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Ethicon: Shaping the Future of Surgery
Expect more, Worry less. Trust in GST
“What advice would I give to my earlier self when starting to use ECHELON™ GST reloads? I would probably say to myself try it and trust it!”
Conversation with Pr. Ugo Pastorino and Dr. Alessandro Pardolesi from Istituto Nazionale Tumori, Milan, Italy
Ethicon Plus Antibacterial Sutures
Triclosan-coated sutures are supported by evidence-based recommendations from a number of global health authorities and technology assessment bodies as part of the SSI prevention bundle.1-5*
Colorectal Anastomosis with ECHELON CIRCULAR Powered Stapler
Mr. Ian Jenkins from St. Mark´s Hospital in London discusses anastomotic leaks, forming the circular anastomosis, and how ECHELON CIRCULAR Powered Stapler may produce significant benefits overall.
Initiatives
Colorectal Next
Ethicon strives to develop the next generation of integrated treatment solutions in colorectal care to, ultimately, give patients back their tomorrows. With the Colorectal Next Program, we aim to address anastomotic leaks as a multi-factorial complication.
OR Safety
Learn how you can partner with Ethicon to build a stronger OR safety environment for staff and patients.
Peer-reviewed Evidence in Thoracic Surgery
We recently completed studies published in peer-reviewed journals, which allow us to share compelling evidence that ECHELON FLEX Powered Staplers have been associated with improved clinical and economic outcomes compared to Medtronic non-powered staplers.6**
Change the Air for a Safer OR
Ethicon’s new report looks at how to enhance operating room safety, the impact of COVID-19 on our current environment, the smoke evacuation solutions available in the market and the latest guidance for nurses, surgeons and hospital administrators on reducing the impact of surgical smoke.
Ethicon Customer Support
Featured Products
ECHELON CIRCULAR Powered Stapler
The ECHELON CIRCULAR Powered Stapler demonstrated an 85% reduction in anastomotic leaks compared with manual circular staplers (1.7% vs. 11.8%, p=0.02).7***
ECHELON CONTOUR Curved Cutter
The ECHELON CONTOUR™ Curved Cutter with 3D stapling technology is designed to evenly distribute compression throughout the staple line, potentially limiting leak pathways.8,9#
ECHELON+ Stapler with GST Reloads
The ECHELON+ Stapler with GST Reloads advances staple line security to deliver fewer leakage pathways at the staple line, even in challenging conditions.10^
ENSEAL™ X1 Curved Jaw
ENSEAL™ X1 Curved Jaw can capture more tissue per bite compared to LigaSure™ Maryland11,12†
STRATAFIX Spiral Knotless Tissue Control Device
SURGICEL Powder Absorbable Haemostat
Digital Solutions
Giving surgeons additional information to support their clinical decision-making has the potential to drive the next surgical revolution. Our digital surgery ecosystem will bring together the collective value of Next Generation Robotics and Instrumentation; Advanced Imaging; and AI-powered Digital Solutions.
Ethicon, part of the Johnson & Johnson Medical Devices Companies, has made significant contributions to surgery for more than 100 years, from creating the first sutures, to revolutionizing surgery with minimally invasive procedures. Our surgical technologies and solutions include sutures, staplers, energy devices, trocars and haemostats along with interventional ablation, robotics and digital solutions.
Partners & Resources
Digital Health Technology Consultants & Innovations
Johnson & Johnson Medical Devices Companies (JJMDC) believes in a data-driven, holistic partnership approach to help providers realize better care by aligning our broad capabilities to specific needs.
Johnson & Johnson Institute
Harnessing the size, reach, collective resources and passion of the Johnson & Johnson family to support the professional growth of those who care for others.
Patient Education on Gastroesophageal Reflux Disease
Reflux (also called Gastroesophageal reflux disease, or GERD) is a chronic digestive disease in which acid and bile flow back from the stomach into the esophagus, creating pain and often causing damage to the lining of the esophagus.
References
* CDC, WHO, ACS/SIS, NICE, and KRINKO guidelines on reducing the riskof surgical site infections are general to triclosan‐coated sutures and are not specific to any one brand. Recommendations for different types of surgery may not be consistent across authorities.
** Review of 3,006 cases between 2012 and 2016 from the US Premier Healthcare Database. Data assessed included length of stay, total hospital cost, supply cost, room & board cost, incidence of transfusion, and incidence of hemostasis‐related complications; all p ≤ 0.05.
*** Impact of the Novel Powered Circular Stapler on Risk of Anastomotic Leakage in Colorectal Anastomosis. A Propensity Score‐ Matched Study. [ECHELON CIRCULAR 1.7% (1/60) vs. manual circular 11.8% (14/119), p=0.022]
# Finite element‐based computational simulations (FEA) on simulated porcine tissue measuring tissue compression after approximation and staple formation, comparing average standard deviation of 5.481 for 2D staples to 5.109 for 3D staples (n=37, p<0.05).
^ Advancing staple line security with fewer leakage pathways and less malformed staples. Fewer leakage pathways: benchtop testing in porcine tissue ≤ 30mmHg (26mmHG average pressure experienced during typical leak test), comparing Ethicon ECHELON+ Stapler PSEE60A with GST Reloads GST60B to Medtronic Signia™ and Endo GIA™ Staplers with Tri-Staple™ Reloads EGIA60AMT. Cumulative number of leaked tests (0/30), (7/30) & (9/30) respectively, n=30, p < 0.05. Fewer malformed staples: benchtop testing in 3.3mm and 4.0mm porcine tissue comparing malformed staples between ECHELON+ Stapler with GST Reloads (GST60B, GST60T) to Medtronic Signia™ Stapler with Tri-Staple™ Reloads (EGIA60AMT, EGIA60AXT) and Endo GIA™ with Tri-Staple™ Reloads (EGIA60AMT, EGIA60AXT). Percentage malformed results: 1.14% vs 4.28%, p < 0.05.
† Based on metrology data, ENSEAL X1 Curved Jaw Tissue Sealer has a 16% (or 3.4mm) longer jaw than LigaSure™ Maryland (LF1937) (p < 0.001) and ENSEAL X1 Curved Jaw Tissue Sealer has a 9% (or 1.15mm) wider jaw aperture than LigaSure™ Maryland (LF1937) (p < 0.001).
1. Berrios‐Torres SI, Umscheid CA, Bratzler DW, et al. Centers for disease control and prevention guideline for the prevention of surgical site infection, 2017. JAMA Surg. 2017;152(8):784‐791.
2. Ban KA, Minei JP, Laronga C, et al. American college of surgeons and surgical infection society: surgical site infection guidelines, 2016 update. J Am Coll Surg. 2017;224(1):59‐74.
3. NICE Guideline Updates Team (UK). Surgical site infection: prevention and treatment. NICE website. https://www.nice.org.uk/guidance/ng125/chapter/Recommendations#closuremethods Accessed Nov 16, 2020.
4. World Health Organization. Global guidelines for the prevention of surgical site infection. https://apps.who.int/iris/bitstream/handle/10665/250680/9789241549882‐eng.pdf?sequence=8. Published November 2016. Accessed Nov 16, 2020.
5. Prevention of postoperative wound infections. Recommendation of the Committee for Hospital Hygiene and Infection Prevention (KRINKO) at the Robert Koch Institute. Bundesgesundheitsbl. 2018;61(4):448‐473.
6. Miller DL, Roy S, Kassis ES, Yadalam S4, Ramisetti S4, Johnston SS5.. Impact of Powered and Tissue-Specific Endoscopic Stapling Technology on Clinical and Economic Outcomes of Video‐Assisted Thoracic Surgery Lobectomy Procedures: A Retrospective, Observational Study. Adv Ther. 2018 May;35(5):707‐723.
7. Pla‐Martí V, Martín‐Arévalo J, Moro‐Valdezate D, et al. Impact of the novel powered circular stapler on risk of anastomotic leakage in colorectal anastomosis: a propensity score‐ matched study. Tech Coloproctol. 2020. https://doi.org/10.1007/s10151‐020‐02338‐y.
8. Ethicon, 500561940A.7 Silhouette Tissue Compression Simulation [Claims – EU], Oct 2020.
9. Ethicon, 500632160A Design Intent for Echelon Contour Curved Cutter, Jan 2021, Data on file.
10. Ethicon, PRC096436A Ex-Vivo Comparison of Staple Line Leak Pressure: Echelon Flex Powered Plus Stapler with GST vs Endo GIA and Signia with Tri-Staple Technology, Aug 2020, Data on file. Ethicon, PRC096858A Evaluation of Malformed Staples in Thick Tissue for Claims: Echelon Flex Powered Plus Stapler with GST vs Endo GIA and Signia with Tri-Staple Technology, Aug 2020, Data on file (159504-201117 EMEA).
11. Ethicon, Project Floyd: Claims Metrology Report, June 2018, PRC079564B.
12. Ethicon, Floyd Relaunch Claims Metrology, June 2020, PRC095763A.
182541-210708 EMEA UK