LeMaitre AnastoClip GC Instructions D'utilisation page 3

sutures at 3 and 9 o'clock.
NOTE: Additional sutures may be placed depending on the length of the closure, in order to facilitate a
symmetrical eversion.
2. Symmetrically evert all tissue layers for secure nonpenetrating clip placement.
Evert the tissue edges of the vessel with either design of tissue everting
forceps. Ensure that all tissue edges are symmetrically everted prior to
applying the clip. Failure to symmetrically evert the tissue edges properly can
result in possible bleeding or leakage.
3. Inspect the tissue wall to ensure that the forceps do not damage tissue during
manipulation.
4. Place the instrument jaws onto the everted tissue edges to be anastomosed,
making certain that the tissue fits completely within the confines of the jaws.
The tissue must comfortably fit within the confines of the jaws, or the use of
the instrument is contraindicated.
5. Squeeze the levers together fully until a discernible click is felt. As the
levers are squeezed, the clip is held firmly in the jaws and closed around
the tissue. Clip placement should be as close as possible. There should not
be more than 0.5 mm between clips (see illustration #7).
FAILURE TO COMPLETELY SQUEEZE THE LEVERS CAN RESULT IN CLIP
MALFORMATION AND POSSIBLE BLEEDING OR LEAKAGE.
6. Release the levers to disengage the clip from the AnastoClip GC applier
and remove the clip applier. (The closed clip is disengaged automatically
from the jaws.) The applier automatically advances the next clip for
successive applications.
7. Check tightness of clip placement. Tissue should completely fill clip
opening and clip should not loosely rock side to side.
8. If desired, the clip can be removed with the AnastoClip Remover and a new clip
can be placed with the AnastoClip GC applier.
9. After completion of the anastomosis, one or more clips, and/or sutures, may be
used to control bleeding or leakage from the anastomotic site (if necessary.)
A) Size M
Approximate Span Before
The shape of the closed clip may vary according to tissue thickness.
B) Size L
Approximate Span Before
The shape of the closed clip may vary according to tissue thickness.
C) Size XL
Approximate Span Before
1
1
I
2
2
2.3 mm 2.3 mm
1.1 mm
3.3 mm
Closure
2.3 mm 2.3 mm
1.1 mm
1.7 mm
1.1 mm
4.9 mm
3.3 mm
2.5 mm
1.7 mm
2.3 mm 2.3 mm
4.9 mm
1.1 mm
Closure
3.3 mm
1.7 mm
2.5 mm
1.7 mm
4.9 mm
2.5 mm
Closure
2.5 mm
1
H
G
G
2
I
4
4
5
5
Approximate
Overall Length
2.3 mm
Approximate
Overall Length
3.3 mm
Approximate
Overall Length
4.9 mm
G
2
I
1
G
H
J
I 4
J
2
5
5
8
8
A
Clips Per Applier
35
B
Clips Per Applier
35
C
Clips Per Applier
25
I
H
J
H
J
5
4
8