Stapler reloads

Tri-Staple™ 2.0 reinforced reload

<p>Tri-Staple™ 2.0 reinforced intelligent reloads are endoscopic staplers with preloaded tissue reinforcement.</p>

Features

Intelligence enabled

The Tri-Staple™ 2.0 reinforced intelligent reload is compatible with all Medtronic handles. When paired with the smart Signia™ stapler, it delivers:

  • More consistent staple formation by adjusting firing speeds when stapling in across different tissue properties∞,††,5,6

  • A reduction in malformed staples by up to 84% in different tissue thicknesses compared to manual and fixed-speed powered staplers∞,5,7,8

The preloaded difference

Comparing preloaded staple line reinforcement to the application of an aftermarket buttress

A surgeon’s experience

A surgeon tells General Surgery News why he uses Tri-Staple™ reinforced intelligent reloads in his bariatric procedures.

Frequently asked questions

The size of the staples is determined by the selection of the reload. The purple reload has height progressive rows of 3.0 mm, 3.5 mm, and 4.0 mm titanium staples on either side of the cut line. The black reload has height progressive rows of 4.0 mm, 4.5 mm, and 5.0 mm titanium staples on either side of the cut line.

The Tri-Staple™ 2.0 reinforced reload is available in articulating 45 mm and 60 mm lengths in purple and black configurations.

The purple reload can be inserted through a 12 mm port and the black reload can be inserted through a 15 mm port.

Ordering information

Item number Description Reload length (mm)  Color Staple heights (mm) Tissue type Units per box
SIGTRSB45AMT Tri-staple™ 2.0 reinforced reload
45  Purple 3.0 / 3.5 / 4.0 Medium/thick 6
SIGTRSB60AMT Tri-staple™ 2.0 reinforced reload
60  Purple 3.0 / 3.5 / 4.0  Medium/thick 6
SIGTRSB45AXT Tri-staple™ 2.0 reinforced reload 45  Black 4.0 / 4.5 / 5.0  Extra thick 6
SIGTRSB60AXT Tri-staple™ 2.0 reinforced reload 60  Black 4.0 / 4.5 / 5.0  Extra thick 6

TM* Third-party brands are trademarks of their respective owners.

† Compared to an aftermarket buttress.

‡ Results based on n of 125 OR nurses and 125 surgeons by ORC International. November 9, 2011.

§ In-vitro tensile strength compared to Seamguard™* at days 7 and 14.

◊ Bench test results may not necessarily be indicative of clinical performance.

¶ Compared to nonbuttressed reloads with Tri-Staple™ technology.

# Operative time: P = 0.006. Bleeding: P = 0.001.

∆ Compared to nonbuttressed reloads. P = 0.006.

∞ Preclinical results may not correlate with clinical performance in humans.

†† Compared to manual and fixed speed powered staplers.

  1. Based on internally sponsored study conducted by ORC International, the BUTTRESS survey of tissue reinforcement users to determine waste and time loss attributed to separately loaded buttress materials in the OR. Online U.S. national sample of 125 surgeons and 125 OR nurses. November 9, 2011.
  2. Based on internal report RE00240873, Mass, thickness, area measurements, pH measurements, and glycolic acid released for polyglycolic acid buttress (PGA) and Seamguard™* buttresses. (Reinforcement buttress material tested using two-sample t-tests. Data calculated with 95% confidence using Minitab™* (p < 0.0001). December 2, 2019.
  3. El Moussaoui I, Limbga A, Mehdi A. Staple line reinforcement during sleeve gastrectomy with a new type of reinforced stapler. Minerva Chir. 2018;73(2):127–132.
  4. Deguchi H, Tomoyasu M, Shigeeda W, Kaneko Y, Kanno H, Saito H. Reduction of air leakage using linear staple device with bioabsorbable polyglycolic acid felt for pulmonary lobectomy. Gen Thorac Cardiovasc Surg. 2020;68(3):266–272.

  1. Based on internal report RE00218740, Signia™ stapling adaptive firing technology data calculations and references. August 7, 2019.
  2. Based on internal test report RE00147607, 4.5 mm round staple pull-apart analysis. 2018.
  3. Based on internal test report R2146-173-0, ASA verification testing with slow speed force limit evaluation. 2015.
  4. Based on internal test report R2146-151-0, Powered stapling firing speed DOE analysis and ASA parameters. 2015.