Bariatric surgeon Andrew Wheeler, MD, shares with General Surgery News about why he uses our Signia™ stapler with Tri-Staple™ reloads in his procedures. This clinical paper was sponsored by Medtronic.
Powered staplers
Signia™ linear stapler with Tri-Staple™ technology
<p>The Signia™ linear stapler includes Tri-Staple™ and Adaptive Firing™ technology within an intelligence-enabled powered handle featuring an OLED display screen.</p> <p> </p>
Features
Experience the proven performance of Tri-Staple™ technology.
The Signia™ linear stapler:
- Delivers consistent staple lines†,3,4
- Provides precision and maneuverability◊,6 with fully powered articulation, rotation, and clamping§,5
- Displays real-time feedback on an LED screen to help you make informed decisions about your staple load selection¶,7
Fewer malformed staples.†,‡,1 Stronger staple lines.†,‡,8
The Signia™ linear stapler is compatible with our existing reload portfolio featuring the proven performance of Tri-Staple™ technology. Compared to the Ethicon™* powered stapler with GST technology, its combination delivers:
- Three times fewer malformed staples†,1
- 50% stronger staple lines†,8
Confident stapling in robotic-assisted surgery (RAS) procedures
The intelligent performance of Signia™ with Tri-Staple™ technology provides better staple formation than the da Vinci SureForm™* stapler.#,9
Clinical evidence supporting use of bedside staplers
Fewer ICU visits10
Medtronic bedside staplers
17.2 times less
than robotic staplers (SureForm™* staplers)∆
Less operative room time10
Medtronic bedside staplers
32 minutes less
than robotic staplers (SureForm™* staplers)∆
Saving inpatient costs10
Medtronic bedside staplers
$2,670 USD less
than robotic staplers (SureForm™* staplers)∆
Less bleeding
Signia™ with Tri-Staple™ technology is 37% less likely to bleed than the SureForm™* robotic stapler#,∞,9
Performance under pressure
Signia™ with Tri-Staple™ technology can withstand 20% greater leak pressure than the SureForm™* robotic stapler.9
More security
Signia™ with Tri-Staple™ technology delivers 114% greater staple line security than the SureForm™* robotic stapler.9
What surgeons are saying about the hybrid approach
Dr. Allison discusses using the hybrid approach for bariatric surgery.
Watch Dr. Allison demonstrate the hybrid approach of revision laparoscopic adjustable gastric banding during a Roux-en-Y gastric bypass with the Signia™ stapling system.
View a video of bedside stapling in a robotic-assisted sleeve gastrectomy using the Signia™ stapler with Tri-Staple™ technology. This surgery is performed by Dr. Lucian Panait of Minneapolis, Minnesota.
Clinical papers
Adaptive Firing™ technology
Check out our technical summary to learn more about the science behind adaptive firing™ technology — and how it works across different tissue conditions.
Making the switch
A bariatric surgeon tells General Surgery News why he switched to the Signia™ stapler.
Bedside clinical summary
Review a clinical summary about the effectiveness of bedside staplers in bariatric robotic procedures.
Update your Signia™ power handle software.
The Valleylab™ Exchange (VLEX™) software update system enables you to update software on your Signia™ power handle. This ensures that you have access to the latest performance features as new features become available for your device.
Valleylab™ Exchange is a software application that you download, install, and run on your computer.
Valleylab™ Exchange software requirements:
Application is supported by Windows 10
Requires 9 GB free space
Recommended browser: Google Chrome™
Ordering information
| Item number | Description | Units per box |
|---|---|---|
| SIGPHANDLE | Signia™ power handle | 1 |
| SIGPSHELL | Signia™ power control shell | 6 |
| SIGADAPTSTND | Signia™ linear adapter | 1 |
| SIGADAPTXL | Signia™ linear adapter xl | 1 |
| SIGADAPTSHORT | Signia™ linear adapter short | 1 |
| SIGSBCHGR | Signia™ single-bay charger | 1 |
| SIGRIG | Signia™ reusable insertion guide | 1 |
| SIGMRET | Signia™ manual retraction tool | 1 |
| SIGTRAY | Signia™ sterilization tray | 1 |
| SIGPCORD1 | Signia™ power cord 1 — United States of America | 1 |
| SIGPCORD6 | Signia™ power cord 6 — Japan | 1 |
Resources
Product resources
In-service resources
In-service videos
In-service video (13:15)
Signia™ overview (00:45)
Signia™ LED OLED lights (01:36)
Signia™ setup and charging (00:52)
Signia™ assembling the handle (01:40)
Attaching a reload to Signia™ (01:52)
Firing Signia™ (04:02)
Disassembling the Signia™ handle (01:37)
Cleaning and sterilization (00:55)
Signia™ manual retract (02:07)
Related links
Related products
-
Signia™ small diameter reloadThe Signia™ small diameter reload can be used with any of our manual and powered handles.
-
Tri-Staple™ 2.0 30 mm reloadThe Tri-Staple™ 2.0 30 mm reload is an extra-short reload used in situations where space is limited.
-
Tri-Staple™ 2.0 black reloadThe Tri-Staple™ 2.0 black intelligent reload is designed to address extra-thick tissue.
-
Tri-Staple™ 2.0 curved tip reloadThe Tri-Staple™ 2.0 curved tip intelligent reload is designed to provide visibility and maneuverability around target tissues and vessels.
-
Tri-Staple™ 2.0 reinforced reloadTri-Staple™ 2.0 reinforced intelligent reloads are endoscopic staplers with preloaded tissue reinforcement.
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TM* Third-party brands are trademarks of their respective owners.
† Preclinical results may not correlate with clinical performance in humans.
‡ Compared to Ethicon™* powered stapling with GST technology.
§ 38 out of 38 surgeons surveyed agreed.
◊ Compared to manual staplers or EES Echelon Flex™* staplers during placement.
¶ Bench test results may not necessarily be indicative of clinical performance.
# When fired in indicated porcine tissue thickness. Preclinical testing may not be indicative of clinical performance.
∆ P-value, p<0.001.
∞ P-value of 0.061, statistical significance seen at 10-minute time point.
- Based on internal test report PCG-028, Signia™ stapling system competitive claims. March 27, 2017.
- Based on internal test report PCG-032, Comparison of undercrimped staple measurements between Medtronic and Ethicon™* powered stapling platforms.
- Based on internal test report R2146-173-0, ASA verification testing with slow speed force limit evaluation. 2015.
- Based on internal test report R2146-151-0, Powered stapling firing speed DOE analysis and ASA parameters. 2015.
- Based on internal test report RE00024826 rev D, Signia™ stapling system summative usability. September 2016.
- Based on internal report R0033554, iDrive™ Ultra stapler PCR summary. November 2012.
- Based on internal test report RE00055515, Surgeon evaluation testing Signia™ stapling system sensing technology and real-time feedback. August 4, 2016.
- Based on internal test report RE00147607, 4.5 mm round staple pull-apart analysis. 2018.
- 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.
- Clapp BL, Billy H, Lutfi RE, Pan IW. Effectiveness of bedside staplers in bariatric robotic procedures. Surg Endosc. 2024;38(9):5310–5318. doi: 10.1007/s00464-024-11045-w.