Endo Stitch™ Suturing Made Easy •Endo Stitch™ Automatic Endoscopic Suturing Device •Considerable Operating Room Time Savings •Intracorporeal and Extracorporeal Knot Tying •One-Handed •Easy-to-Use Instrument Reload Units COVIDIEN ENDO STITCH™ FEATURES & BENEFITS The Endo Stitch™ suturing instrument enables advanced laparoscopic procedures that require endoscopic suturing and knot tying, and saves 45-70% of OR time compared to conventional suturing.* Ergonomic handle with needle position indicator • • • One-handed device Easy needle transfer within the jaws Operator confidence 32 suture combinations, including Polysorb™, Surgidac™, Sofsilk™ and Bralon™ sutures • Wide variety of applications in many types of procedures 7"/18cm suture for intracorporeal and 48"/ 122cm suture for extracorporeal knot tying • Versatility of suturing material Integrated needle and suture • • Robust needle & suture pass between the jaws Time savings Graduated depth scale on shaft for in situ measurements • • Time savings while sizing the surrounding organs and tissues Easy cutting a suture of appropriate length 15"/38cm and 9"/23cm instrument shaft lengths • Choice for laparoscopic or open procedures Wide mouth jaws open to 19mm • Access to wide variety of tissue thickness Large 4mm tissue gap with 9mm needle *This may vary depending on the procedure. Please refer to the Relevant Clinical Evidence listing (1, 2 and 8). • • Large bites of tissue Versatility of endoscopic suturing Used as knot pusher with jaws closed • • Cost savings eliminating need for additional knot-pusher Facilitation of extracorporeal knot tying COMMON PROCEDURAL APPLICATIONS CLINICAL PROCEDURES Advanced Minimally Invasive Surgery • • • • • • • Laparoscopic Nissen Fundoplication Laparoscopic Paraesophageal Hernia Repair Laparoscopic Gastric Bypass Laparoscopic Adjustable Gastric Banding Laparoscopic Bowel Resection Laparoscopic Herniorrhaphy Thoracoscopic Esophagectomy Laparoscopic Gynecology • • • • L aparoscopic-Assisted Vaginal Hysterectomy, Laparoscopic Myomectomy Laparoscopic Treatment of Endometriosis Laparoscopic Sacrospinous Ligament Fixation • • Stay Suture Alignment of bowel limbs Tension reduction of anastomosis • • Enterotomy Closure Continuous full thickness closure Antiobstruction suture • • Stapling Line Reinforcement Tension reduction of anastomosis Postoperative leak prevention • Mesenteric Defect Closure Prevention of internal herniation Laparoscopic Urology/Gynecology • Laparoscopic Bladder Suspension Laparoscopic Urology • Laparoscopic Pyeloplasty Relevant Clinical Evidence 1. Adams JB, Schulam PG, Moore RG, Partin AW, Kavoussi LR. New laparoscopic suturing device: initial clinical experience. Urology. 46(2):242-5, 1995 Aug.* 6. Shatari T, Nozawa K, Mieno K, Kodaira S. A new method of peritoneal closure following laparoscopic herniorrhaphy. Surgery Today. 28(8):866-7, 1998. 2. Stringer NH. Laparoscopic myomectomy with the Endo Stitch 10-mm laparoscopic suturing device. Journal of the American Association of Gynecologic Laparoscopists. 3(2):299-303, 1996 Feb.* 7. Koizumi M, Sagae S, Baba T, Yamanaka I. Yamasita S, Suzuki T, Noda M, Ito E, Kudo R. A safe and easy sacrospinous ligament fixation. Journal of Gynecologic Techniques. 4(2) (pp 43-45), 1998. Date of Publication: 1998. 3. Gill F, Enzelsberger H. The Endo Stitch needle: A new disposable instrument for Burch's pelviscopic preperitoneal incontinence operation: A preliminary study. Gynaekologisch-Geburtshilfliche Rundschau. 36(2). 1996. 75-78. 8. Nguyen NT, Mayer KL, Bold RJ, Larson M, Foster S, Ho HS, Wolfe BM. Laparoscopic suturing evaluation among surgical residents. Journal of Surgical Research. 93(1):133-6, 2000 Sep.* 4. Stringer NH, McMillen MA, Jones RL, Nezhat A, Park E. Uterine closure with the Endo Stitch 10-mm laparoscopic suturing device – a review of 50 laparoscopic myomectomies. International Journal of Fertility & Women’s Medicine. 42(5): 288-96, 1997 Sep-Oct. 9. Rogers A, Barker G, Viggers J, Mason T, Swan J, Mayall P. A review of 165 cases of transvaginal sacrospinous colpopexy performed by the Endo Stitch technique. Australian & New Zealand Journal of Obstetrics & Gynaecology. 41(1):61-4, 2001 Feb. 5. Rouzier R, Girousse A, Barakat S, Muray J-M. Vaginal cure of genitourinary prolapse using Endo Stitch alone. Journal de Gynecologie Obstetrique et Biologie de la Reproduction. 26(8)(pp 809-814), 1997. Date of Publication: 1997. 10. Misawa K, Hachisuka T, Kuno Y, Mori T, Shinohara M, Miyauchi M. New procedure for purse-string suture in thoracoscopic esophagectomy with intrathoracic anastomosis. Surgical Endoscopy. 19(1):40-2, 2005 Jan. • • Laparoscopic Adjustable Gastric Band Fixation Anterior and medial imbrications of gastric tissues Minimal risk of damage of Laparoscopic Adjustable Gastric Band device or tissues ORDER CODES Endo Stitch™ Suturing Devices Order Code Instrument 173016 Endo Stitch™ 10mm Suturing Device 173027 Endo Stitch™ Short Suitable for Open Surgery Endo Stitch™ Single Use Loading Units - Single Stitch Order Code Suture Type Description Size USP= Size Metric Color Length 170051 Polysorb™ Ctd, Brd Lactomer™ 9-1 2-0 3 Violet 7" 18cm 170053 Polysorb™ Ctd, Brd Lactomer™ 9-1 2-0 3 Violet 48" 120cm 170050 Polysorb™ Ctd, Brd Lactomer™ 9-1 0 3.5 Violet 7" 18cm 170052 Polysorb™ Ctd, Brd Lactomer™ 9-1 0 3.5 Violet 48" 120cm 170056 Polysorb™ Ctd, Brd Lactomer™ 9-1 0 3.5 Undyed 48" 120cm 170054 Polysorb™ Ctd, Brd Lactomer™ 9-1 0 3.5 Undyed 7" 18cm 170057 Polysorb™ Ctd, Brd Lactomer™ 9-1 2-0 3 Undyed 48" 120cm 170055 Polysorb™ Ctd, Brd Lactomer™ 9-1 2-0 3 Undyed 7" 18cm 170070 Polysorb™ Ctd, Brd Lactomer™ 9-1 3-0 2 Violet 7" 18cm 0170071 Polysorb™ Ctd, Brd Lactomer™ 9-1 3-0 2 Violet 48" 120cm 170072 Polysorb™ Ctd, Brd Lactomer™ 9-1 3-0 2 Undyed 7" 18cm 170073 Polysorb™ Ctd, Brd Lactomer™ 9-1 3-0 2 Undyed 48" 120cm 170090 Polysorb™ Ctd, brd Lactomer™ 9-1 4-0 1.5 Violet 48" 120cm 170092 Polysorb™ Ctd, Brd Lactomer™ 9-1 4-0 1.5 Violet 7" 18cm 170094 Polysorb™ Ctd, Brd Lactomer™ 9-1 4-0 1.5 Undyed 7" 18cm 170096 Polysorb™ Ctd, Brd Lactomer™ 9-1 4-0 1.5 Undyed 48" 120cm 170012 Bralon™ Ctd, Brd Nylon 0 3.5 Black 48" 120cm 170010 Bralon™ Ctd, Brd Nylon 0 3.5 Black 7" 18cm 170013 Bralon™ Ctd, Brd Nylon 2-0 3 Black 48" 120cm 170011 Bralon™ Ctd, Brd Nylon 2-0 3 Black 7" 18cm 170003 Sofsilk™ Ctd, Brd Silk 0 3.5 Black 48" 120cm 170001 Sofsilk™ Ctd, Brd Silk 0 3.5 Black 7" 18cm 170004 Sofsilk™ Ctd, Brd Silk 2-0 3 Black 48" 120cm 170002 Sofsilk™ Ctd, Brd Silk 2-0 3 Black 7" 18cm 173026 Surgidac™ Ctd, Brd Polyester 0 3.5 Green 7" 18cm 173024 Surgidac™ Ctd, Brd Polyester 0 3.5 Green 48" 120cm 173021 Surgidac™ Ctd, Brd Polyester 2-0 3 Green 7" 18cm 173023 Surgidac™ Ctd, Brd Polyester 2-0 3 Green 48" 120cm Suturing Device Single Stitch SULU Endo Stitch™ Single Use Loading Units - Triple Stitch Order Code Suture Type Description Size USP= Size Metric Color Length 170043 Surgidac™ Ctd, Brd Polyester 0 3.5 Green 48" 120cm 170040 Surgidac™ Ctd, Brd Polyester 0 3.5 Green 7" 18cm 170041 Surgidac™ Ctd, Brd Polyester 2-0 3 Green 7" 18cm 170044 Surgidac™ Ctd, Brd Polyester 2-0 3 Green 48" 120cm Triple Stitch SULU For more information or to set up a product demonstration, contact your local Covidien surgical devices specialist or call customer service at 1-800-722-8772 Learn more: www.covidien.com/autosuture or place your order at: 1 800 722 8772. 150 Glover Avenue, Norwalk, CT 06856 1-800-722-8772 www.covidien.com COVIDIEN, COVIDIEN with Logo and “positive results for life” are trademarks of Covidien AG. © 2008 Covidien AG or its affiliate. All rights reserved. 385420 SS 8.4M 06.08 CBR00080M PLEASE REFER TO THE PACKAGE INSERT FOR COMPLETE INSTRUCTIONS, INDICATIONS, CONTRADICTIONS, WARNINGS AND PRECAUTIONS
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