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No matter what surgical robot you use, staple line formation and the underlying stapling technology should not be compromised on.
As a surgeon you should have a choice in which surgical tools and stapling technology to use for open, laparoscopic and robotic procedures.
We believe in deploying the best stapling technology for those critical moments in robotic surgery or robotic-assisted surgery (RAS) procedures to promote better patient outcomes, reduce pain points for the Surgical First Assistant (SFA) and enhance clinical confidence.
The intelligent performance of Signia™ with Tri-Staple™ technology provides better staple formation than the da Vinci SureForm™* stapler.1,†
Image taken from signia-tri-staple-vs-sureform-competitive-brochure
As the comparison data highlights, SureForm™ staple formation underperforms across medium to extra thick tissue (Black, Green, Blue), leaving an undercrimped or compromised quality staple formation.1,†
What is bedside stapling technique?
A surgical technique that uses a manual or energy powered stapler to close incisions after surgery.
This involves deploying a handheld or bedside stapling device such as the Signia™ linear stapler with Tri-Staple™ technology, instead of using the in-built stapling arm of a surgical robot.
How is the Signia stapler used alongside the robotic stapling arm during a procedure?
Using a laparoscopic, hand-held stapler alongside robotic arms in surgery has shown to have positive impact on patients, in-patient costs and operative time– see section below.
Using a hand-held stapler allows the Surgical First Assistant (SFA) to fire the stapler at the bedside (at the operating table). Adaptive firing feedback gives the SFA instant data on the tissue thickness. This supports the freeing up the surgeon to control other instruments at the console.
For training surgical residents, the consultant could fire the stapler at the bedside (acting as their Surgical First Assistant) as they become more proficient at the console.
How is a bedside stapler used in practice during?
The bedside stapling approach can be planned from the beginning of the procedure or converted to if there are concerns over patient safety, equipment integrity or to enhance time efficiency. This can become the robotic stapler system or your robotic surgical stapling approach in your operating theatre.
For a deep dive into this topic, check out this webinar with Mr Joel Dunning, Consultant Thoracic Surgeon from James Cook Hospital, UK. He shares his own case studies for using the bedside stapling approach in robotic lobectomy procedures.
Key moment: From 06:00 – Operating room time lapsed comparison from set up to first firing between robotic arm firing and bedside (Hybrid) stapling.
You can also view this on Medtronic Academy. Sign up for a free account or Login
How can I implement Signia™ staplers with Tri-Staple™ technology in my RAS procedures?
Get in touch with your local Energy and Stapling Rep, or complete this form to be contacted by a member of our team.
What other benefits are there for patients and healthcare providers by adopting bedside stapling?
A study in Surgical Endoscopy publish in July 2024 analysed data over a 12-month period tracking how well a cohort of patients in the US recovered after their robotic bariatric surgery that utilised Medtronic’s Signia™ linear stapler with Tri-Staple™ technology in a bedside stapling approach and Intuitive’s SureForm™* robotic stapler.
You can access the full study here via Open Access
† When fired in indicated porcine tissue thickness. Preclinical testing may not be indicative of clinical performance.
†† Compared to flat-faced cartridges with single-height staples.
1. Based on internal report #RE00498029, Competitive evidence final report — Signia™ with Tri-Staple™ technology vs. Intuitive’s da Vinci robotic stapling system with SureForm™* SmartFire technology.
2. Based on internal test report #2128-002-2, Final analysis of staple-line vascularity using MicroCT. July 2015.
3. Clapp. B.L. et all, Effectiveness of Bedside Staplers in Bariatric Robotic Procedures. , July 2024, pp. 1–9.