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Medtronic / Covidien Products / Surgical Stapling / Surgical stapling innovation / Endo stapling

Endoscopic stapling

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Signia™ stapling system

The world's first smart stapler, the Signia™ system combines the proven performance of Tri-Staple™ technology with the power of real-time feedback.

Our reposable handle also gives the precision of fully powered rotation, articulation, and firing with one hand.1,*

Universal system

Medtronic endo stapling incorporates a universal system where with one base handle you can use any of our Tri-Staple™ & speciality reloads.

The universal system alongside our extensive reload portfolio gives you ultimate flexibility in your procedure2,† so that you can adapt to any challenge with the correct solution.3-7, ‡‡, §

Manual ultra handle

The Endo GIA™ ultra universal stapler combined an ergonomic design, precise articulation, and one-handed grasping, for increased versatility enhancing the user experience.

Available in 3 different lengths (short, standard and extra long) with 45o of articulation, approved for 25 firings.8

Signia™ small diameter reload

True 8 mm access9-12, §

With a narrow 6 mm anvil and an 8 mm shaft,9,11 the Signia™ small diameter reload:

  • Improves ability to gain access9,‡‡
  • Aids in dissection around delicate tissue structures9,††
  • Delivers superior hemostasis vs. Ethicon Echelon Flex™* powered vascular stapler9-12,§§

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Product portfolio

45 mm & 60 mm reload

Core reloads available in tan & purple

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Reinforced reload

Is the only stapler with preloaded tissue reinforcement to provide improved efficiency and less waste in the OR2

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Black extra thick reload

Offers 5 mm open staple height to accommodate the extra-thick indicated tissue range13

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30 mm short reload

An extra-short reload designed specifically for use in situations where space is limited

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Curved tip reload

Provides enhanced visiblity and manoeuvrability around target tissues and vessels10,§§

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Related technologies
References

* 38 out of 38 surgeons surveyed agree.

† Results based on n of 125 OR nurses and 125 surgeons by ORC International. Nov. 9, 2011. ‡Bench test results may not necessarily be indicative of clinical performance. Compared to Ethicon Echelon Flex™*

†† 15 out of 16 surgeons surveyed after use agreed when compared to larger 12 mm reloads. 

‡ Tested using the Endo GIA™ handle with Signia™ small diameter 45 mm white 2.5 mm reload versus Ethicon Echelon Flex™* powered vascular stapler with 35 mm white 2.5 mm reload.

§ Preclinical results may not correlate with clinical performance in humans.

‡‡ Bench test results may not necessarily be indicative of clinical performance. Compared to Ethicon Echelon Flex™*

§§Compared to 12 mm Tri- Staple™ technology 30 mm grey and Tri- Staple™ technology 45 mm tan curved tip reloads.

1. Based on internal test report #RE00024826, Signia™ stapling system summative usability report, January 2016.

2. ORC ORC International, Survey WasteStudy_FinalReport_Dec2011

3. Based on internal test report PCG-001_page 10_Tyvek Pull Apart EES & TS, 2011

4. Based on internal test report PCG-004 Undercrimp comparisons in increasing pads offoam between Echelon™ and Tri-Staple™, 2012

5. Based on internal test report PCG-006_rev1 Staple formation comparison between Covidien’s EGIA60AXT and Ethicon’s in an Ex-vivo tissue model, 2012

6. Based on internal test report PCG-018 2D FEA of linear staplers, 2012

7. Based on internal test report PCG-019: Comparative Testing of Covidien Endo GIA™ Black Reloads with Tri-Staple™ Technology and Ethicon ECHELON FLEX Black Reloads

8. Endo GIA™Ultra Universal, Universal Short and Universal XL Single Use Staplers IFU

9. Based on internal report #RE00014682, Small diameter reload summative usability. June 19–20, 22, 2017.

10. Based on report #RE00142825. Image creation for Signia™ small diameter reload. March 26, 2019.

11. Based on internal report #RE00190239, Signia™ small diameter reload chronic study statistical analysis. March 26, 2019.

12. Based on internal test report RE00209946_41017-112 SDR vs EVPS Vessel 13.PT00177539 TriStaple 2 Reloads IFU-20240126_SIG60AXT