Endocutters Flashcards
You just inserviced Dr. Smith on the ECHELON FLEX PVS. He asks, “Does the tissue really have to flat between the jaws?” What is the appropriate response:
YES, ANY BUNCHING MAY RESULT IN INCOMPLETE STAPLE LINE
Dr. Jones OR just called you. They are using the ECHELON FLEX PVS and it has locked up. They have already tried fixing the Lockout by using knife reverse switch, flipping the battery and trying the knife reverse again, but the knife still wont turn. What do they do now?
USE THE MANUAL OVERRIDE LEVER ON TOP OF THE HANDLE, MOVING IT BACK AND FORTH. WHEN KNIFE RETURNS, USE A NEW DEVICE.
Dr. Chan is performing a VATS lobectomy and has indicated that he will need to transect both tissues, bronchus, and pulmonary vessels. You should advise him to have the following devices available:
Both ECHELON FLEX PVS and Powered plus with GST stapler
What is the benefit of the advanced placement tip with the ECHELON FLEX PVS?
IT ENABLES PRECISE PLACEMENT ON AND IMPROVED MANEUVERABILITY AROUND VASCULAR STRUCTURES, DURING DISECTION AROUND DELICATE STRUCTURES (E.G. PULMONARY VESSELS)
Which of the following is NOT true about articulation of the echelon flex powered vascular stapler?
Articulating with closed jaws is optimal
The Medtronic Tri-staple reloads are available in the following:
TAN,PURPLE, BLACK
Select the statement that is TRUE as it relates to the Medtronic reloads with Tri-staple technology and comparison:
GRADUATED STAPLES DRIVE VARIABLE COMPRESSION WITH THE GREATEST COMPRESSION FORCE NEAR/NEXT TO CUTLINE
Which system has more components ad preparation steps?
THE SIGNIA TM STAPLER
Tri-staple reloads are compatible with the following staplers: (select all that apply)
MEDTRONIC ENDO GIA ENDOCUTTER
MEDTRONIC SIGNIA ENDOCUTTER
Dr. McCoy currently uses black reloads for the start of his gastric sleeve with TRi-Staple. If he expects similar results, what result would you recommend with GST?
GREEN
Compared to the Endo GIA curved tip reload with Tori staple technology, the echelon flex powered vascular stapler provides:
ALL OF THE ABOVE
Covidiens Tri staple technology delivers _____ rows of staples on either side of the cut line. The tightest row of staples is located ______
Three, closest to the cut line
The Medtronic SIGNIA device directly senses tissue thickness. TRUE OR FALSE
FALSE
The powered SIGNIA competitive device is easier to set up than the echelon flex GST system. TRUE OR FALSE
FALSE
Both the echelon flex GST system and the ENDO GIA with tri staple technology use pre-compression to reduce tissue movement. TRUE OR FALSE
FALSE
When using the ECHELON 3000, the user may notice a small amount of movement and the noise of the motor right after they stop articulating. Why does that happen?
THIS IS A HAPTIC FEEDBACK TO ALERT THE USER THE INSTRUMENT HAS LOCKED OUT
What are the situations in which the user will experience a haptic feedback when using the echelon 3000 stapler
WHEN TRYING TO ARTICULATE WITH THE JAWS FULLY CLOSED, TRYING TO ARTICULATE PAST THE ARTICULATION SPAN AND/OR TRYING TO FIRE WITH USED CARTRIDGE / INSTRUMENT LOCKED OUT
Which of the following statements is FALSE regarding echelon 3000 stapler articulation?
ECHELON 3000 STAPLER ALLOWS FOR ARTICULATION WITH THE JAWS PARTIALLY CLOSED AND WILL PROVIDE A HEPATIC FEEDBACK WHEN USER TRIES TO ARTICULATE WITH THE JAWS FULLY CLOSED
Which echelon 3000 stapler features are NOT available on Medtronic SIgnia stapling system? (Select all that apply)
ORIENTATION SENSOR
HEPATIC FEEDBACK
GRIPPING SURFACE TECHNOLOGY
The echelon flex GST system has _____x less tissue slippage during firing compared to Endo GIA reloads with tri staple technology.
4
GST Reloads on the echelon flex GST staplers offer a proprietary ridged surface that allows for the following:
STABILIZE AND HOLD TISSUE IN PLACE WITH NO ADDITIONAL TRAUMA
You are working with Dr. Jones who currently uses Endo GIA black on thick firings on her gastric sleeves. She is inquiring what reload should she use on that same firing with GST. How would you respond?
We recommend choosing the reload based on closed staple height you’re looking for. Let me go over this chart showing closed staple heights with GST reloads with you.
What are the key benefits of the echelon flex GST system as it relates to reduced tissue slippage? (Select all that apply)
POTENTIALLY REDUCES THE NUMBER OF RELOADS USED IN A PROCEDURE
LESS SENSITIVITY TO THE EFFECTS OF VARIOUS TISSUE THICKNESSES MEANS RELIABLE STAPLE FORMATION ACROSS A RANGE OF TISSUE THICKNESS
The cartridge side of the end effector on the echelon flex GST staplers has a closed knife channel because:
IT REDUCES LIKELIHOOD OF BOWING THE CARTRIDGE DECK LATERALLY OUTWARDS AND CAUSING INDIVIDUAL STAPLES TO MISS ANVIL POCKETS DURING THE FIRING SEQUENCE
The black reload of the GST system has a tissue range of ______ and the staple closes to ______
2.3 - 4.0mm
2.3mm
The feature of the GST system helps hold the tissue and prevent slippage during firing:
GRIPPING SURFACE EXTENSIONS
The green reload of the GST system has a tissue range of ______ and the staple closes to _______
2.0-3.3mm
2.0mm
Echelon flex GST staplers are indicated for use up to _____ hours of inserting the battery pack.
12
The blue reload of the GST system has a tissue range of ______and the staple closes to _______
1.5-2.4mm
1.5mm
When preparing the echelon flex stapler for additional firings/reloading while using echelon ENDOPATH staple line reinforcement, what new step has been added?
RINSE THE STAPLER JAWS TO REMOVE ANY LOOSE FORMED STAPLES
Who is the target audience for selling echelon ENDOPATH staple line reinforcement: (select all that apply)
According to the optimal device performance guis (ODP), what is the first step you should coach the OR staff to do before opening echelon ENDOPATH staple line reinforcement?
MAKE SURE HEAT INDICATOR STICKER IN THE LOWER LEFT OF THE package HAS A WHITE CIRCILE IN THE MIDDLE, NOT RED OR PINK.
In our benchtop testing, 100% of echelon ENDOPATH staple line reinforcement applications covered all staples with buttress vs. only ____% of CORE SEAMGARD bioabsorbable staple line reinforcement applications covered all staples with buttress.
28%
ECHELON ENDOPATH staple line reinforcement has the following indications: (select all that apply)
Bariatric
Thoracic
Colorectal
