Superior Staple Formation in Thick Tissue Applications

Consistent staple formation can be challenging, especially in thick tissue bariatric and thoracic applications, such as laparoscopic sleeve gastrectomies or wedge resections. The Endo GIA™ black reload with Tri-Staple™ technology was designed to provide superior staple formation1 and strength2 in thick tissue applications.


Product Animation:
Endo GIA™ Black Reload Features
Endo GIA™ Black Reload Features

Designed Specifically for Use in Extra-Thick Tissue Applications

Stronger, Streamlined Fixed Anvil

Improves maneuverability of stapler around target tissue and enhances clamping force

Stepped Cartridge Face

Facilitates lateral diffusion of tissue fluids during clamping and firing

New I-Beam Design and Stronger Knife Blade

Smooth tissue transection in challenging thick-tissue-applications

Larger Anvil Buckets

Increases target area to facilitate good staple formation, especially in thick tissue

Forward/Backward Compatibility with Endo GIA™ Universal and Endo GIA™ Ultra Universal Staplers


Endo GIA™ Black Reload Features

  • Thickest indicated tissue range for any stapler currently on the market (2.25 mm–3.00 mm)
  • Designed for extra thick, dense tissues commonly found in challenging bariatric procedures such as revisions and sleeve gastrectomies
  • Provides a smooth firing force through extra thick tissue due to stronger knife bar, higher compression force and improved firing mechanism
  • Variable staple heights (4.0 mm, 4.5 mm, 5.0 mm) and stepped cartridge face increase the compressibility of tissue and provide optimal staple formation in variable tissue thickness


Order Information
Reorder Code Description Cartridge Color Staple Size (inner to outer row) Ordering Quantity
EGIA45AXT Endo GIA™ 45 mm Articulating Extra-Thick Reload with Tri-Staple™ Technology Black 4 mm, 4.5 mm, 5 mm 1 Each
EGIA60AXT Endo GIA™ 60 mm Articulating Extra-Thick Reload with Tri-Staple™ Technology Black 4 mm, 4.5 mm, 5 mm 1 Each

Stapling Made Smarter

Tri-Staple™ technology reloads are designed to work in harmony with the natural properties of tissue to optimize performance before, during and after stapling. With its stepped cartridge face, Tri-Staple™ technology delivers graduated compression, optimizing interaction between the tissue and stapler because it:

  • Generates less stress on tissue during compression and clamping1
  • May allow greater perfusion into the staple line2
  • Provides outstanding performance in variable thicknesses

The improved design of the stronger fixed anvil and I-beam incorporated into the Tri-Staple™ technology reload results in improved staple line strength, leak resistance and hemostasis when compared to the universal reloads3.

No single stapler can address the wide range of tissue management issues surgeons face on a daily basis. That's why Medtronic has developed a portfolio of specialty stapling solutions within the Tri-Staple™ technology portfolio to provide the right tool to meet each specific challenge.

1 When compared to Echelon Flex™* green reloads as part of a September 2, 2011 analysis comparing different stapler designs and their performance and impact on tissues under compression using two-dimensional finite element analysis (data on file).

2 When compared to Ethicon Echelon Flex™* green reloads as part of a bench study conducted August 16-18, 2011 that measured fluid perfusion into clamped media among different stapler designs (data on file).

3 Covidien Bench Top Testing. Tyvek Pull Apart Testing, In-Vitro Leak Comparison and In-Vivo Leak Comparison Test.