Tri-staple technology

  • Three Rows of Graduated Staple Heights: Each Tri-Staple™ reload contains three rows of staples, each with a different height. This allows the stapler to accommodate varying tissue thicknesses within a single firing, rather than relying on a single staple height
  • Stepped Cartridge Face: The cartridge face is designed with steps, creating a graduated compression profile. This means tissue is compressed gently and progressively, rather than all at once, which helps minimize tissue trauma
  • Graduated Compression: The stepped design delivers less stress on tissue during compression and clamping, reducing the risk of tissue damage and improving staple formation

Medtronic catalogue from 2019: CAT_STAPLING-SOLUTIONS_MEDTRONIC_2019, page 1

  • Bit outdated but still helpful

Stapling heights

ColorStaple Heights (mm)Typical Tissue/Application
Gray2 / 2 / 2Vascular (very thin tissue)
Tan2 / 2.5 / 3Vascular/Medium
Purple3 / 3.5 / 4Medium/Thick
Black4 / 4.5 / 5Extra-Thick (bariatric/thoracic)

Laparoscopic

The same cartridges fit on the Signia Stapling system and Endo-GIA stapling system with the Signia being battery powered and End-GIA hand powered.

  • Endo-GIA
    • 3x device/handle lengths - Short, standard and XL
  • Signia
    • The battery and case is re-usable
    • 3x device stem lengths - short, standard and XL
  • Reloads
    • Staple length
      • 30mm, 45mm and 60mm staple length
    • Staple height
      • Gray, Tan, Purple or Black as above
    • Tip
      • Straight or curved
    • Reinforced
      • 45mm or 60mm, Purple or black loads
      • Reinforced with buttress material which is an absorbable, porous mesh made from polyglycolide (PGA), commercially known as NEOVEIL™ Reinforcement Staple Line Material

GIA stapler

  • Gastro-intestinal anastomosis (GIA)
  • Length
    • 60mm, 80mm and 100mm (no 100 in tri-staple)
  • Staple height - Tri-staple series
    • As above with new devices
  • Staple height - DST series (older devices)
    • White - 2.5mm (vascular)
    • Blue - 3.8mm (medium)
    • Green - 4.8mm (thick)

TA stapler

  • Thoracic-Abdominal stapler
  • Length
    • 30mm, 45mm, 60mm and 90mm
    • Staple height
      • White - 2.5mm (vascular)
      • Blue - 3.5mm (medium)
      • Green - 4.8mm (thick)
  • Does not cut

EEA circular stapler

  • End-to-End anastomosis (EEA)
  • Lumen size - colour instead relates to lumen size
    • Aqua - 21mm
    • White - 25mm
    • Blue - 28mm
    • Green - 31mm
    • Yellow - 33mm
  • Staple height
    • 3.5 or 4.8mm height