The Endo GIA™ Radial Reload’s design and mechanism of action significantly reduces the likelihood that the staple line will contain “dog ears.” This is due to the following reasons:
1 Baker RS, Foote J, Kemmeter P, Brady R, Vroegop T, Serveld M. The Science of Stapling and Leaks. Obesity Surgery 2004; 14: 1290-1298.
2 Gregersen Hans. Biomechanics of the Gastrointestinal Tract: New Perspectives in Motility Research and Diagnostics, 1st Edn. London, Great Britain: Springer-Verlag 2003.
3 Higa M, Luo A, Okuyama T, Takagi T, Shiraishi Y, Yambe T. Passive Mechanical Properties of Large Intestine Under In Vivo and In Vitro Compression. Medical Engineering & Physics 2007; 29:840.
The “shipping wedge/load lock” is a safety feature of the device thatensures proper loading of the reload onto the handle. It prevents accidental prefiring of the instrument, which could result in wasting a reload due to lock-out.
The Endo GIA™ Radial Reload has a 60 mm staple line and a 55 mm cut line.
To date, clinical experience with the Endo GIA™ Radial Reload has shown that onlyone firing has been needed in the majority of cases. For the cases where the tissue is too thick for the reload, a second stapling is required (i.e. single application Endo GIA™ Radial Reload + 30 mm or 45 mm reload of the same color/staple size).
Yes, the Endo GIA™ Radial Reload can be used laparoscopically. To date, surgeonshave had clinical success using the Endo GIA™ Radial Reload through an existing trocar incision in the following manner:
Note: This technique should not be attempted with a standard length Endo GIA™ Universal handle (legacy handle) – the “unload” button will be covered by the trocar and the surgeon will not be able to unload the Radial Reload after use.
The Endo GIA™ Radial Reload does not have an articulation feature. Itis compatible with our Endo GIA™ Universal, Endo GIA™ Ultra Universal, and iDrive™ Ultra powered handles. These handles can accommodate all of our reloads (straight and articulating reloads). The articulation knob is meant to work with our articulating reloads only.
The Endo GIA™ Radial Reload does cut and staple simultaneously. By design, staples are always deployed in front of the knife blade to ensure proper hemostasis.
Yes, the Endo GIA™ Radial Reload is compatible with all our Endo GIA™ Universal,Endo GIA™ Ultra Universal, and iDrive™ Ultra powered handles.
Note: The backloading technique should not be attempted with a standard length Endo GIA™ Universal handle (legacy handle) – the “unload” button will be covered by the trocar and the surgeon will not be able to unload the Endo GIA™ Radial Reload after use.
Yes, the Endo GIA™ Radial Reload is currently indicated for the following applications:
The Endo GIA™ Radial Reload with Tri-Staple™ technology has application in open or minimally invasive general abdominal, gynecologic, pediatric and thoracic surgery for resection and transection of tissue and creation of anastomosis, as well as application deep in the pelvis, i.e. low anterior resection. It may be used for transection and resection of liver substance, hepatic vasculature.
It was designed to maximize control while placing the reload around target tissue. The tissue retaining feature aids in the capture of tissue andprevents it from extruding during placement. It is atraumatic, so if a second firing is required it will not damage tissue.