What types of Endo Cutter Stapler are used in actual clinical work? How to choose Endo Cutter Stapler? Next, Qianjing Medical will take you through the types of Endo Cutter Stapler and how to use them.

1. Disposable Curved Cutter Staplers and Reloads

Provides two rows of interspaced staples to close the tissue in a linear fashion without cutting function. It is suitable for thoracic surgery, gastrointestinal surgery, hepatobiliary surgery, such as pulmonary mass, main bronchus, portal vein, pancreatic head and distal rectal surgery, etc.

2. Disposable Linear Cutter Staplers and Reloads.

This suture device can be used to cut and suture tissues by simultaneously driving three rows of cross-arranged staples into each side of the tissue, and then using a push knife to cut between the two sides of the already sutured tissues. It is suitable for thoracic surgery, general surgery, urology, obstetrics and gynecology, such as lung lobectomy, gastrointestinal anastomosis, etc. 

3. Disposable Endoscopic Staplers and Reloads QSAE

Most of the lumpectomy closures can change the direction of the staple cartridge, which makes the operation more flexible in a narrow surgical space; at the same time, there is a single-use safety device to avoid the second shot of the used staple cartridge and ensure surgical safety.

At the same time, the wide opening at the front of the staple cartridge facilitates tissue incorporation; these staplers have 6 rows of staples with a blade in the cartridge, which cuts through the tissue in the middle while stapling, allowing 3 rows of staples on each side to complete the suturing and hemostasis functions.

In addition, there are now electric lumpectomy closers that are more convenient when cutting compared to manually operated ones.

Caution: Before releasing the suture, excess tissue and the organ expected to be removed must be removed along the edge of the suture's osprey mouth, and the broken end disinfected with iodine before releasing and removing the suture.

Ensure that the anastomosis is tension-free; ensure the anastomotic blood supply; be sure to select a nail gate with the appropriate nail leg length according to the tissue thickness, and advance the blade in the middle of the titanium nail line to cut the breakaway.

4. Disposable Curved Cutter Staplers and Reloads

With small size and suitable for pelvic anatomy, it has certain advantages in low rectal cancer anal preservation surgery; simultaneous completion of cutting and suturing; curved head end design, easy to be placed into the pelvic cavity; replaceable nail compartment.

Precautions: ensure that the anastomosis is tension-free; under the premise of radical treatment, moderate resection of the proximal colon; when tension is suspected in the anastomosis, the proximal colon should be fully freed or the splenic flexure of the colon should be loosened.

Selection of anastomotic site: the anastomosis should be made at the dorsal side of the midpoint of the closed rectal margin, and the lower rectal resection wall should contain part of the closed rectal margin. Because, usually, the free range of the dorsal side of the rectum is larger than the ventral side, the blood supply is relatively poor, and anastomosis here can reduce the dorsal bloodless area.

5. Disposable Circular Staplers for Prolapse and hemorrhoids(PPH) and Accessories

It is used for the anastomosis of various luminal tracts. Two rows of circular cross-arranged staples can be driven into the luminal tissues, so that the two layers of luminal tissues are sutured together, and the built-in circular knife removes the excess tissues to form a circular anastomosis and complete the luminal anastomosis.

At present, it is mainly used for end-to-end anastomosis and end-to-side anastomosis of the esophagus, stomach, intestine and other digestive tracts.

Caution: The intestinal section to be anastomosed should be fully freed and stripped at least 2 cm; exit the anastomosis gently and check whether the cut tissue is a complete loop; the stitch distance of the purse-string suture should not exceed 0.5 cm and the margin should be 2-3 mm, too much tissue is easily embedded in the anastomosis and hinders the anastomosis, and be careful not to miss the mucosa.

6. Disposable Hemorrhoid Staplers

It is suitable for resection and anastomosis of rectal mucosal prolapse and hemorrhoidal mucosal tissue in the anus. Reasonable anastomotic staple density to reduce postoperative blood leakage.

Adjustable tissue cutting thickness according to the actual situation of tissue prolapse. Larger staple compartment space ensures that the diseased tissue can be accommodated for excision. Tissue protection gap between the staple holder and the staple compartment to avoid tissue damage due to excessive compression.

7. Disposable Circumcision Stapler

It is suitable for clinical circumcision and suturing surgery. The operation is simple, fast and convenient. The cutting and suturing is completed in one time, which greatly shortens the operation time. Reduce intraoperative bleeding and postoperative edema. Automatic staple removal, no need to remove stitches, more beautiful incision after healing. Denser staple foot, 0.5mm spacing between staples, making intraoperative and postoperative no bleeding a reality

8. Disposable Skin Staplers and Removers

Suitable for surgical suturing of superficial skin of human wounds and surgical incisions. 1. homogeneous suturing, consistent suture marks, improved suturing efficiency. 2. fast suturing (closure), shorten surgical time. 3. intuitive, excellent hand feeling, easy to operate.