CONTOUR® Curved Cutter Stapler
Optimized Device Performance Guide
Retaining pin
Cartridge anvil
Cartridge module
Firing
trigger
Push ro d Release button
Curved head
Closure
trigger
Retaining pin actuator
Handle
Proper reload selection
Tissue thickness should be carefully evaluated
prior to using the instrument. Refer to the
Instructions for Use for proper reload selection.
Device Staple Cut line Staple Max
code Tissue rows length line length irings Qty/box
CS40B ■ Regular 4 40mm 51mm 6 3
CS40G ■ Thick 4 40mm 51mm 6 3
Reload Closed Open Wire
code Tissue staple height stap le height d iameter Q ty/box
CR40B ■ Regular 1.5mm 3.5mm 0.20mm 6
CR40G ■ Thick 2.0mm 4.7mm 0.23mm 6
3. Either manually advance the retaining pin using the actuator button on top of the handle to capture the tissue
within the jaw opening (A), or automatically advance the retaining pin by partially squeezing the closure
trigger (B). In the intermediate position, the retaining pin is fully seated in the anvil capturing the tissue, and the
jaws are partially open, allowing for desired placement of tissue. Note that there is an audible click halfway
through the closure stroke indicating that the device is in the intermediate position.
Device preparation and placement
1. Remove the staple retainer from the instrument
by pushing on the pad labeled “Push to Remove.”
2. Position tissue to be cut and stapled between the anvil and the cartridge. If the tissue doesn’t it comfortably
within the jaws, you should consider two irings.
Device is reloadable to complete a single transection with multiple irings when needed. Any tissue covering
the hole in the anvil will be pierced by the retaining pin. The knife extends to the retaining pin and the staple
line extends beyond the pin supporting multiple irings.
A B
Caution: To prevent premature iring, do not grasp the iring trigger.
4. Squeeze the closure trigger until latched, listening
for an audible click. After closing, holding the jaws
in place for 15 seconds prior to iring may result in
better tissue compression and staple formation.
To reposition tissue, open the jaws by squeezing
the handle and closure trigger together slightly,
and push the release button.
Single
iring
Multiple
irings
Device iring
5. Completely ire the instrument by squeezing the
iring trigger until it touches the closure trigger
(plastic to plastic).
6. For a controlled opening, simultaneously squeeze
the closure trigger and push the release button
with the thumb.
7. Retract the retaining pin manually. Pull back retaining pin actuator to ensure that the retaining pin
has been fully retracted.
8. To remove the reload, grasp the top and follow the
curvature of the device. Be sure to grab the body
of the cartridge, not the black sleeve of the device.
9. Thoroughly clean the instrument by vertically
submerging completely the anvil and cartridge
channel in a sterile solution and swish vigorously.
After swishing, visually inspect the anvil and
cartridge channel and remove all residual
staples and/or foreign matter from instrument
prior to reloading.
Reloading the device
CAUTION: To prevent bunching, stretching or overloading of tissue in the jaws of the device, multiple irings may be used to complete a single transection. If the
closure trigger is di icult to lock, reposition the instrument and take a smaller amount of tissue. Attempting to force the trigger to complete the closing stroke may
result in poor staple formation, and this may result in leakage, lack of hemostasis or disruption of the staple line. In addition, instrument damage or failure may result.
Reloading the device (continued)
10. Insert the new reload by using the tracks on each
side as guides to align reload with jaws of the
instrument. Following the curvature of the device,
insert the new reload into the metal housing and
snap into position.
For complete product information, including full steps for use, indications, contraindications, warnings and precautions, please see Instructions for Use.
©2018 Ethicon US, LLC . All Rights Reserved. 02939 9180607
11. Remove the staple retainer and check that the
reload is held irmly within the jaws. The loaded
device cannot be used until the staple retainer
is removed.
If the staple retainer has already been removed
from the cartridge, the cartridge cannot be
reloaded into the device, regardless of whether
it has been spent or not.
The instrument may be reloaded ive times for
a maximum of six irings per instrument during
a single procedure. Some situations may require
multiple irings to complete a single transection.
CAUTION: The staple retainer should
not be removed until the cartridge is
correctly loaded into the device.
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