Covidien Signia Stapling System User Manual page 29

Operating Stapling Reloads
PRECAUTION
Do not attempt to insert or remove the instrument from the incision or trocar
sleeve if the instrument is in the articulated position.
PRECAUTION
The anvil must be completely visible (past the trocar sleeve) prior to opening
and/or articulating the reload within the body cavity.
WARNING
The instrument will cut and staple any structure included in the jaws. Use
caution to ensure that only the intended structures to be cut and stapled are
within the instrument jaws.
1. Once the appropriate sized stapling reload has been loaded, close the reload
prior to introducing the instrument into the trocar sleeve or incision by pressing and
holding the DOWN button.
2. Insert the instrument in the patient's body cavity, press and hold the UP button to
open the jaws of the instrument.
3. Position the jaws of the reload onto the target tissue by using the ARTICULATION
and ROTATION buttons.
NOTE
The device can be manually rotated in addition to the push-button controlled
rotation.
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Instructions for Use