XtraSeal Single Use Hemorrhoidal Circular Stapler

XtraSeal Single Use Hemorrhoidal Circular Stapler

The Hemorrhoidal Circular Stapler is designed for use in PPH (Procedure for Prolapse and Hemorrhoids) surgeries, suitable for treating internal hemorrhoids classified as grades II to IV. The primary function of the device is to perform a circular resection of 15-20mm of rectal mucosa above the anal dentate line, followed by a side-to-side anastomosis of the mucosa. This procedure shortens the rectal mucosa by 15-20mm, effectively retracting the prolapsed anal cushion back into the rectal wall, thereby addressing the prolapse and providing relief from the condition.

The Endo Cutter and Reload is utilized for cutting and suturing tissue in both open and endoscopic surgeries. Its applications include:

  1. Tissue Cutting and Stapling:
    • Intestinal transections
    • Sleeve resections in subtotal gastrectomy
    • Gastric bypass surgery
    • Cutting and stapling of large vessels or bronchi
    • Lung tissue cutting for fissure creation
    • Pulmonary wedge resections
  2. Digestive Tract Anastomosis:
    • Side-to-side anastomosis, such as gastric-jejunum
    • Functional end-to-end anastomosis
    • Trigonal anastomosis of gastroduodenal
  3. Incision Closure:
    • Closing incisions on the gastrointestinal tract or joint incisions after side-to-side anastomosis

 

Product Features:

  • Stapling Efficiency: The Endo Cutter releases 6 rows of staples during firing, with the cutting line centrally positioned between them. The stapler features unequally stepped closed staple heights, promoting optimal blood supply to sutured tissue and effective hemostasis along the incision edge, aligning with surgical principles of suturing and hemostasis.
  • Accessibility:
    • Features a “wrist” joint in the reload, rather than the traditional “elbow” joint, reducing the length from the reload tip to the joint by 2 cm.
    • Enhanced accessibility for deep pelvic cavity procedures.
  • Versatility:
    • Available handpiece sizes: 60, 160, and 260 mm.
    • Reload options: 45 and 60 mm, with a range of colors (grey, white, blue, yellow, and green) to meet various surgical needs.
  • Positioning:
    • Fixed reload anvil design as opposed to the traditional fixed cartridge.

Improved positioning capability under target tissue in confined pelvic spaces.

 

Description

The XtraSeal Hemorrhoidal Circular Stapler is designed for use in PPH (Procedure for Prolapse and Hemorrhoids) surgeries, suitable for treating internal hemorrhoids classified as grades II to IV. The primary function of the device is to perform a circular resection of 15-20mm of rectal mucosa above the anal dentate line, followed by a side-to-side anastomosis of the mucosa. This procedure shortens the rectal mucosa by 15-20mm, effectively retracting the prolapsed anal cushion back into the rectal wall, thereby addressing the prolapse and providing relief from the condition.

The Hemorrhoidal Circular Stapler is specifically designed for PPH (Procedure for Prolapse and Hemorrhoids) surgery, targeting grades II to IV internal hemorrhoids. This device executes a circular resection of 15-20mm of the rectal mucosa above the anus dentate line while simultaneously performing a side-to-side anastomosis. By shortening the rectal mucosa by 15-20mm, the prolapsed anal cushion is retracted into the rectal wall, effectively treating the condition. PPH is characterized by its rapid procedure time, minimal postoperative pain, and accelerated patient recovery, making it a preferred choice among surgeons and patients.

    • Enhanced Features:
      • Visibility: Features a transparent staple housing that enhances the procedural experience.
      • Capacity: The largest and longest staple housing available, allowing for more tissue to be cut and preserved.
      • Stability: An improved uni-body central rod ensures consistent closure height across all staples.

      Product Specifications:

    Code Product Description Anvil Outer Dia. Circular Knife Dia. Staple Qty Transparent Staple Housing
    CISD32-I Single Use Hemorrhoidal Circular Stapler, D32 32.5mm 24mm 32 No
    CISD34-I Single Use Hemorrhoidal Circular Stapler, D34 34.5mm 26mm 34 No
    CISD36-I Single Use Hemorrhoidal Circular Stapler, D36 36mm 28mm 36 No
    CISBD32-I Single Use Hemorrhoidal Circular Stapler, D32 (Transparent) 32.5mm 24mm 32 Yes
    CISBD34-I Single Use Hemorrhoidal Circular Stapler, D34 (Transparent) 34.5mm 26mm 34 Yes
    CISBD36-I Single Use Hemorrhoidal Circular Stapler, D36 (Transparent) 36mm 28mm 36 Yes

     

    • Staple Open Height: 4.5mm
    • Staple Closed Height: 0.8mm – 2.0mm

Key Features of the Hemorrhoid Stapler

One Device with Dual Functionality

  • Applicability: Designed for use in both Stapled Transanal Rectal Resection (STARR) and Procedure for Prolapse and Hemorrhoids (PPH).
  • Versatility: Capable of ensuring precise tissue resection and hemostasis, from the rectal mucosa to the full-thickness rectal tissue, making it highly adaptable for various anorectal surgeries.

Transparent Staple Housing

  • Innovative Design: A transparent housing improves visibility and provides a better appearance during surgery.
  • Enhanced Surgical Experience: The visible cut tissue allows surgeons to closely monitor the tissue resection and refine their technique for more accurate outcomes.

Lowest Tissue Anti-Retreat Mechanism

  • Advanced Mechanism: Tissue anti-retreat mechanism is positioned 32mm lower than the PPH03, enhancing the ability to pull in more cut tissue for effective resection.
  • Improved Tissue Management: Provides better control over tissue during surgery, reducing the likelihood of slippage and ensuring precise cuts.

Largest Staple Housing

  • Increased Capacity: The staple housing is 6mm longer and has 30% larger capacity compared to PPH03, allowing it to preserve more cut tissue during the procedure.
  • Optimized Hemostasis: The larger housing holds more staples, which improves hemostasis and ensures better closure and tissue healing.

Enhanced Uni-body Central Rod & Smoothed Inner Edge of Staple Housing

  • Integrated Anvil: The uni-body central rod design integrates the anvil to prevent accidental detachment, providing a secure and stable stapling process.
  • Smooth Closure: The smoothed inner edges and solid texture ensure parallel closure and identical closed height of all staples, reducing tissue trauma and ensuring consistent results.

Larger Suture Thread Ports

  • Improved Access: Larger suture thread ports make it easier to insert surgical needles and threads, simplifying suturing during the procedure.
  • Enhanced Convenience: This feature enables easier tissue management and makes it more convenient to pull tissue into the stapler.

Indication Window with Magnified Setting Scales

  • Precision Adjustment: 5x magnified scales allow for precise adjustments of the compression degree, ensuring the exact closed height of staples, ranging from 0.8mm to 2.0mm, to match the thickness of the target tissue.
  • Accurate Outcomes: This feature provides greater accuracy, reducing complications like under- or over-compression.

Elaborated Anal Dilator & Anoscope

  • Advanced Dilator: A butterfly-shaped anal dilator is designed to accommodate patients with obesity, tough hip muscles, or those under local anesthesia, ensuring the procedure can be performed effectively.
  • Clear View: The transparent anoscope provides an enhanced view for better positioning during purse-string suturing, improving the accuracy of the procedure.

Unique Butterfly Shaped Adjusting Nut

  • Precise Adjustment: The butterfly-shaped nut offers a delicate outline and improved touch, making it easier to rotate and providing precise adjustments for better control during surgery.
  • Enhanced Surgeon Experience: Designed for a smoother and more controlled surgical experience.

Plastic Cutting Washer

  • Tactile and Audible Feedback: The cutting washer provides both tactile and audible feedback, optimizing the operation experience by letting the surgeon know when the device has been properly fired.

Firing & Grabbing Handles

  • Silicone Grips: Soft silicone handles provide a more comfortable grip, preventing slippage and reducing hand fatigue during long procedures.
  • User-Friendly Design: The handles are 15% closer together, making them more ergonomic, especially for women surgeons, who may benefit from the reduced reach.

This Hemorrhoidal Circular Stapler is designed with innovative features to enhance surgical precision, improve safety, and provide a better experience for both surgeons and patients. From dual functionality for STARR and PPH procedures to the advanced ergonomic design and enhanced tissue control mechanisms, this stapler addresses the demands of modern colorectal surgery while ensuring optimal patient outcomes.

Send an email to info@gordonsmedical.com

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