Instructions For Use - Synovis Peri-Strips Dry Gebrauchsanleitung

PSD-V is not designed, sold, or intended for use except as indicated; doing so may result in surgical
complications.
Synovis products differ; substitution of one product for another product may reduce product performance.
Do not use PSD-V if heat indicator has been activated.
CAUTIONS:
Do not get the anvil or cartridge buttress wet before applying, or the buttress may not adhere to the
stapler properly.
Cartridge cones may be used for entry into the surgical site on the cartridge side of the stapler during
endoscopic surgery. Before completion of surgery be sure to remove the cartridge cone from the
surgical site.
Final tissue compression, including PSD-V, must meet the range specified by the stapler
manufacturer. PSD-V increases the total thickness of the area stapled by 0.4 mm - 1.2 mm (0.016" -
0.048").
Follow Instructions for Use supplied by the stapler manufacturer. Do not use PSD-V contrary to the stapler
manufacturer's instructions.
PERI-STRIPS DRY WITH VERITAS COMPONENTS:
Each PSD-V package contains the following components (See Figure 1): a) one (1) pouch containing
a circular buttress assembly which includes two (2) circular buttresses and b) one (1) pouch containing
a cartridge cone.
Cartridge cone (See B): The cartridge cone is designed to protect the cartridge buttress during
advancement of the stapler into the surgical site. There are two features to facilitate removal of the
cone from the stapler and from the surgical site before completion of the surgery: 1. the indentations
at the top of the cone are designed to allow the use of a forceps/hemostat to remove the cone from the
stapler and/or surgical site, 2. the holes at the tip of the cartridge cone are designed to allow a suture
to be placed in the cone to facilitate the removal of the cone from the surgical site.

INSTRUCTIONS FOR USE:

Each model of PSD-V has been designed specifically for the stapler models indicated on the label;
verify that the correct model of PSD-V has been selected. Buttress Assemblies are identical and can
be used on either the anvil or cartridge of the stapler.
Caution: Do not allow the buttresses, anvil, or cartridge surface to become wet. A wet buttress or a
wet stapler surface may affect the ability of the buttress to adhere to the stapler surface.
Instructions for 21 mm or 25 mm circular staplers (Ethicon Endo-Surgery, Inc. and Covidien
Autosuture TM ):
A. Product Preparation
A. Inspect the pouch(s). Do not use if any pouch is damaged or if the seal is not intact.
B. Peel open the outer pouch of the buttress assembly and aseptically remove the inner pouch.
The inner pouch may be placed in the sterile field.
C. Peel open the pouch containing the cartridge cone and aseptically deliver the cone to the
sterile field.
B1. Anvil Preparation
D. Open inner pouch and remove the buttress assembly.
E. Grasping the backing, peel away a single circular buttress (See Figure 2).
F. Place the buttress over the anvil shaft with the adhesive side down towards the anvil surface
(See Figure 3).
G. Slide the buttress down the shaft of the anvil. The fit will be snug, use pressure to slide the
buttress down the shaft.
H. Press the buttress onto the surface of the anvil, ensuring that the buttress is centered and
covers all staples and that there are no gaps between the buttress and the surface of the anvil (See
Figure 4).
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