LeMaitre AnastoClip Instructions D'utilisation page 3

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.)
1.4 mm
A) 4012-01: Size M
0.9 mm
2.3 mm
1.4 mm
1.4 mm
Approximate Span Before 3.3 mm
Closure
0.9 mm
1.4 mm
2.0 mm
2.3 mm
The shape of the closed clip may vary according to tissue thickness.
4.93 mm
1.4 mm
B) 4012-02: Size L
1.4 mm
3.3 mm
3.0 mm
0.9 mm
2.0 mm
2.3 mm
4.93 mm
Approximate Span
1.4 mm
Before Closure
3.3 mm
2.0 mm
3.0 mm
The shape of the closed clip may vary according to tissue thickness.
2.0 mm
C) 4012-03: Size XL
4.93 mm
3.0 mm
Approximate Span
Before Closure
3.0 mm
The shape of the closed clip may vary according to tissue thickness.
WARNING
• SYMMETRICALLY EVERT ALL TISSUE EDGES
• PLACE CLIPS AS CLOSE AS POSSIBLE TO ONE ANOTHER
• AVOID USE ON VESSELS SEVERELY COMPROMISED DURING ENDARTERECTOMY
2
2
Approximate
Overall Length
2.3 mm
Approximate
Overall Length
3.3 mm
Approximate
Overall Length
4.93 mm
I
4
4
5
5
A
Clips Per
Applier
35
B
Clips Per
Applier
35
C
Clips Per
Applier
25
J
2
5
7
7
4