9.Reattach the detachable anvil by sliding the anvil shaft over the trocar and pushing until
the detachable anvil snaps into its fully seated position.
Caution: Do NOT clamp across or grip on the locking springs while attempting to
reattach the detachable anvil to avoid inclusion of tissue within the anvil shaft.
10.While closing the instrument, keep the organ segments in proper orientation. Inspect to
ensure
no
extraneous tissue. Turn the wing-nut clockwise to close the instrument.
11.As the final adjusting rotation is being performed, the red line moves into the middle of
the green bar of the indicator window. Applying gentle counter traction on the distal bowel
during approximation may minimize excessive tissue incorporated into the barrel of the
stapler.
Caution: If unusual effort is required to turn the wing-nut for visualization of the red
line in the middle of the green bar in the indicator window, DO NOT use the
instrument.
12.Prefire checklist
: The
Red line is in the middle of the green bar. The anvil is securely
attached.To fire the instrument, pull the red safety back toward the wing-nut until it seats
into the body of the instrument.
13.Once released, squeeze the firing handle using firm, steady pressure. The surgeon
will feel reduced trigger pressure and hear a "crunch" as the instrument completes the firing
cycle.
Caution: Failure to squeeze the handle fully during firing may result in unacceptable
staple formation and/or incomplete knife cut. This may result in intraoperative leaks.
Ensure that the handle is compressed to the full extent of its travel.
14.After firing, release the firing handle, and allow it to return to its original position. After
the handle is released, return the safety to the locked position.