Covidien Signia Stapling System User Manual page 36

Instructions for Use
WARNING
The manual retraction tool is provided non-sterile. Clean and sterilize before
each use.
1. Remove the power stapling handle from the adapter by pressing the black QUICK
RELEASE button on the adapter while pulling the handle off the adapter.
PRECAUTION
Care should be taken to support the adapter during disassembly to prevent
tissue damage.
2. To control the firing, insert the manual retraction tool into the center hole marked
with a one (1) on the proximal end of the adapter.
3. To continue firing the stapling reload, turn the manual retraction tool
counterclockwise, opposite direction of the arrow.
4. To retract the knife and open the jaws of the stapling reload, turn the manual
retraction tool clockwise, the same direction as the arrow.
PRECAUTION
Retracting the knife and opening a fully fired stapling reload using the manual
retraction tool may take up to ten minutes. The user should consider this when
deciding on the best course of action in the event of a failure of the power
stapling handle.
5. If the reload is articulated, insert the manual retraction tool into the hole marked
with a two (2) on the proximal end of the adapter. If the stapling reload is orientated so
that the lower clamp cover is up and the anvil is down, turning the manual retraction
tool counterclockwise will articulate the reload to the right. Turning it clockwise will
articulate the reload to the left.
6. Once the reload is centered, remove the instrument from the patient. Refer to the
instructions in the Disassembling the Stapler section.
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