Medtronic Signia Stapling System In-Service Guide April 2018 .pdf
Signia™ Stapling System
SET UP AND CHARGE
Rock the base of the power handle from back
to front into the battery charging terminal
until a secure connection is established.
For first activation, the power handle should
charge for a minimum of three hours before
A fully charged battery is indicated by a solid
ASSEMBLE THE HANDLE
Remove the power handle from the
Remove the reusable insertion guide.
Place the sterilized insertion guide on the
open power shell.
Close the power shell until there is audible and
tactile confirmation the latch is fully closed.
Insert the power handle into the
Ensure that all three top secure clips
ATTACH THE ADAPTER AND LOAD THE STAPLER RELOAD
Align the proximal end of the adapter with
the QUICK RELEASE button facing up.
Ensure that the LOAD alignment indicator on
the reload aligns with the LOAD alignment
indicator on the adapter.
Perform a reload cycle test:
▪ Press and hold the DOWN toggle until jaw
is completely closed
▪ Press and hold the UP toggle until jaw
is completely closed
Once complete, the handle will show that
the reload is loaded and ready for use.
Press the two components together until the
adapter is fully seated in the stapler handle.
Push the reload into the adapter and
twist clockwise. Ensure there is no red
Confirm connection of the linear adapter on
the display screen.
Remove the shipping wedge.
OPERATING THE HANDLE
The open, close, and articulation functions
are controlled by a single toggle with four-way
Press RIGHT or LEFT for articulation.
Pressing DOWN clamps the reload jaws.
In FIRE mode, DOWN will also FIRE the
Pressing UP opens the jaws. In FIRE
mode, UP will RETRACT the knife and
The SAFETY button enables FIRE mode when
fully clamped. Note: The power handle will not
fire until the jaws are fully clamped and the
SAFETY button has been pressed.
The ROTATION buttons near the top of the
pistol grip control directional rotation.
HOW TO FIRE
Load the reload. Close the reload by
pressing and holding the DOWN button.
Insert the instrument in the patient’s body
cavity. Press and hold the UP button to open
the jaws of the instrument. Clamp the jaws of
the reload on tissue by pressing DOWN.
To FIRE: Press and hold the DOWN/FIRE
toggle until the knife reaches the distal
end and firing is complete.
Center the articulated reload by either:
▪ Using the four-way ARTICULATION
▪ Pressing the UP toggle for two seconds.
Note: The reload will spring closed during removal.
To retract: Press and release the UP
Press and release the SAFETY button. Note:
An audible confirmation and an LED indicator
will flash green, indicating FIRE mode.
To open: After firing, press and hold the
UP toggle until fully opened.
DISASSEMBLING THE HANDLE
Unloading a reload
Once articulation is centered and the jaws are
open, pull the blue UNLOAD button back to
release the reload.
Twist the reload counterclockwise until
unlocked (about 45 degrees).
REMOVING THE ADAPTER
Press and hold the adapter QUICK RELEASE
button while pulling the adapter off the power
Pull the reload from the adapter to remove it.
REMOVING THE POWER SHELL AND POWER HANDLE
Open the power shell by releasing the two
side secure clips.
While holding the back of the power shell,
push the bottom release latch to open the
With clean gloves, securely remove the
power handle from the power shell and
place it in a clean environment.
To try the Signia™ stapler, contact your local Medtronic
sales representative or call 800-722-8772.
For more information, visit medtronic.com/covidien
Always refer to the Instructions For Use included with the product for complete
indications, instructions, warnings, precautions, and contraindications.
Discard the used power shell.
Warning: The power shell cannot be
sterilized after use.
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