The Titan SGS stapler offers you an elegant alternative for performing sleeve gastrectomy. The device is designed to help you achieve more consistent and symmetrical sleeve pouch anatomy, setting your patients up for the best possible outcomes.
Just
Published
New retrospective study in Obesity Surgery reports perioperative outcomes of the Titan SGS™ Stapler
Propensity matched retrospective review of 783 laparoscopic sleeve gastrectomies reports the perioperative outcomes of the Titan SGS™ Stapler as compared to multi-fire surgical staplers. The study results link the Titan SGS™ Stapler to potentially enhanced outcomes. The study was conducted by surgeons at Corewell Health Hospital in Grand Rapids, MI.
Dr. Schram and Dr. Foote, two of the authors of the study, are paid consultants of Teleflex Incorporated. Fritz, G.D., Sharrak, A., Aubrey, J. et al. Perioperative Outcomes Using Single-Fire Stapler. OBES SURG (2024). https://doi.org/10.1007/s11695-024-07357-4
TITAN SGS PRODUCT FEATURES
23CM DEVICE JAW
The industry’s longest continuous 23cm staple line eliminates the problem of malformed staples created with overlapping staple lines. Most gastric tissue can be easily placed along the entire length of the Titan SGS stapler jaws. Clamped tissue will be stapled and resected from the distal to the proximal end of the device. During clamping mode, Titan SGS is constantly assessing tissue thickness to ensure optimal stapling parameters are achieved during operation. Strongest jaw in the industry reduces the chance of stapler jaw deflection which can lead to malformed staples in tissue. (Source:Salyer, C. E., Thompson, J., Hoffman, A., Burstein, M. D., Enochs, P., Watkins, B. M., Kuethe, J., & Goodman, M. D. (2022). Multisite Study of Titan SGS Stapler in longitudinal gastric resection. Surgical Endoscopy. https://doi.org/10.1007/s00464-022-09051-x )
23CM STAPLE CARTRIDGE
Longitudinal graduated stapling technology with localized tissue compression zones and larger anvil staple pockets ensure the strongest and most hemostatic staple line is being formed in gastric tissue. Six rows of staples with each successive vertical row being longer matching the entire length of the staple line more closely with the thickness of patient’s native anatomy. During firing mode, Titan SGS is constantly assessing tissue thickness to ensure optimal stapling parameters are achieved during operation.
TITAN SGS HANDLE
Ergonomically designed pistol handle grip allows for effective balancing, manipulation and ease of firing during use.
NO TISSUE ZONE
No gastric tissue is permitted in this area.
STAPLE HEIGHT INDICATORS
Identifies the closed staple height (1.2mm to 2.2mm) along the entire length of the jaws of the device allowing the surgeons to position various gastric tissue thickness appropriately while respecting key anatomical landmarks.
NO TISSUE ZONE
No gastric tissue is permitted in this area.
DISTAL HINGE
Distal hinge houses the I beam knife prior to firing. The knife is pulled rather than pushed through tissue for reliability and speed. It does not return after the completion of the firing cycle.
HANDLE TRIGGER BUTTON
The trigger up-and-down button smoothly opens and closes the jaws of the Titan SGS stapler on gastric tissue in closure system mode. Once the device has entered firing mode, the down trigger will fire the device in approximately 55 seconds.
FIRING SAFETY BUTTON
Safety buttons on both sides of the handle activate the firing system when the device is in closure system mode. Prior to entering firing mode, suboptimal tissue conditions can be assessed.
PROXIMAL HINGE
Proximal and distal hinge improves efficiency of closure system, while improving alignment of the cartridge and anvil resulting in more reliable staple formation during the firing cycle.
POWER PACK
Designed for easy removal in case of device loss of power to ensure the manual bailout system can be accessed.
POWER PACK RELEASE TABS
Release tabs on both sides of the device when depressed will allow for the power pack to be removed. Manual mechanical bailout feature can now be engaged in case of device loss of power.
DISTAL HINGE – Distal hinge houses the I beam knife prior to firing. The knife is pulled rather than pushed through tissue for reliability and speed. It does not return after the completion of the firing cycle.
NO TISSUE ZONE – No gastric tissue is permitted in this area.
23CM DEVICE JAW – The industry’s longest continuous 23cm staple line eliminates the problem of malformed staples created with overlapping staple lines. Most gastric tissue can be easily placed along the entire length of the Titan SGS stapler jaws. Clamped tissue will be stapled and resected from the distal to the proximal end of the device. During clamping mode, Titan SGS is constantly assessing tissue thickness to ensure optimal stapling parameters are achieved during operation. Strongest jaw in the industry reduces the chance of stapler jaw deflection which can lead to malformed staples in tissue. (Source: Goodman. Multisite Study of Titan SGS Stapler in Longitudinal Gastric Resection. 2020.)
STAPLE HEIGHT INDICATORS – Identifies the closed staple height (1.2mm to 2.2mm) along the entire length of the jaws of the device allowing the surgeons to position various gastric tissue thickness appropriately while respecting key anatomical landmarks.
23CM STAPLE CARTRIDGE – Longitudinal graduated stapling technology with localized tissue compression zones and larger anvil staple pockets ensure the strongest and most hemostatic staple line is being formed in gastric tissue. Six rows of staples with each successive vertical row being longer matching the entire length of the staple line more closely with the thickness of patient’s native anatomy. During firing mode, Titan SGS is constantly assessing tissue thickness to ensure optimal stapling parameters are achieved during operation.
PROXIMAL HINGE – Proximal and distal hinge improves efficiency of closure system, while improving alignment of the cartridge and anvil resulting in more reliable staple formation during the firing cycle.
HANDLE TRIGGER BUTTON – The trigger up-and-down button smoothly opens and closes the jaws of the Titan SGS stapler on gastric tissue in closure system mode. Once the device has entered firing mode, the down trigger will fire the device in approximately 55 seconds.
TITAN SGS HANDLE – Ergonomically designed pistol handle grip allows for effective balancing, manipulation and ease of firing during use.
FIRING SAFETY BUTTON – Safety buttons on both sides of the handle activate the firing system when the device is in closure system mode. Prior to entering firing mode, suboptimal tissue conditions can be assessed.
POWER PACK RELEASE TABS – Release tabs on both sides of the device when depressed will allow for the power pack to be removed. Manual mechanical bailout feature can now be engaged in case of device loss of power.
POWER PACK – Designed for easy removal in case of device loss of power to ensure the manual bailout system can be assessed.
Teleflex now offers its Titan SGS™ Stapler with Staple Line Reinforcement
A new choice for bariatric surgeons who prefer buttressing on every staple fire during sleeve gastrectomy: Titan SGS™ Standard Staple-Line Reinforcement with GORE® SEAMGUARD® Bioabsorbable Staple Line Reinforcement
THE STANDARD SLEEVE®
THE NEW STANDARD
Today you have a choice for a more consistent way to perform laparoscopic sleeve gastrectomy. Using a purpose-built medical device, Titan SGS offers you an elegant technique for performing sleeve gastrectomy. The device is designed to help you achieve more consistent and symmetrical sleeve pouch anatomy, setting your patients up for the best possible outcomes.
VIDEOS
PAUL ENOCHS
MD, FACS, FASMBS
BRAD WATKINS
MD, FACS, FASMBS
AARON HOFFMAN
MD, FACS
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TITAN STANDARD POWER UNIT
DESIGNED FOR USE WITH THE TITAN SGS
The Titan Standard Power Unit for use with the Titan SGS stapler uses visual and audible status indicators to provide ongoing information to the user and surgical team during the case. Intelligent tissue-sensing technology and enhanced stapling safety features constantly monitor tissue loads and prevent unsafe conditions enabling the surgeon to achieve more consistent results in gastric tissue.
DEVICE CONNECTOR RECEPTACLE
Used to attach the Titan SGS Stapler to the Standard Power Unit.
POWER BUTTON
Power button glows white when the power source is on.
VOLUME BUTTONS
Controls the volume of the audio feedback from the Standard Power Unit.
CLAMP MODE INDICATOR
A visual and audio prompt displays Titan SGS stapler during closure system mode.
FIRING MODE INDICATOR
A visual and audio prompt display status of the Titan SGS Stapler during firing system mode.
DEVICE STATUS INDICATOR
A visual display and audio prompt that that indicates the overall status of the Titan SGS Stapler during operation.
STANDARD POWER UNIT
Reusable power unit that provides energy to the Titan SGS only. Alerts user with voice and visual prompts. Designed to be located outside the sterile field.
STAPLER POWER SUPPLY FEATURES
TITAN SGS POWER CORD
The 10.5-foot cord connects the Titan SGS Stapler to the Standard Power Unit.
POWER BUTTON
Power button glows white when the power source is on.
DEVICE STATUS INDICATOR
A visual display and audio prompt that indicates the overall status of the Titan SGS Stapler during operation.
CLAMP MODE INDICATOR
A visual and audio prompt displays Titan SGS Stapler during closure system mode.
FIRING MODE INDICATOR
A visual and audio prompt display status of the Titan SGS Stapler during firing system mode.
FIRING PROGRESS INDICATOR
A visual and audio prompt will update the user on percentage of firing cycle completion in 25% increments.
CLAMP MODE INDICATOR BAR
Continuously assesses the tissue compressive loads during closure. Alerts the surgeon if tissue thickness is outside of optimal operating parameters.
FIRING MODE INDICATOR BAR
Continuously assesses tissue firing loads placed on the device. Alerts the surgeon if firing forces fall outside optimal operating parameters.
VOLUME BUTTONS
Controls the volume of the audio feedback from the Standard Power Unit.
DEVICE CONNECTOR RECEPTACLE
Used to attach the Titan SGS Stapler to the Standard Power Unit.
STANDARD POWER UNIT
Reusable power unit that provides energy to the Titan SGS only. Alerts user with voice and visual prompts. Designed to be located outside the sterile field.