Product Training & Support

Signia™ Stapling System

Chapter 1: OLED/LED

Chapter 2: Setup and Charging

Chapter 3: Handle Assembly

Chapter 4: Attaching Adapter

Chapter 5: Handle Operation

Chapter 6: Firing the Signia™ Stapler

Chapter 7: Handle Disassembly

Chapter 8: Removing Accessories

Chapter 9: Cleaning and Sterilizing

Chapter 10: Troubleshooting

Full In-service Video

In-Service Setup Poster

What does the YELLOW BATTERY indication mean?
- All functions available. Indicates low remaining capacity.
- Two complete firings remain.
- Place the Signia™ power handle into a charger. Allow the unit to charge for at least three hours or until the charging status LED displays a solid green light.
- If the Signia™ power handle is left on a charger for more than three hours and it has not substantially charged attempt to charge it using another charger. If the Signia™ power handle will still not charge in the expected three hour time window return the Signia™ power handle as an FTR.
What does the RED BATTERY indication mean?
- Insufficient battery. Firing is disabled until the system is charged.
- Place the Signia™ power handle into a charger. Allow the unit to charge for at least three hours or until the charging status LED displays a solid green light.
- If the Signia™ power handle is left on a charger for more than three hours and it has not substantially charged attempt to charge it using another charger. If the Signia™ power handle will still not charge in the expected three hour time window return the Signia™ power handle as an FTR.
What does the EXCESSIVE FORCE indication mean?
- If this is the first time the reload is being clamped ensure that the shipping wedge is removed. Verify that the reload is loaded properly by looking to see that the Signia™ linear adapter load button has returned fully to the resting position.
- The Signia™ system measures the force required to clamp and re each reload. If the measured force exceeds a set limit during clamp or ring the system will automatically stop the operation. Techniques can be applied in both cases to minimize the required system output force.
- Clamping techniques: Inspect for obstructions. If this graphic is presented during clamping, the user must unclamp and then clamp again to update the reading. At the surgeon’s discretion, if appropriate, allow tissue to compress in the reload jaws. Up-Sizing to a larger reload may reduce clamping forces. Selection of appropriate reload is based on surgeon’s discretion.
- Firing techniques: If this graphic is presented during ring, the user may attempt to continue by re-pressing the re [toggle-down] button. At the surgeon’s discretion, if appropriate, allow tissue to compress in the reload jaws. Up-sizing to a larger reload may reduce clamping forces. Selection of appropriate reload is based on surgeon’s discretion. Firing at a lower articulation angle may reduce ring forces.
- If a system presents the excessive force graphic frequently and you feel it is not appropriate. Connect a new Signia™ linear adapter to the system and continue the procedure. Observe if this change reduces the occurrence of excessive force indications. If the behavior appears to be correlated to the suspect Signia™ linear adapter, return that Signia™ linear adapter as an FTR. Do not return the Signia™ power handle or any other portion of the system. Include any notes about the reloads used and the target tissue.
What does the RELOAD CYCLE indication mean?
- The Signia™ system requires that a reload cycle test be performed any time a new reload is attached.
- Clamp the reload fully closed by depressing the toggle down button.
- Unclamp the reload fully by pressing the toggle up button.
- Ensure that the user is fully clamping and unclamping. Partial clamp and unclamping will not be recognized.
What does the BATTERY ERROR indication mean?
- No troubleshooting actions are available for this error.
- Document the conditions surrounding the error and return the Signia™ power handle as an FTR. Do not return any other portion of the system. Include the serial number of the charger the handle was charging on prior to the error being displayed.
What does the END OF LIFE SERVICE indication mean?
- No troubleshooting actions are available for this error.
- This graphic indicated that the useful life of the Signia™ power handle has been exhausted. Return the Signia™ power handle to Medtronic for disposal as per the user manual.
What does POWER HANDLE ERROR indication mean?
- No troubleshooting actions are available for this error.
- Document the conditions surrounding the error and return the Signia™ power handle as an FTR. Do not return any other portion of the system.
What does HANDLE ERROR WHILE ASSEMBLED indication mean?
- No troubleshooting actions are available for this error.
- Document the conditions surrounding the error and return the Signia™ power handle as an FTR. Do not return any other portion of the system.
What does POWER SHELL ERROR indication mean?
- No troubleshooting actions are available for this error.
- Document the conditions surrounding the error and return the power shell as an FTR. Do not return any other portion of the system. Include the serial number of the Signia™ power handle associated with the failure. If applicable also include the serial number of the associated Signia™ linear adapter.
What does LINEAR ADAPTOR ERROR indication mean?
- No troubleshooting actions are available for this error.
- Document the conditions surrounding the error and return the Signia™ linear adapter as an FTR. Do not return any other portion of the system. Include the serial number of the Signia™ power handle that the Signia™ linear adapter was connected to.
What does RELOAD ERROR indication mean?
- No troubleshooting actions are available for this error.
- Attach a new reload to the system.
- Document the conditions surrounding the error and return the reload as an FTR. If a Signia™ linear adapter continues to present issues also return the Signia™ linear adapter as an FTR.
What does LOADING UNIT ERROR indication mean?
- No troubleshooting actions are available for this error.
- Attach a new loading unit to the system.
- Document the conditions surrounding the error and return the Signia™ loading unit as an FTR. If applicable, also return the cartridge as an FTR. If a Signia™ linear adapter continues to present issues, also return the Signia™ linear adapter as an FTR.
What does CARTRIDGE ERROR indication mean?
- No troubleshooting actions are available for this error.
- Attach a new Tri-Signia™ 2.0 cartridge to the system. Document the conditions surrounding the error and return the Tri-Signia™ 2.0 core loading unit and Tri-Signia™ 2.0 cartridge as an FTR. Do not return the Signia™ linear adapter as part of this issue.

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