Da Vinci SureForm
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Achieve more with your stapler

Achieve more with your stapler Eliminate guesswork with the intelligence and control of a SureForm® stapler.* At its core is SmartFire technology, which monitors tissue compression before and during firing, making automatic adjustments to optimize the staple line. A 120° cone of articulation* allows you the freedom to approach tissue where it naturally lies, delivering greater maneuverability around target tissue and potentially reducing tissue tension.† When you choose SureForm staplers, you can reduce uncertainty and increase stapling performance like never before.* * Results from...

Complete surgeon control All SureForm staplers are seamlessly integrated with our da Vinci® surgical systems* to allow you full control of positioning, clamping, and firing from the surgeon console. Intuitive offers a full portfolio of SureForm staplers to ensure you have the right instrument to meet your procedural needs. * Compatible with the da Vinci X® and da Vinci Xi® surgical systems. 4 of 28

Greater range of motion A 120° cone of articulation* gives you the freedom to maneuver your stapler and position it where you prefer. Utilize a greater range of motion than the human hand or leading laparoscopic staplers with SureForm staplers.† Powered Echelon Flex Signia / Endo GIA Ultra *Results from internal testing on file. † Compared to Endo GIA Ultra with Tri-Staple technology, Signia with Tri-Staple 2.0 technology, and Powered Echelon Plus with GST as of March 201

Intelligent stapling With one press of a pedal you activate SmartFire technology, which measures tissue compression before and during firing. SmartFire technology uses more than 1,000 measurements per second* to make automatic adjustments to the firing process as staples are being formed and as the transection is being made. This advanced firing technology is easy to use and helps ensure a more consistent staple line, all while preventing damage across a range of tissue thicknesses.† * Results from internal testing on file. † Compared to Endo GIA Ultra with Tri-Staple technology, Signia...

Powered Echelon Flex with GST 95.3% Endo GIA Ultra with Tri-Staple 94.3% Signia with Tri-Staple 2.0 * Testing performed with black reloads on in vivo porcine stomach tissue with both 45 mm and 60 mm devices. SureForm 60 has significantly more optimally formed staples than Endo GIA and Signia in thick tissue. SureForm 45 has significantly more optimally formed staples than all the three staplers in thick tissue. Data on file as of March 2019.

Powered Echelon Flex with GST 93% Endo GIA Ultra with Tri-Staple 82% Signia with Tri-Staple 2.0 1 Testing performed with black reloads on in vivo porcine stomach tissue with both 45 mm and 60 mm devices. SureForm 45 and SureForm 60 have significantly less outer tissue tearing than Echelon Flex.

More consistency SmartFire’s automatic measurements and adjustments during firing help you maintain control of the tissue. This protects the integrity of the cut line and helps achieve the expected length of transection. These consistent results can help you avoid using an unanticipated reload, potentially reducing cost. Deliver a more consistent cut line length across thin and thick tissue.* Figure A: Average cutline length (60 mm staplers) 56 56 55 54 Tissue Tissue Thickness thickness Powered Echelon Powered Echelon Flex with GST Flex with GST SIGNIA with Endo GIA Ultra with Tri-Staple...

Less tension With the full cone of articulation and anvil centric design of SureForm staplers, you can position the device exactly where you want, minimizing tension on the target tissue and stress to the surrounding anatomy. Less tension on target tissue and less stress on surrounding tissue during positioning and clamping* 01 Tension on target tissue. 01 02 Stress on surrounding tissue. Average tension applied to 1.0 MPa target tissue while positioning 0.9 MPa and clamping stapler Average stress applied to surrounding tissue while positioning and clamping stapler MPa MPa MPa MPa Measured...

More stability during firing* Powered Echelon Flex with GST Signia with Tri-Staple 2.0 Endo GIA Ultra with Tri-Staple Note: Average amount of tip movement during firing in a side-by-side benchtop test. Images are for illustration purposes only and are not to the exact size. * As tested in ex vivo surgeon evaluations. SureForm 60 and competitive 60mm stapler data displayed. SureForm 45 and SureForm 60 demonstrated significantly less tip movement during firing than Echelon Flex, Signia, and Endo GIA. Data on file as of March 2019. 11 of 28

8 mm SureForm 30 Curved-Tip Small stapler. Big impact. Experience the performance of a SureForm stapler, now on a smaller scale.* * Compared to 12 mm SureForm staplers. 13 of 28

More maneuverability* 01 Fits through 8 mm cannula 02 120˚ articulation 02 03 Narrower curved-tip anvil* The 8 mm SureForm 30 Curved-Tip fits through the standard cannula used with other da Vinci instruments, enabling you to choose the optimal angle to access tissue through any available port. With SureForm’s standard 120° of articulation, a 30 mm reload length, and a narrower*, curved-tip anvil, this stapler arms you with a greater range of motion† in tight spaces and the flexibility to position and maneuver it as needed. * Compared to 12 mm SureForm staplers. † Compared to Echelon Powered...

More precision A narrower anvil fits through smaller dissection windows* allowing for easy access around vessels and the 120° of articulation helps you precisely position the stapler with less tissue tension.† Less tension on target tissue and less stress on surrounding tissue during positioning, clamping, and firing.‡ Less tension on target tissues† with 8 mm SureForm 30 Average tension applied to target tissue* Less stress on surrounding tissues† with 8 mm SureForm 30 Average stress applied to surrounding tissue* 1N 0N Measured in newtons as a unit of force 8 mm SureForm 30 0.0 MPa...