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Ethicon ECHELON FLEX - Firing the Device; Fire Instrument and Return Knife; Stapler Lockout and Override; Use Knife Reverse Switch

Ethicon ECHELON FLEX
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Loading the instrument
Closing and opening of the jaws
Articulation and placement
1
4
7
2
5
8
A
3
6
8
B
Prior to loading, rotate the shaft so the
Curved Anvil Tip is in the upright position for
easier loading. Examine the reload for the
presence of a yellow staple retaining cap.
Prior to insertion through the port rotate the
shaft back so the Curved Anvil Tip is in the
downward position. The shaft will rotate
optimally when the jaws of the device
are open.
To articulate the jaws inside the body cavity,
turn the articulation lever in either direction
until one of the three pre-determined angles
is reached. Articulating while closed does
not provide optimal feedback and control,
and may result in instrument damage.
Insert the reload by sliding it against the
bottom of the channel jaw until the reload
alignment tab stops in the reload alignment
tab slot. Snap the reload securely in place.
Close the jaws of the instrument by
squeezing the closing trigger until a click is
heard. The audible click indicates that the
closing trigger and the jaws are locked.
Position the instrument around the tissue
to be stapled, ensuring that the tissue is
proximal to the cut line markings, which
represent the minimum cut distance.
Remove the yellow staple retaining cap and
discard. Observe the surface of the new
reload to ensure no blue colored drivers are
visible. Visually inspect the stapler to ensure
proper reload seating.
Squeeze the closing trigger, and then
simultaneously push the anvil release button
on the side of the device. Maintain pressure
on the anvil release button and slowly
release the closing trigger.
Ensure that the tissue lies lat and is
positioned properly between the jaws.
Any “bunching” of tissue along the reload,
particularly in the crotch of the jaws, may
result in an incomplete staple line.

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