Points of Interest
What are the two sterilization rules included in the points of interest?
1. The power handle is provided non-sterile. DO NOT STERILIZE.
2. Do not flash sterilize (immediate-use sterilize) the adapter.
Name the non-sterile product features.
Signia Power Handle, Charger
What is the first step to use?
Remove the power handle from the charging terminal.
What is re-sterilized after each use? What is thrown away after each use?
1. linear adapter, retraction tool, insertion guide
2. power shell
What type of cleanser is required for wiping down the power handle? Include suggested brand.
Hydrogen peroxide based wipe such as Oxivir.
Name the sterile product features.
Linear adapter, power shell, insertion guide, retraction tool, sterilization tray.
Describe the scrub tech and circulator's roles when assembling the handle.
(Scrub tech) place the sterilized insertion guide on the open power shell. (Circulator) insert the power handle into the power shell. (Circulator) remove the reusable insertion guide.
What are the degrees of rotation? What are the degrees of articulation?
360, 45
Recite the point of interest in regards to the insertion guide.
Ensure the reusable insertion guide is properly seated onto the power shell before inserting a power handle device.
Name the # of cases and # of fires for the power handle.
300, 3000
Describe how to perform a reload cycle test.
1. Press and hold the gray toggle DOWN until jaw is completely closed.
2. Press and hold the gray toggle UP until jaw is completely open.
Once complete, the handle will show that the reload is loaded and ready for use.
What does each zone represent?
Zone 1 regular speed, Zone 3 slowest speed.
Who inserts the insertion guide? Who removes it and why?
Scrub tech (sterile), circulator (non-sterile)
Name the # of cases and # of fires for the linear adapter.
50, 450
Name the two ways to center the articulated reload.
1. Using the four-way ARTICULATION toggle control.
2. Pressing the gray toggle UP for two seconds.
What is Adaptive Firing Technology?
Adaptive Firing Technology senses the amount of force on the jaws when clamping on tissue and continues to measure force during firing and will adjust the firing speed to optimize staple formation.
Recite the point of interest in regards to the power shell, what happens after this step?
Audible and tactile confirmation that the latch is fully closed.
Describe the purpose of the retraction tool.
used for operating adapter controls in case the stapler has unexpectedly malfunctioned throughout the operation. It is used to retract the knife and open the jaw, complete a firing, and/or articulate stapling load.
note: rebooting the power handle also used as troubleshooting technique.
Name the 6 steps to use titles.
1. Assemble the Handle
2. Load the Stapler Reload (Scrub Tech)
3. How to Fire (Surgeon)
4. Disassemble the Reload (Scrub Tech)
5. Remove the Adapter (Scrub Tech)
6. Remove the Power Shell and Power Handle
What is Real Time Feedback (4)?
1. Communicates the zone its firing in (Zone 1 at regular speed, Zone 3 at slowest speed)
2. Delivers consistent staple lines
3. Provides both visual and audible feedback
4. Supports clinical decision making by providing force-sensing feedback.