Covidien Signia Stapling System User Manual page 32

Instructions for Use
PRECAUTION
After firing and removing the instrument from the tissue, always inspect the
staple line and the surrounding site for hemostasis and/or leakage.
11. After removing the instrument from the tissue, center the articulation by either:
• Using the four-way ARTICULATION toggle control. The articulation will pause when it
has been centered.
• Pressing and holding the UP control toggle for two seconds.
12. Remove the instrument from the body cavity; the reload will spring closed during
removal. Alternatively, press and hold the CLOSE/FIRE toggle button to close the jaws
before removing the instrument from the body cavity.
PRECAUTION
Do not attempt to insert or remove the instrument from the incision or trocar
sleeve if the instrument is in the articulated position.
13. If additional firings are desired on the same patient, attach a new single-use reload.
PRECAUTION
When using the stapler more than once during a single surgical procedure, be
sure to remove the empty stapling reload or cartridge and load a new one. A
safety interlock prevents an empty single-use reload from being fired a second
time. Do not attempt to override the safety interlock.
Center the reload and fully open the jaws before removing the reload to ensure
efficient reload exchanges.
Troubleshooting
Firing Slows Down
The Signia™ stapler measures force when clamping and firing staples and will prevent
the force from exceeding predetermined safety limits. As it enters three specially
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