View a technical summary describing the development of the Adaptive Firing™ technique.

Surgical Solutions
Signia™ stapling system
Powered by intelligence
Experience the intelligent Signia™ stapling system — a powered surgical stapler equipped with Adaptive Firing™ and Adaptive Compression™ technologies. By providing real-time feedback,1–3 the Signia™ stapling system gives you the confidence of consistent, optimally formed staple lines.†,4,5 And with a versatile array of reloads backed by the benefits of Tri-Staple™ technology, Signia™ staplers are uniquely adaptable to the needs of you and your patients.
Experience the intelligence of the Signia ™ stapling system — the powered surgical stapler that senses tissue thickness and adjusts clamping force and firing speed in real time.†,4,6
Intelligence drives Signia™ stapling — and Signia™ stapling drives Tri-Staple™ technology. The result is stronger, more consistent staple lines that you and your patients can depend on.†,‡,7,8
By offering a powered handle with easy-to-reach push-button controls§,9,10 plus a range of adapters and reloads to fit your specific needs, the intelligent Signia™ stapling system is uniquely adaptable to your cases — and you.
The Signia™ stapling system provides an intelligent,5,6 fully powered surgical stapling solution for greater precision and maneuverability.◊ ,11
Optimize your staple lines†,4,6
Sensing technology: The Signia™ system senses targeted tissue†,1,4,7 and measures the forces applied during clamping and firing,†,1,4,7 providing real-time feedback so you can make informed decisions about reload selection.¶,12
Ease of use: An easy-to-read display screen#,10 plus easy-to-reach controls§,10 that can all be operated with one hand§,10
Tri-Staple™ technology: Deploy three rows of varied-height staples for superior staple line strength and leak resistance,¶,∆,13,14 as well as greater perfusion into the staple line∞,15
Signia™ linear stapler with Tri-Staple™ technology
Explore an array of linear stapling adapters and reloads, all powered by Signia™ intelligence and Tri-Staple™ performance.
Surgical specialties have unique challenges and the Signia™ stapling system is designed to address them with a combination of technological intelligence and Tri-Staple™ performance.
In bariatric surgery, a strong staple line is crucial to minimizing complications. With unique design features, reloads with Tri-Staple™ technology deliver superior performance across a broad range of thicknesses.†,††,13,16–19
Maximizing blood supply to the anastomotic site is crucial in reducing the risk of anastomotic leaks. Tri-Staple™ technology’s graduated compression profile and varied height staples allow greater perfusion into the staple line.∞,15,19
Learn about our comprehensive suite of colon and rectal surgical products.
In the challenging high-pressure environment of the OR, thoracic surgeons need to be confident that they can handle any challenge.
Tri-Staple™ technology provides superior strength and leak resistance¶,#,∆ ,13,14,16,20 while generating less stress on tissue during compression and clamping.∞,‡‡ ,16,20
Explore our minimally invasive thoracic surgery solutions.
The intelligent performance of Signia™ with Tri-Staple™ technology provides better staple formation than the da Vinci SureForm™* stapler.§§,21
Medtronic bedside staplers
17.2 times less
than robotic staplers (SureForm™* staplers)¶¶
Medtronic bedside staplers
32 minutes less
than robotic staplers (SureForm™* staplers)¶¶
Medtronic bedside staplers
$2,670 USD less
than robotic staplers (SureForm™* staplers)¶¶
Less bleeding
Signia™ with Tri-Staple™ technology is 37% less likely to bleed than the SureForm™* robotic stapler.§§,◊◊,21
Performance under pressure
Signia™ with Tri-Staple™ technology can withstand 20% greater leak pressure than the SureForm™* robotic stapler.21
More security
Signia™ with Tri-Staple™ technology delivers 114% greater staple line security than the SureForm™* robotic stapler.21
Dr. Allison discusses using the hybrid approach for bariatric surgery.
Watch Dr. Allison demonstrate the hybrid approach of revision laparoscopic adjustable gastric banding during a Roux-en-Y gastric bypass with the Signia™ stapling system.
View a video of bedside stapling in a robotic-assisted sleeve gastrectomy using the Signia™ stapler with Tri-Staple™ technology. This surgery is performed by Dr. Lucian Panait of Minneapolis, Minnesota.
Check out our technical summary to learn more about the science behind adaptive firing™ technology — and how it works across different tissue conditions.
A bariatric surgeon tells General Surgery News why he switched to the Signia™ stapler.
Effectiveness of bedside staplers in bariatric robotic procedures.
The Signia™ small diameter reload can be used with any of our manual and powered handles.
The Tri-Staple™ 2.0 30 mm reload is an extra-short reload used in situations where space is limited.
The Tri-Staple™ 2.0 black intelligent reload is designed to address extra-thick tissue.
The Tri-Staple™ 2.0 curved tip intelligent reload is designed to provide visibility and maneuverability around target tissues and vessels.
Tri-Staple™ 2.0 reinforced intelligent reloads are endoscopic staplers with preloaded tissue reinforcement.
TM* Third-party brands are trademarks of their respective owners.
† Preclinical results may not correlate with clinical performance in humans.
‡ Compared to manual and fixed-speed powered staplers.
§ 38 out of 38 surgeons surveyed agreed.
◊ Compared to manual staplers or EES Echelon Flex™* during placement.
¶ Bench test results may not necessarily be indicative of clinical performance.
# 23 out of 23 surgeons surveyed agreed.
∆ Staple line strength: Endo GIA™ tan reload vs. Echelon Flex™* white reload and Endo GIA™ purple reload vs. Echelon™* green, gold, and blue reloads. Leak resistance: In-vitro synthetic leak comparison: Endo GIA™ purple reload vs. Echelon™* blue and gold.
∞ Compared to flat-faced cartridges with single-height staples.
†† Bench test results may not necessarily be indicative of clinical performance. Compared to Ethicon Echelon Flex™*.
‡‡ Compared to Echelon Flex™* green reloads analysis comparing different stapler designs, performance and impact on tissues under compression using 2-D finite element analysis.
§§ When fired in indicated porcine tissue thickness. Preclinical testing may not be indicative of clinical performance.
¶¶ P-value, p<0.001.
◊◊ P-value of 0.061, statistical significance seen at 10-minute time point.