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Product Description
Linear Stapler Surgery - Powered Endoscopic Stapler
Key features
1.1 90 degrees of articulation, 45 degrees to the left and 45 degree to right
1.2 Power with control, compression with stability
1.3 Powered linear cutting stapler( Power-controlled firing)
1.4 15 seconds pre-compression
Tissue pre-compression for 15 seconds, make tissue uniform and less spillage
1.5 Cayman Claw
Reduce the lateral and longitudinal oscillations when the staples are lifted, clamp the tissue firmly
1.6 Spindle socket form anvil
Spindle socket form anvil , guiding staple technology
1.7 Continuous and Stable firing
Better stability of the jaw, reduce the swing rate by 95% compared to manual type, guaranteeing perfectstaple forming
Stapler Parameter
ESA-S
190mm 45mmESA-S
190mm
60mm
ESA 250mm 45mm ESA 250mm 60mm ESA-L 350mm 45mmESA-L
350mm 60mm
Cartridge Models
Model Cartridge Color Suture length Staple height packing
ESA60-2.6
White
60mm
2.6mm
6 pieces/ box
ESA60-3.6
Blue
60mm
3.6mm
6 pieces/ box
ESA60-3.8
Yellow
60mm
3.8mm
6 pieces/ box
ESA60-4.1
Green
60mm
4.1mm
6 pieces/ box
ESA60-4.2
Black
60mm
4.2mm
6 pieces/ box
ESA45-2.6
White
46mm
2.6mm
6 pieces/ box
ESA45-3.6
Blue
46mm
3.6mm
6 pieces/ box
ESA45-3.8
Yellow
46mm
The company is the world’s best powered endoscopic staplers supplier. We are your one-stop shop for all needs. Our staff are highly-specialized and will help you find the product you need.
3.8mm
6 pieces/ box
ESA45-4.1
Green
46mm
4.1mm
6 pieces/ box
ESA45-4.2
Black
46mm
4.2mm
6 pieces/ box
Linear Stapler Surgery - Powered Endoscopic Stapler
Product details
Linear Stapler Surgery - Powered Endoscopic Stapler
Applications
1. Thoracic Surgery
* Thoracoscopic pulmonary bulla resection
* Thoracoscopic lobotomy
2. Gastrointestinal Surgery
3. Laparoscopic surgery
*Laparoscopic Gastrectomy
*Laparoscopic resection of the colon
*Laparoscopic lower anterior resection
*LGBP
4. General surgery
5. Vascular surgery
6. Veterinary surgery
Our service
Miconvey is a high-tech enterprise specialized in researching and manufacturing high-level surgical instruments.We mainly focus on
the minimally invasive surgical operations, providing professional surgical instruments with top quality among General Surgery,
Thoracic Surgery, OB/GYN.etc.
Our products cover Endoscopic Linear Cutting Stapler, Linear Cutting Stapler, and Ultrasonic surgical system and have been sold to
more than 38 countries and regions globally.
Once you purchase the Miconvey products, you will get our full service which also reflects in perfect details. We provide professional
and efficient service to get the trust and support to "Miconvey",continuously enhance customers satisfaction and loyalty.
Miconvey quality service is reflected in our training, technical support, problem feedback, work improvement and other aspects.
Well-training will be offered to help you practice in the simulation environment,until you master the operating skills. At the same time
we will participate in surgery to guide doctors to better use our products. of course , we will help our clinent to organize various academic
conference and activities.
We have established a customer feedback system which allows us to respond quickly to your feedback and suggestions from
our website or through our customer service hotline.
Why choose us ?
* More than 115 patents are obtained during products development.
* 36 registered trademarks
* Certificates: FDA , CE ,FSC, ISO
* Possesses a 100,000-level purification workshop, advanced production equipment, first-class processing technology and
perfect testing system, ensuring efficient production capability.
In this work, surgical staplers, which are internal use devices employed to deliver staplers to tissues inside the body during surgery for removing part of an organ, cutting through and sealing organs, and creating connections between structures, are covered.
Modern surgical staplers are designed to be disposable, with a maximum number of firing actions, as well as cartridges and other products used for surgical stapling. Todays staples have a rectangular cross-section and become "B" shaped when compressed against the anvil of the stapler to reduce the risk of ischemia, allowing blood to flow through them to the tissue edges. The specific geometry has been developed to ensure hemostasis and to allow sufficient vascularization of the tissue, supporting wound healing [ 1 ].
Three major types of stapling devices used both in open and laparoscopic surgery can be identified: linear, linear cutting, and circular. Linear instruments form a straight staple line and may or may not include a blade, while circular instruments have staples set in a crown shape and always include a blade. The ever-increasing diffusion of laparoscopy and robotic surgery led to the diffusion of stapling devices dedicated to endoscopic techniques; linear and circular stapling devices are employed mostly in gastrointestinal procedures such as complex gasterectomies, bariatric treatments, and colorectal oncological resections. Devices have been compared in terms of procedure duration, hospital stay, wound infection, anastomotic leakage, and anastomotic structures.
The outcome of the repair made by staples or suture techniques has attracted much interest in the scientific community. Recently, the mechanical behavior of repairs made with staples, sutures, and hybrid methods (staple and suture together) was evaluated carefully, showing that staples can resist high loads but are less deformable and rigid than handsewn sutures. This suggests safer employment in the case of small defects or diastasis, where the presumed tissue displacement is minimal. A hybrid repair improves its efficiency, becoming crucial in case of larger defects where the expected tissue displacement is maximal [ 2 ].
4,5,Although being more complex to operate and resulting in longer procedure times, in several studies covering gastric, bariatric, and colorectal surgery, linear staplers appeared to be preferred in clinical use due to their lower rate of anastomosis leakage and anastomosis strictures, with a sensible reduction in patients postoperative morbidity [ 3 6 ].
Regardless of its specific configuration, a surgical stapler is always characterized by an actuation handle: the surgeon can operate the device manually through a sequence of squeezing a handle or sliding a knob. The effective function of stapling, cutting, and ejecting the staples is performed by the loading unit: two jaws are coupled in different ways to act, one as a cartridge loader for the staples and the other as an anvil to allow the closing of the staples. In the case of circular staplers, the anvil jaw is detachable, granting its insertion into the anastomosis site. The actuation handle and the loading unit are usually connected to each other: the input from the surgeon is translated into the mechanical or electro-mechanical firing system through the use of various keyed shafts [ 7 ]. Additional pins can be inserted into the jaws or be comprised into the loading unit to serve as alignment or safety devices, ensuring the correct compression of the tissue before firing or avoiding retention after staple delivery.
Each device is completely in accordance with the aims of surgical stapling, which consist, from a medical point of view, of creating an adequate lumen, preserving adequate vascularization, preventing tension in tissues, avoiding leakage, providing hemostasis, and ensuring mechanical reliability [ 8 ].
Non-absorbable staples are the ones most widely used in clinics thanks to their low artifact production in CT and their non-magnetic behavior, which causes minimal distortions in MRI. Titanium is the leading material, both pure or in alloys, thanks to its high resistance and lighter weight compared to stainless steel. Furthermore, titanium is corrosion-resistant but, most importantly, anti-allergic, and it can also be employed in patients suffering from chromate-nickel allergies [ 1 9 ].
The general design of stapling devices includes an anvil, a cartridge assembly to support an array of staples, a mechanism to push the cartridge close to the anvil, an alignment pin for capturing tissue between the cartridge and the anvil, and a firing mechanism for ejecting the surgical staples. The firing process is guided by a sequence of pressing the handle: the first press grants tissue compression and allows the surgeon to verify the correct alignment of the jaws, while the second press releases the staples. A button placed on the stapler permits the opening of the jaws at the end of the operation, setting the tissue free and allowing the reloading process.
The main particularity of cutting staplers is the addition of a blading element that allows for making a resection in the middle of the rows of staples. Instead, for endo cutting staplers, the instrument is composed of a disposable articulating end effector comprising the cartridge, the anvil, and a disposable handling unit containing the firing mechanism and the safety control system. The circular staplers have the same components with the particularity of a circular anvil and arrangement of the staples with a blading element. The powered stapling devices have the distinction of a powered actuation, meaning that the firing mechanism is controlled by an electro-mechanical system that gains energy from a battery. Figure 1 shows a description and representation of each type of device.
The use of absorbable staples is mainly spreading in dermal suturing and in performing ligations [ 10 15 ]. Currently, considering the bariatric, gastrointestinal, vascular, and thoracic surgery fields, which are the main fields of application of staplers, the only commercially available absorbable staple is Medtronic Polysorb [ 16 18 ], while other bioresorbable magnesium and zinc alloys are still a matter of research. Although studies claim to match the clinical requirements for a secure anastomosis, their technology is yet to be implemented by manufacturers on a production scale [ 19 20 ].
Another field of application for staplers is deep dermal suturing. In particular, in plastic surgery, the use of staplers has been adopted and provides wound healing outcomes that are better than those of conventional suturing [ 15 ].
22,Staplers are also used in orthopedics to secure soft tissues to bone [ 21 23 ]. Few applications have been found comprising staples in the process of suturing soft tissues in meniscal or rotator cuff repair, the latter involving scaffold placement [ 24 25 ].
When comparing devices of each type, a variety of features must be considered since each manufacturer proposes its own combination of specifications. In this work, all available characteristics of surgical staplers will be presented to compare the available alternatives for the three different classes of staplers.
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