SUPERIOR PERFORMANCE.FROM MANYANGLES.1,†

£ In comparison to AbsorbaTack™ fixation device.† Benchtop testing based on commercially available absorbable and permanent fixation devices, which include the

SECURESTRAP™*, SorbaFix™*, OptiFix™*, CapSure™*, ProTack™, and ReliaTack™ devices with standard purchase tacks when the shaft is angled at 30, 45, 65, and 90 degrees. ReliaTack™ Deep Purchase Tack shear pull test performed in synthetic foam. Results may not correlate to performance in animal or cadaveric tissue, or performance in humans.

§ Based on potential for eliminating contralateral ports and average savings when 31-50 tacks are needed.

Step-by-Step Technique Guide for ReliaTack™ Articulating Reloadable Fixation Device

∙Superior access2,£

∙Strongerfixation1,†

∙Lower cost of care3,§

Deep Purchase Tack Standard Purchase Tack

32

RELTACK10R

Ten-tack standard purchase reload

RELTACK5R

Five-tack standard purchase reloadStandard Purchase Tack

RELTACK3X10

One handle with three ten-tack standard purchase reloads

5.1 mm

RELTACK8RDPT

Eight-tack deep purchase reload

RELTACK5RDPT

Five-tack deep purchase reload

Deep Purchase Tack

RELTACK4XDPT

One handle with three eight-tack deep purchasereloadsandonefive-tackdeeppurchase reload

7.0 mm

ReliaTack™ Device with Deep Purchase Tacks

ReliaTack™ Device with Standard Purchase Tacks

RELIATACK™ SPT AND DPT OVERVIEW

TABLE OF CONTENTS

ReliaTack™ SPT and DPT Overview 3

Technique Guide 4

Step-by-Step Guide 4

Access and Articulation 5

Handle Grip and Positioning 6

Counter Pressure and Firing 7

Firing the Device 9

Eliminating Contralateral Ports 10

54

LOADING Before loading, the ReliaTack™ device must be in reload mode, with the red toggle button exposed.

UNLOADING

Ensure that the device is in the straight, unarticulated position.

Hold the blue lock switch button and align the two arrows.

Remove the reload from the blister. Important: Do not grab the shipping wedge.

Release the blue lock switch button and allow it to return to the locked position.

Hold the blue lock switch button and slide the reload onto the distal end of the shaft.

Pin must be in vertical position. If not vertical, pushtheredfirebutton,cycle the device until pin is vertical, push the green load button once vertical.

Remove the shipping wedge.

Push the red toggle button and hand the device to the surgeon.

Pull and hold the blue lock switch button in the back position.

Gently pull on the reloadtoconfirmthatthe device is loaded.

Push the green toggle button to put the device in reload mode.

Pull and hold the blue lock switch button.

Remove the reload.Hold the blue lock switch button and remove the used reload and discard. Important: Do not reuse.

TECHNIQUE GUIDESTEP-BY-STEP GUIDE

Pin

ACCESS

When using the ReliaTack™ device, place trocars from 1 to 1.5 cm more lateral than normal. Lateral trocar placement and 65 degrees of articulation will allow you to fixatetheentiremeshfromthesamesideof the patient — and potentially eliminate contralateral ports.2

ARTICULATION

Formaximumfixationstrength,alwaysfirethedeviceat65degreestoensurethattacksarefiredperpendiculartothe mesh.1 When articulating to 65 degrees or straightening to zero degrees, stop rotating the articulation knob when youfeelresistanceintheknob. 

10 Tacks

10 Tacks

65˚

90˚

Before articulating or straightening the device, ensure that the articulation elbow is completely visible (past the trocar sleeve) and not in direct contact with viscera or the abdominal wall.

Normal trocarplacement

Lateral trocarplacement

TECHNIQUE GUIDEACCESS AND ARTICULATION

76

Lateral trocarplacement

TECHNIQUE GUIDEHANDLE GRIP AND POSITIONING

PISTOL-GRIPHANDPOSITION

NEUTRAL POSITION

MODIFIEDPISTOL-GRIPHANDPOSITION

SIDE-FACINGPOSITION

The ReliaTack™devicehasaunique,ergonomichandle.Itallowsyoutofirethedevicecomfortablyfromtwopositions—thetraditionalpistol-grippositionorthemodifiedpistol-gripposition.

Alwaysfirethedevicewiththehandleintheupright,neutralposition.Thiswillallowyoutofiretacksperpendicular to the mesh and tissue.

x

TECHNIQUE GUIDECOUNTER PRESSURE AND FIRING

Usethefollowingsequence—touch,drop,fire—toachievethebestresultswiththeReliaTack™ device:

Position the distal tip of the device against the mesh where you want to place a tack.

Apply gentle downward pressure to the handle. Notice a slight indentation in the mesh.

STEP 1: TOUCH

Moderate external counter pressure is needed for adequate tack deployment in an articulated position.

STEP 2: DROP

External view

External view

Indentation in mesh

Internal view

Internal view

98

TECHNIQUE GUIDECOUNTER PRESSURE AND FIRING

STEP 3: FIRE

Give the device a controlled, complete squeeze to deploy the tack. You will hear a distinct click when the tack has been successfully deployed.

Articulation and screw-like tacks allow for strong fixation.Inthisphoto,youcanseethetensiononthe peritoneum as the tacks and mesh are pulled away from the abdominal wall.

Trigger is completely compressed.Firing sequence is completed.

Trigger is partially compressed.Firing sequence is not completed.

TECHNIQUE GUIDEFIRING THE DEVICE

Important: Do not push the handle forwardwhenfiring.Thiswillputunnecessary stress on the articulation point.

Important: Apply gentle downward pressurewhenfiring.Thiswillapproximate the distal tip of the device against the mesh.

1110

TECHNIQUE GUIDEELIMINATING CONTRALATERAL PORTS

Alwaysusefive-tackreloadswhenfixatingontheipsilateralsideofthemesh.Thefive-tackreload will give you maximum access to the ipsilateral side of the mesh due to the length of the reload, allowing you to deploy tacks perpendicular to the mesh and abdominal wall.

For more information, please visit medtronic.eu/product-catalog

Use scan app to read

IMPORTANT: Please refer to the package insert for complete instructions, contraindications, warnings and precautions.

© 2018Medtronic.Allrightsreserved.Medtronic,MedtroniclogoandFurther,TogetheraretrademarksofMedtronic. ™* Third party brands are trademarks of their respective owners. All other brands are trademarks ofa Medtroniccompany.18-weu-reliatack-dpt-technical-guide-2254336

To find out more about hernia care products please visit medtronic.eu/herniacare

HERNIA CAREMesh. Fixation. Biologics. Dissection.

Our comprehensive product portfolio canenhance your hernia repair procedures.

References1. Based on internal test report #RE00010135-1, ReliaTack™ deep purchase

tack shear pull test performed in synthetic foam. Results may not correlate to performance in animal or cadaveric tissue, or performance in humans. p-value=0.00. October 2015.

2. Based on internal test report #R0054140, Mesh overlap claims testing, p-value=0.007. March 2014.

3. ReliaTack™ DPT cost comparison, ReliaTack™ deep purchase internal average cost data compared to SECURESTRAP™* and SorbaFix™* IMS data. Dec 2015.