Surgical Technology: Staples

Staplers

Medtronic – Covidien

  • Hand Staplers:
    • DST GIA
  • Laparoscopic Staplers:
    • Endo GIA
    • Signia Stapling System
  • Perpendicular Staplers:
    • DST TA
  • Circular Staplers:
    • EEA Circular Stapler

Johnson & Johnson – Ethicon

  • Hand Staplers:
    • Linear Cutter
    • Proximate Linear Cutter
  • Laparoscopic Staplers:
    • Echelon Flex GST
    • Echelon Flex Powered Vascular
    • Echelon Flex Endopath
    • Endopath ETS
  • Perpendicular Staplers:
    • Proximate Linear Stapler
    • Contour Curved Cutter
  • Circular Staplers:
    • Ethicon Circular
    • Echelon Circular Powered

Staple Reloads

Staple Reloads Mn

  • Grey
    • Height: 2.0 mm
    • Use: Extra-Thin Vascular (Mesentery)
  • White
    • Height: 2.5 mm
    • Use: Thin Vascular (Pancreas/Liver)
      • Being Used with Increasing Frequency for Small Bowel
  • Blue
    • Height: 3.5 mm
    • Use: Standard (Bowel/Lung)
  • Gold
    • Height: 3.8 mm
    • Use: Standard/Thick (Stomach Body)
  • Purple
    • Use: Medium/Thick
  • Green
    • Height:
      • Ethicon: 4.1 mm
      • Covidien: 4.8 mm
    • Use: Thick Structures (Stomach Pylorus/Rectum)
  • Black
    • Height:
      • Ethicon: 4.2 mm
      • Covidien: 4.4 mm
    • Use: Extra Thick (Thick Pylorus)

Mnemonics

Staple Load Uses

  • Grey/White – Vascular (Pale When Vessel Occluded)
  • B:B – Blue for Bowel
  • G:G – Gold/Green for Gastric