force the applier. It should enter and withdraw
from the cartridge smoothly.
Keeping the applier jaws perpendicular to the surface of the cartridge, retract the applier from the
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cartridge (Illustration 3). The clip will be securely held in the applier jaws. It is not necessary to
maintain trigger tension to hold the clip in the applier jaws.
The sequence for rotation of the applier shaft is as follows:
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- Loosen the rotation knob by turning it clockwise until a click is heard.
- Rotate the shaft to the desired position.
- Tighten the rotation knob completely by turning it counterclockwise.
Position the clip around the tubular structure to be ligated. Apply sufficient force to fully close the
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applier to assure that the clip is satisfactorily placed and secured.
Cleaning, Disinfection, and Sterilization
The user must ensure that cleaning and sterilization are conducted in accordance with the
appropriate guidelines, standards, or national Health Authorities' requirements. The L
Applier must be cleaned and sterilized prior to each use. The instrument has been designed for thorough
cleaning and safe sterilization.
Immediately after removing the instrument from the patient, immerse the entire instrument in tap or purified
water. To ensure adequate cleaning, it is imperative that the instrument is not allowed to dry soiled.
E
IGACLIP XTRA
4. Handle
5. Trigger
E Ligating Clip cartridge and corresponding clip applier.
IGACLIP XTRA
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Ligating Clips which are produced from
Clip
IGACLIP