The toggles should operate smoothly if the instrument is properly loaded. The instrument may not be properly loaded if during the loading, the levers were not firmly squeezed together. Squeeze the handle levers and try again. Also, check to ensure that the jaws are fully engaged with the needle. If they are not, unload the needle and reload the instrument using a new single-stitch single use loading unit. If the toggles seem stiff during operation, the handle levers may not have been fully squeezed before activating the toggle levers. If the handles require too much force to close, there might be too much tissue inserted into the jaws. Reposition the jaws incorporating less tissue and try squeezing the handle levers again.
The toggle positions correspond to the side of the device that is holding the needle. Moving the toggle lever back and forth passes the needle between the jaws. When the toggle lever on the left is forward, the needle is held by the left jaw. When the toggle lever on the right is forward, the needle is held by the right jaw. The toggle is placed in the center position aligned with the arrows for loading and removal of the needle.
Note: Toggles may only be activated when the handles and jaws are in the closed position. Failure to do so may damage the instrument.
The Endo Stitch™ single use suturing device is available in 2 sizes – 10 mm and 10 mm short. It includes a choice of four suture materials – Surgidac™, Polysorb™, Bralon™, and Softsilk™ – available in two suture lengths – 7" for intracorporeal knot tying and 48" for extracorporeal knot tying.