5. Close the stapler on the applicator. Keep tightly closed for at least
10 seconds.
6. Grip the tail of the foam applicator and detach it to allow the device to be
released from the foam applicator. Discard the tail of the applicator.
7. Open the stapler jaws, remove and discard the foam applicator. Inspect
device alignment to ensure complete coverage of both cartridge and
anvil stapler jaws. Inspect the adhered Staple Line Reinforcement to
ensure that none of the foam applicator parts are stuck. If required, using
sterile scissors, cut off any excess length of the Staple Line Reinforcement
strip that protrudes from the tip of the stapler jaws, being certain not to
dislodge the strip from the stapler jaws.
NOTE: If the stapler is a two-part stapler, use sterile scissors to cut the
staple line reinforcement at the hinged fold between the two stapler
jaws.
8. Move the stapler or re-load to the operative site and continue with the
procedure. Use caution to avoid displacing the Staple Line Reinforcement
from the stapler jaws. Use the stapler within 20 minutes after applying
the Staple Line Reinforcement to the stapler.
NOTE: Before applying a new staple line reinforcement, between
fires, wipe the anvil side of the stapler jaws with a dry piece of gauze
or sterile cloth.
9. Discard any unused portions of the Staple Line Reinforcement following
standard technique for disposal of medical waste.
Step 5
Step 7
5
Step 6