ArtiSential Instrument
Training Guide

ArtiSential™ Usage Tips

Learn proper usage techniques and clip loading skills for the Articulating Laparoscopic Instrument.

12
Video Lessons
LIVSMED ArtiSential
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Table of Contents

General Instrument Operation
1 Easy Neutral Alignment chevron_right 2 Half-Clutch Technique chevron_right 3 Understanding Jaw Movement Direction chevron_right 4 Understanding Shaft & Jaw Kinematics chevron_right 5 Utilizing the Pinch Lock chevron_right 6 Adjusting Finger Loops chevron_right 7 Shaft Pronation/Supination chevron_right
Clip Loading
8 Clip Loading - Instrument Preparation chevron_right 9 Clip Loading - Self-Loading Method A chevron_right 10 Clip Loading - Self-Loading Method B chevron_right 11 Clip Loading - Assisted Loading chevron_right 12 Clip Loading - Loading Tips & Techniques chevron_right
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1

Easy Neutral Alignment

General Instrument Operation
ArtiSential
Video Summary
Demonstrates how to quickly and easily align the jaw and shaft into a neutral (straight) position.
Learning Objectives
  • Master the technique for neutral alignment of the instrument.
  • Learn how to manipulate the jaw when the instrument is outside the trocar.
  • Learn how to secure the joint using the Lock Lever.
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2

Half-Clutch Technique

General Instrument Operation
ArtiSential
Video Summary
Explains how to utilize joint functions by placing the lock lever in a "half-clutch" state.
Learning Objectives
  • Understand jaw joint movement relative to the lock lever's degree of opening.
  • Practice the "half-clutch" technique, moving the joint without fully engaging the lock.
  • Master the ability to move the joint in a half-clutch state and release the lever to lock it at a specific angle.
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3

Understanding Jaw Movement Direction

General Instrument Operation
ArtiSential
Video Summary
Explains that the direction of the ArtiSential jaw mimics the intuitive movement of the hand.
Learning Objectives
  • Place an arrow sticker or draw an arrow on your index finger.
  • Manipulate the instrument joint by moving your wrist.
  • Verify that the jaw movement direction consistently aligns with the arrow on your index finger.
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4

Understanding Shaft & Jaw Kinematics

General Instrument Operation
ArtiSential
Video Summary
Explains the two distinct movements of ArtiSential: Shaft movement and Jaw movement.
Learning Objectives
  • Distinguish between Shaft movement and Jaw movement.
  • Master the technique of manipulating the Jaw joint while the Shaft remains fixed within the trocar.
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5

Utilizing the Pinch Lock

General Instrument Operation
ArtiSential
Video Summary
Explains the Pinch Lock feature, which allows the jaw to remain closed automatically.
Learning Objectives
  • Identify models equipped with the Pinch Lock (Fenestrated forceps, Clinch forceps, Maryland dissector, Precise dissector, Needle holder).
  • Learn how to engage and release the Pinch Lock.
  • Apply the Pinch Lock feature effectively when grasping tissue.
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6

Adjusting Finger Loops

General Instrument Operation
ArtiSential
Video Summary
Explains how to adjust the finger loops to ergonomically fit the user's hand.
Learning Objectives
  • Identify the location and adjustment mechanism of the finger loops.
  • Customize the finger loops to fit individual hand sizes for optimal control.
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7

Shaft Pronation/Supination

General Instrument Operation
ArtiSential
Video Summary
Explains how to change the jaw opening direction by rotating the shaft (pronation or supination).
Learning Objectives
  • Rotate the shaft by moving the forearm from neutral to pronation/supination (inward/outward).
  • Verify the change in the jaw's opening/closing direction based on the shaft's rotation.
  • Practice manipulating the jaw joint while the forearm is in a pronated or supinated state.
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8

Clip Loading - (1) Instrument Preparation

Clip Loading
ArtiSential
Video Summary
Explains how to prepare both the instrument and the clip cartridge when using the Clip Applier.
Learning Objectives
  • Learn the pre-loading preparation (Neutral alignment, Joint locked, Jaw fully open).
  • Identify the left/right orientation of the clip cartridge.
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9

Clip Loading - (2) Self-Loading Method A

Clip Loading
ArtiSential
Video Summary
Explains the first method for a single user to load a clip independently.
Learning Objectives
  • Learn how to secure the instrument by holding the handle or the main body.
  • Understand the technique for stabilizing the instrument shaft.
  • Practice loading by pulling the clip cartridge toward the body.
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10

Clip Loading - (3) Self-Loading Method B

Clip Loading
ArtiSential
Video Summary
Explains the second method for a single user to load a clip independently.
Learning Objectives
  • Understand the technique for controlling jaw instability during loading.
  • Compare Self-Loading Method A and B to determine the most ergonomic option for the user.
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11

Clip Loading - (4) Assisted Loading

Clip Loading
ArtiSential
Video Summary
Explains the loading procedure when a surgeon requests a clip from a nurse during surgery.
Learning Objectives
  • Practice shaft stabilization techniques from the assistant's (nurse's) perspective.
  • Repeat the process to ensure accurate and efficient clip loading.
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12

Clip Loading - (5) Loading Tips & Techniques

Clip Loading
ArtiSential
Video Summary
Explains two ways to handle the clip cartridge during the loading process.
Learning Objectives
  • Understand the sequential loading method by rotating the clip cartridge.
  • Understand the simultaneous loading method by pulling the entire cartridge.
  • Choose and practice the method that best suits the user's workflow.
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