Johnson & Johnson ETHICON echelon flex 45 Manual Del Usuario página 5

Indications
The ECHELON families of endoscopic linear cutters (articulating and straight) are intended for transection, resection, and/or creation
of anastomoses. The instruments have application in multiple open or minimally invasive general, gynecologic, urologic, thoracic,
and pediatric surgical procedures. They can be used with staple line or tissue buttressing materials. The instruments may also be used
for transection and resection of liver parenchyma (hepatic vasculature and biliary structures), pancreas, kidney and spleen.
Contraindications
• Do not use the instruments on the aorta.
• Do not use the instruments on ischemic or necrotic tissue.
• Do not use any linear cutter on major vessels without making provision for proximal and distal control.
• Tissue thickness should be carefully evaluated before firing any stapler. Refer to ECHELON Reload Product Codes chart
below for tissue compression requirement (closed staple height) for each staple size. If tissue cannot comfortably compress to
the closed staple height, or easily compresses to less than the closed staple height, the tissue is contraindicated as it may be too
thick or too thin for the selected staple size.
• These instruments are not intended for use when surgical stapling is contraindicated.
Device Description
The ECHELON Flex  mm and 60 mm Articulating Endoscopic Linear Cutters are sterile, single patient use instruments
that simultaneously cut and staple tissue. There are six staggered rows of staples, three on either side of the cut line.
The ECHELON Flex  instruments have a staple line that is approximately  mm long and a cut line that is approximately
 mm long. The ECHELON Flex 60 instruments have a staple line that is approximately 60 mm long and a cut line that is
approximately 7 mm long. The shaft can rotate freely in both directions and an articulation mechanism enables the distal portion
of the shaft to pivot to facilitate lateral access to the operative site.
The instruments are shipped without a reload and must be loaded prior to use. A staple retaining cap on the reload protects the
staple leg points during shipping and transportation. The instruments' lock-out feature is designed to prevent a used reload from
being refired.
Caution: Do not load the instrument more than 1 times for a maximum of 1 firings per instrument. The use of the instrument with
staple line reinforcement material may reduce the number of firings.
ECHELON Flex Instrument Product Codes
Instrument Description
Code
EC45A ECHELON Flex  Articulating Endoscopic Linear Cutter
SC45A ECHELON Flex  Compact Articulating Endoscopic Linear Cutter
EC45AL ECHELON Flex  Long Articulating Endoscopic Linear Cutter
EC60A ECHELON Flex 60 Articulating Endoscopic Linear Cutter
SC60A ECHELON Flex 60 Compact Articulating Endoscopic Linear Cutter
LONG60A ECHELON Flex 60 Long Articulating Endoscopic Linear Cutter
ECHELON Reload Product Codes
Note: The ECHELON Flex instruments may only be used with the ECHELON reloads.
Reload Closed
Code Staple Height
ECR45W 1.0 mm
ECR45B 1.5 mm
ECR45D 1.8 mm
ECR45G 2.0 mm
ECR60W 1.0 mm
ECR60B 1.5 mm
ECR60D 1.8 mm
ECR60G 2.0 mm
Staple Reload
Line Length Color
45 mm White
45 mm Blue
45 mm Gold
45 mm Green
60 mm White
60 mm Blue
60 mm Gold
60 mm Green
 
Number Staple
of Staples Rows
70 6
70 6
70 6
70 6
88 6
88 6
88 6
88 6
Shaft
Length
340 mm
280 mm
440 mm
340 mm
280 mm
440 mm