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Procedure Spotlight
Mobilize the Sigmoid Colon or Upper Rectum and Ligate the IMA

ENSEAL® X1 Large Jaw Tissue Sealer
Designed for use in open surgical procedures, ENSEAL X1 Large Jaw Tissue Sealer is an advanced bipolar device that provides better hemostasis, less thermal spread, and improved ergonomics compared to LigaSure Impact™.

Complete Mesenteric Dissection and Ligate the Left Colic Artery

ENSEAL X1 Large Jaw Tissue Sealer
Designed for use in open surgical procedures, ENSEAL X1 Large Jaw Tissue Sealer is an advanced bipolar device that provides better hemostasis, less thermal spread, and improved ergonomics compared to LigaSure Impact™.

Transect the Distal Sigmoid or Upper Rectum

CONTOUR® Curved Cutter Stapler
The CONTOUR Curved Cutter Stapler with its unique curved head provides a more precise transection* and less tissue slippage* compared to Endo GIA™ Radial Reload with Tri-Staple™ Technology.

Perform End-to-End Anastomosis

ETHICON Circular Stapler
The ETHICON Circular Stapler is designed to promote healing, more tissue control and less tension on the anastomosis, with distinct audible and tactile feedback during firing.

Close Fascia

STRATAFIX™ Symmetric PDS™ Plus Knotless Tissue Control Device
STRATAFIX Symmetric PDS Plus Knotless Tissue Control Device is the only barbed suture that provides strong, secure closure appropriate for high-tension areas, such as fascia.1-6

References
* Benchtop testing on porcine rectum. Normalized mean tissue movement along the cut line from before clamping on tissue to after firing the CONTOUR® Curved Cutter Stapler (CS40G) vs ENDO GIA™ ULTRA Handle (EGIAUSTND) and Endo GIA™ Radial Reload with Tri-Staple™ Technology (EGIARADMT) on 2.1mm to 2.9mm thick tissue. 3.8mm (9.4%) vs 17.4mm (32.5%), p<0.001.
1. 100326296: Time Zero Tissue Holding - Competitive Claims Comparisons for STRATAFIX Knotless Tissue Control Devices vs Various Products. 2015.
2. Performance Testing of STRATAFIX SYMMETRIC PDS PLUS Size 0 & 1 Devices – Initiation Strength in Porcine Tissue. AST-2013-0603.
3. AST-2013-0056 Performance Testing of STRATAFIX Symmetric PDS Size 2-0 suture device for Tissue Holding Strength with Multiple Incision Defects to Measure Gapping.
4. Ethicon study PSE 09-0204, project number 11822. Exploratory histological and biomechanical evaluation of DOLFIN following closure of the ventral abdominal wall in a porcine model at 7±1 days. Approved on July 7, 2010.
5. Ethicon Performance Evaluation Memo AST-2012-0510. Performance Testing of STRATAFIX Symmetric Size 2-0 suture device for Tissue Holding Strength with an Incision Defect to Measure Gapping. Dated December 3, 2012.
6. STRATAFIX Symmetric PDS Plus Knotless Tissue Control Device. Instructions for Use. Ethicon, Inc.
For complete indications, contraindications, warnings, precautions, and adverse reactions, please reference full package insert.