Overview:

Efficient Procedures and Consistent Performance

The LigaSure Advance™ pistol grip (LF5544) is a monopolar tip laparoscopic vessel sealer and divider that offers multifunction capability in one instrument. The combination of advanced monopolar energy and LigaSure™ sealing technology may allow surgeons to reduce their exchanges between dissecting, ligating and grasping instruments during procedures.

The LigaSure Advance™ pistol grip is designed for use in laparoscopic procedures. The instrument’s 44 cm shaft provides extended reach and increased access to target structures. Procedural applications for this device include:

  • Colectomy
  • Gastric bypass
  • Laparoscopic supracervical hysterectomy
  • Total laparoscopic hysterectomy

 

LigaSure Advance™ Pistol Grip Instrument Features

Product Animation:
LigaSure Advance™  Pistol Grip Instrument
LigaSure Advance™  Pistol Grip Instrument

Monopolar tip: Facilitates fine dissection, spot coagulation and creation of otomies

Insulated jaws: Minimizes heat transfer and protects from unwanted thermal damage

Wide bilateral jaw: Opening provides effective access to target structures and tissue separation

Extended reach: 44 cm shaft length lets you reach farther in obese and taller patients

LigaSure™ technology: Provides unmatched consistency and reliability on vessels, lymphatics and tissue bundles up to 7 mm

Integrated cutting mechanism: Cutting independent of sealing, leaves the critical decision in the surgeon’s hands

Ergonomic Handle Design: Accommodates a wide range of hand sizes

Valleylab™ mode: Offers less char, thermal spread and arching than a traditional coagulation mode

Features:

LigaSure™ technology gives surgeons the confidence that comes from knowing they haven’t compromised a single thing to gain an advantage over time in the O.R. With LigaSure™ technology, surgeons can be efficient and thorough – you won’t worry tomorrow about the effectiveness of today’s procedure.

LigaSure™ technology compared to traditional ligation techniques has been clinically shown to:

  • Significantly reduce operative costs during colectomies when compared to staples and clips1
  • Significantly reduce operative blood loss during hysterectomies2,3,4
  • Significantly reduce operative time during hysterectomies2,3
  •  The LigaSure Advance™ pistol grip instrument’s combination of monopolar and vessel sealing provides:
  • Consistent seals
  • Cutting independent of sealing
  • Multifunction
  • Low thermal spread
  • Extended reach

 

1 Marcello, et al. Surgical Endoscopy. 2006;20(2):263-269.

Ding Z, et al. Journal of Obstetrics & Gynaecology. 2005; 25(1):49-51.

3 Levy B, et al. Obstetrics & Gynaecology. 2003; 102(1):147-151.

4 Tamussino K, et al. Gynecologic Oncology. 2005;96(2):320-322.

Specifications

Specifications:
Physical Characteristics & Generator Compatibility
Length 44 cm (17.3 in)
Shaft Diameter 5 mm
Shaft Rotation 340 Degrees
Jaw Design Curved, Bilateral with Monopolar Tip
Seal Length 18 mm
Cut Length 15.5 mm
Generator Compatibility ForceTriad™ Energy Platform
General Characteristics
Sealer/Divider
Sterile, Single Use
Hand Switching or Foot Switching
Other Characteristics & Requirements
Dissecting electrode with Valleylab™ Mode (Hand Switching Only)
Requires RECQM electrode
Order Information
Order Code LF5544
Ordering Quantity 6 Units/Case
Technology:

LigaSure™ Technology – Delivering Performance Beyond Expectations

Across the range of products and procedures, LigaSure™ technology delivers a unique combination of pressure and energy to create a consistent seal with each application.

  • Provides a combination of pressure and energy to create vessel fusion
  • Permanently fuses vessels up to and including 7 mm in diameter and tissue bundles without dissection or isolation
  • Average seal cycle is 2 to 4 seconds, when used with the ForceTriad™ energy platform
  • Seals withstand three times normal systolic blood pressure
  • Feedback-controlled response system automatically discontinues energy delivery when the seal cycle is complete, eliminating the guesswork

LigaSure™ instruments have been found to:

  • Have the highest burst pressure, fastest sealing time and were highest rated overall compared to Gyrus PK™*, Harmonic ACE™* and ENSEAL™*1
  • Reduce blood loss compared to sutures and clips 2, 3
  • Reduce procedure time compared to sutures 2,3
  • Reduce patient length of stay compared to sutures 2

Compared to mechanical ligation techniques, LigaSure™ technology has been shown to:

  • Significantly reduce operative blood loss in colorectal, gynecologic and urologic surgery 4-9
  • Significantly reduce perioperative blood transfusions in gynecologic, urologic and general surgery 8, 10, 11
  • Significantly reduce procedure time in colorectal, gynecologic and urologic surgery 4, 6, 7, 9, 12, 13
  • Significantly reduce length of hospital stay in gynecologic and urologic surgery 6, 13

Compared to other energy-based modalities, LigaSure™ technology has been shown to:

  • Significantly reduce operative blood loss in colorectal and gynecologic surgery 14-17
  • Significantly reduce procedure time in colorectal and gynecologic surgery 14, 17

What is TissueFect™ sensing technology?

TissueFect™ sensing technology is the control system for the ForceTriad™ energy platform, designed to precisely manage energy delivery, creating a range of options for desired tissue effect. TissueFect™ sensing technology monitors changes in tissue impedance 3,333 times a second, and adjusts energy output accordingly to deliver the appropriate amount of energy for the desired tissue effect.

What is LigaSure™ tissue fusion?

LigaSure™ vessel sealing technology has been updated and improved in the ForceTriad™ energy platform, controlled by TissueFect™ sensing technology. LigaSure™ tissue fusion, like LigaSure™ vessel sealing, uses the body’s own collagen and elastin to create a permanent fusion zone. This technology can fuse vessels up to and including 7 mm, lymphatics, tissue bundles and pulmonary vasculature, and has an average seal cycle of two to four seconds in most surgical situations.
 

1 Lamberton GR, Hsi RS, Jin DH, Lindler TU, JellisonFC, Baldwin DD. Prospective comparison of four laparoscopic vessel ligation devices. J Endourol. 2008;22(10):2307-2312.

2 Ding Z, Wable G, Rane A. Use of LigaSure bipolar diathermy system in vaginal hysterectomy. J Obstet Gynaecol. 2005;25(1): 49-51.

3 Levy B, Emery L. Randomized trial of suture versus electrosurgical bipolar vessel sealing in vaginal hysterectomy. Obstet Gynecol. 2003;102(1):147-151.

4 Targarona, et al. A prospective randomized comparison of conventional electrosurgery, biopolar computer-controlled electrosurgery and ultrasonic dissection. Operative Outcome and Cost analysis. Surgical Innovation. 2005 Dec;12(4):339-344.

5 Manouras, et al. Sutureless open low anterior resection with total mesorectal excision for rectal cancer with the use of the electrothermal bipolar vessel sealing system. 2007. Med Sci Monit; 13(5): CR224-230.

6 Ding Z, et al. Use of LigaSure bipolar diathermy system in vaginal hysterectomy. Journal of Obstetrics Gynaecology. 2005 Jan;25(1):49-51.

7 Levy B, Emery L. Randomized Trial of Suture Versus Electrosurgical Bipolar Vessel Sealing in Vaginal Hysterectomy. Obstetrics and Gynecology. 2003 Jul;102(1):147-151.

8 Tamussino K, et al. Electrosurgical bipolar vessel sealing for radical abdominal hysterectomy. Gynecologic Oncology. 2005 Feb; 96(2):320-322.

9 Leonardo C, et al. Laparoscopic nephrectomy using LigaSure system: preliminary experience. Journal of Endourology. 2005 Oct;19(8):976-8.

10 Daskalopoulos G et al. Electrothermal bipolar coagulation for radical prostatectomies and cystectomies: a preliminary case-controlled study. International Urology and Nephrology. 2004;36(2):181-185.

11 Romano F, et al. Laparoscopic Splenectomy: LigaSure versus EndoGIA: A Comparative Study. J Laparoendoscopic & Adv Surg Techniques. 2007. Vol. 17, No. 6.

12 Cronje HS, et al. Electrosurgical bipolar vessel sealing during vaginal hysterectomy. Int J Gynaecol Obstet. 2005 Dec;91(3):243-5.

13 Metzelder ML, et al. Laparoscopic nephroureterectomy in children: a prospective study on LigaSure versus Clip/Ligation. Eur J Pediatr Surg. 2006 Aug;16(4):241-4.

14 Araki Y, et al. Clipless hand-assisted laparoscopic total colectomy using LigaSure Atlas. Kurume Medical Journal. 2004;51(2):105-8.

15 Campagnacci R, et al. Electrothermal bipolar vessel sealing device vs. ultrasonic coagulating shears in laparoscopic colectomies: a comparative study. Surg Endosc. 2007 Feb 8.

16 Takada et al. Comparative study of electrothermal bipolar vessel sealer and ultrasonic coagulating shears in laparoscopic colectomy. Surgical Endoscopy. 2005;19:226-228.

17 Demirturk F, et al. Comparison of the use of electrothermal bipolar vessel sealer with harmonic scalpel in total laparoscopic hysterectomy. J Obst Gynaecol Res. 2007; 33 (3):341-345.