The study population was classified by device used: (1) Ethicon manual circular staplers (two-row), (2) Medtronic EEA™ circular stapler with DST™ technology (two-row), and (3) Medtronic EEA™ circular stapler with Tri-Staple™ technology (three-row). Ethicon manual circular staplers included Ethicon Legacy Curved Intraluminal Stapler, Legacy Endoscopic Intraluminal Stapler, and Ethicon™ Circular Stapler, XL Sealed. The ECHELON CIRCULAR™ Powered Stapler, which uses powered mechanism for firing staples, was not included in the study due to the different technology in comparison to manual circular staplers (fired under manual grip force). The identification of devices was based on a query of unstructured text fields in the PHD for model numbers and brand names, including variants such as misspellings and abbreviations.
Tri staple technology
Manufactured by Medtronic
Sourced in United States
Tri-Staple™ technology is a medical device component developed by Medtronic. It is designed to enable the secure application of surgical staples during various medical procedures. The core function of Tri-Staple™ technology is to facilitate the controlled and precise deployment of surgical staples.
Automatically generated - may contain errors
5 protocols using tri staple technology
1
Circular Stapler Comparison Study
2
Surgical Reconstruction Techniques for Rectal Cancer
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All patients scheduled for elective anterior resection with primary anastomosis were eligible for inclusion in the study, regardless of the choice of surgical approach (laparoscopic, robotic-assisted, or open). All resections included partial (PME) or total mesorectal excision (TME) depending on the tumor location in the rectum. Reconstruction was routinely performed by creating a side-to-end anastomosis using the EEA™ 28 circular stapler with Tri-Staple™ technology (Medtronic, Minneapolis, MN, USA). The standard reconstruction technique after intersphincteric resection for ultralow rectal cancer patients is end-to-end handsewn coloanal anastomosis. For the robotic approach, the DaVinci Xi® or X® systems (Intuitive Surgical Inc., Sunnyvale, CA, USA) were used.
3
Characterizing Left-Sided Colorectal Surgery
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Patients meeting all of the following criteria were included in the study: those who had billing charges for a study device (Ethicon manual circular staplers, Medtronic EEA™ circular stapler with DST Series™ technology, or Medtronic EEA™ circular stapler with Tri-Staple™ technology) at the index admission (i.e., the initial admission where a study device was identified) between January 1, 2019, and November 30, 2022; who underwent a left-sided colorectal surgery (i.e., the index procedure), defined as presence of a qualifying procedure code for left-sided colorectal surgery, at the index admission; and who were ≥ 18 years at the index admission.
Patients were excluded from the study if they had any of the following: missing data on age or sex (an indicator of poor data quality), presence of a diagnosis indicating AL on admission during the index admission, and billing charges for ≥ 2 study devices of interest during the index admission.
Patients were excluded from the study if they had any of the following: missing data on age or sex (an indicator of poor data quality), presence of a diagnosis indicating AL on admission during the index admission, and billing charges for ≥ 2 study devices of interest during the index admission.
4
Fluorescence Angiography during Sleeve Gastrectomy
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Eighty-six patients underwent LSG and were examined with fluorescence angiography at a single academic center from January 2016 to September 2017. The procedures were performed by the same surgeon using the technique described herein. Abdominal access was gained with a 4-port technique. Dissection of the gastroepiploic and short gastric vessels along the greater curvature was performed with an energy device. Before the construction of the sleeve gastrectomy, 1 mL ICG was injected intravenously (intraoperatively) and Pinpoint Endoscopic Fluorescence Imaging System (Novadaq Technology, Mississauga, ON L4W 4X6, Canada) was used to identify the blood supply of the stomach. The perfusion pattern was noted and recorded. Next, a sleeve gastrectomy was fashioned with a 36-French lighted bougie in place using Tri-Staple technology (Medtronic, Minneapolis, Minnesota, USA) with tissue reinforcement material and with attention to preserving the identified blood supply to the GE junction and gastric tube. Finally, 3 mL ICG was injected at the completion of the procedure, and Pinpoint technology was used again to ensure that all the pertinent blood vessels were preserved.
5
Laparoscopic Liver Resection Techniques
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The laparoscopic liver resections are performed in a standard fashion like that which is described in published literature from other tertiary care centers. 17, 18 An intraoperative ultrasound is performed routinely, and key structures are identified. Once the porta hepatis is adequately dissected, the liver is mobilized to isolate the primary hepatic vein draining the segments for resection. Total vascular isolation is performed most frequently (hepatic vein, portal vein, and hepatic artery supplying the segments to be resected are ligated and divided) prior to parenchymal transection. Both energy devices and laparoscopic staplers (LigaSure™ and Endo GIA™ with Tri-Staple™ Technology, Medtronic, Minneapolis, MN) are used to divide the vessels and parenchyma.
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