Ligasure

Question 1

Ligasure

Answer 1

• Seals vessels up to and including 7mm in diameter and tissue bundles w/o dissention or isolation
• Avg seal cycle is 2-4 sec
• Withstands 3x normal systolic BP

Question 2

Ligasure Laparascopic Tools

Answer 2

• Advance
• Maryland
• Blunt Tip 5 mm

Question 3

Ligasure Impact

LF4318 (new)

Answer 3

• Tissuefect Tech
• 18 cm low profile rectangular shaft
• 180 degree rotation
• 30 degree low profile handle
• dividing trigger
• 36 mm seal length /34 mm cut length
• ForceTriad only

Question 4

LF1637

Ligasure 5 mm Blunt Tip Laparasocpic device

Answer 4

• 18 mm Seal Length
• 16 mm Cut Length
• Shaft Length: 23/37/44 cm
• 5mm shaft / 180 degree rotation
• Double action Jaw design w/ contoured tips
• Contour tip facilitates dissection through issue planes and creation of windows
• 25% lighter & 53% less force to close jaws
• Activates by both foot / hand

Question 5

Ligasure Impact

Procedures

Answer 5

• Colorectal
• Urology (Cystectomy, Nephrecetomy)
• GYN (VH/TAH/LAVH)
• General (Debulking, Splenectomy, WHipple, Gastrectomy)

Question 6

Ligasure Small Jaw

LF1212A

Answer 6

• Instrument Length: 18.8 cm
• Jaw Angle: 28 degrees
• Cut Length: 15.2 mm
• Seal Length: 17.3 mm
• Seal Width: 1 mm at tip - 4 mm at base
• Both Hand/Foot Activation
• 1-step seal w/ 2 click hand activation
  (1st click / end of grapsing - 2nd click activates energy)
• Force Triad

Question 7

Ligasure Maryland Jaw

LF1737

Answer 7

• Shaft Length: 23/37/44 cm
• Shaft Diameter: 5 mm
• Shaft Rotation: 350 degrees
• Seal / Cut Length: 20 mm Seal / 18 mm cut
• 22 degree Maryland curve

Question 8

Ligasure Advance

LF5544

Answer 8

Shaft Length: 44 cm only

• Shaft Diameter: 5 mm
• Shaft Rotation: 340 degrees
• Seal / Cut Length: 18 mm Seal / 16 mm cut
• Monopolar & Ligasure capabilities

Question 9

Sonicision

Ultrasonic Dissector

Answer 9

• Shaft Length: 13/26/39/48 cm
• Shaft Diameter: 5 mm
• Shaft Rotation: 360 degrees
• Blade Length: 14.5 mm
• Battery/Generator Life: 100 uses each

Question 10

Ligasure Contraindications

Answer 10

• Vessels >7 mm
• Bowels
• Tubal Ligation for Sterilization
• Ducts (i.e. Lap Chole)

Question 11

Ligasure Precautions

cutting tissue

Answer 11

• Do not engage the cutting mechanism over metal objects as damage to the cutter may occur
• If the cutting trigger does not automatically return to position, unlatch and open the device to manually return the cutting trigger
• If the device cannot be unlatched following use, open the.device by forcing the ring handles open. The device may no longer function properly and should be discarded
• Before withdrawing the instrument through or into the sleeve of the trocar the surgeon must completely close the jaws.

Question 12

Ligasure Precautions

Sealing Vessels & Tissue Bundles

Answer 12

• Do not use ligasure on vessels over 7 mm in diameter
• do not activate the system until the device is fully ratcheted or you hear/feel two clicks
• Eliminate tension on the tissue when ceiling and cutting to ensure proper function and reduce bleeding.
• Do not divide tissue before the cycle is complete as this may result in improper sealing
• Care should be taken in confined spaces as the seal cycle energy may cause water to be converted into steam and possibly cause unintended injury to issue in close proximity to the jaws