First of all, let's learn about the development history of surgical staplers, one of the most important medical surgical instruments today.
As early as the early twentieth century, foreign experts started to develop the stapler, but due to the bulky instruments and time-consuming loading and unloading, the large volume could not be used in clinical settings. With the continuous exploration and improvement of experts, the stapler is getting closer to clinical application.
The surgical stapler (Auto Suture) that was widely used in the clinic was invented by the American Surgical Corporation (USSC) in the 1960s. In 1967, a brand new kind of surgical stapler, the Liner stapler TA (Thoracic-Abdominal) was first introduced. Another new operation stapler, the Linear cutter GIA (Gastrointestinal Anastomosis), was first introduced in 1968. The EEA circular stapler (End-End Anastomosis) was first introduced in 1978, and this new invention of the operation stapler created a milestone in the history of modern surgery.
Then, in the late 1970s, surgical stapler manufacturers in China's major cities, including Jiangsu, Shanghai, Beijing, and Hangzhou have begun to design and manufacture gastrointestinal staplers. In the early 1980s, the USSC (United States Surgical Corporation) of the United States introduced a new generation of disposable surgical plastic staplers, which have been widely used in clinical practice.
How does a medical surgical stapler work? The working principle of various surgical staplers is similar to the book stitcher, so it is generally called a STAPLER. It fires two or three rows of interlaced staples into the tissue to cross-stitch the tissue. The nail forming effect is good, and it is B-shaped. The main components of the stapler are staples, anvil, cartridge, staple driver, firing handle, positioning needle, knob, and marking ruler.
| Name | Features | Application |
TA (Thoracic-Abdominal) Single Use Linear Staple | Straight line suture tissue can not be cut; it needs the operator to manually cut. | Digestive tract reconstruction and closure of stumps or incisions during liver resection. |
GIA (Gastro-lntestin Anastomosis) | The cutting and stitching work can be completed at the same time; the larger opening helps to adjust the position; there are different types and lengths of staple cartridges, suitable for different needs. | Various gastrointestinal, intestinal side-to-side anastomosis, split lung, and partial lung resection. |
ENDO GIA (Endoscopic Gastro-lntestin Anastomosis ) | It is suitable for the operation of closing and cutting under the endoscope, and the reload can change the direction. | Under gastroscopy, the gastrointestinal tract and the intestinal tract are closed, and side-to-side anastomosis and other operations. |
EEA (End-End Anastomosis) | There are many types of circular staplers. Choose according to the diameter of the intestinal tract during surgery. | End-to-end anastomosis of gastrointestinal and esophageal surgery. |
The gastrointestinal surgical stapler is an advanced medical device designed for precise tissue transection and anastomosis in digestive tract procedures. It is widely used in gastrointestinal resections and reconstructions such as low anterior resection (LAR), colon resection, and gastrointestinal anastomosis, enabling surgeons to achieve secure, uniform, and hemostatic closure with reduced operative time.
By employing multiple staggered rows of titanium staples, the stapler ensures consistent compression and optimal blood flow at the anastomotic site. The selection of reload color corresponds to tissue thickness: our reloads (white colour) are designed for thin tissues such as the duodenum without significant inflammation; reloads (blue colour) are suitable for medium-thickness tissues including the colon, small intestine, rectum, stomach, and lung; while reloads (green colour) are intended for extra-thick tissues such as the main bronchus and the pyloric region of the stomach.
Through the combination of ergonomic design, precise staple formation, and dependable tissue adaptation, the gastrointestinal stapler significantly enhances surgical safety, improves anastomotic integrity, and contributes to faster postoperative recovery.
Note: Product availability, specifications, and reload color indications may vary by region and clinical practice. The information provided herein is for reference only and should not replace clinical judgment or institutional protocols. Always refer to the official product instructions before operation.
The application of surgical staplers has brought great convenience to surgical operations. On the whole, various surgical staplers are simple, easy to operate, safe, and reliable, but if used improperly, they will also cause the operation to fail and cause unnecessary trouble.
In the course of use, the surgeon should master the basic working principle of surgical staplers, be familiar with the structural performance of various types of staplers, master the correct operation method, and strictly abide by its operation rules and use skills. For example, when using surgical staplers, pay attention to the correct placement of the tissue; the operation should be stable; after the firing, check the hemostasis of the incision and the nailing status.
Surgical staplers have many advantages and are now recognized by surgeons. Due to its advent, the original surgical field is narrow, deep, and difficult to manually suture and anastomose. It also shortens the operation time and reduces surgical complications.
All in all, the correct and reasonable use of surgical staplers is the key to the success of the operation and the prevention of complications. In order to improve the application level of the stapler, the surgeon must master the correct use method and better serve the patient. In the end, we hope as a medical instruments manufacturer, we will keep our original intention, and try our best to provide the best products and service to the clinic.
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[4] [Arterial non-suture anastomosis with a fibrin ring].[J]. FIRT P,HEJHAL L,STERBA O,BEDNARIK T. Rozhledy v chirurgii : mesicnik Ceskoslovenske chirurgicke spolecnosti. 1958(4)
[5] Sutureless Intestinal Anastomosis with a Novel Device of Magnetic Compression Anastomosis [J]. Chinese Medical Sciences Journal. 2011(03)
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