Energy Sealing & Dissecting

Healing comes first for healthcare providers. That's why Ethicon Energy is dedicated to delivering energy solutions for our customers to help patients heal faster and protect their teams from OR risks.

Energy Sealing & Dissecting
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The most comprehensive portfolio of Intelligent Energy Solutions1*

Ethicon Energy may help reduce surgical burdens through optimized energy delivery which may cause less tissue damage2-8¥
 

2088 Harmonic Publications

The ETHICON HARMONIC portfolio is supported by more peer-reviewed publications than any other advanced energy manufacturer combined.9-11±
 

Intuitive Design12,13

ENSEAL X1 family provides secure sealing and was designed to provide more intuitive and simplified steps-for-use.12,13

100 Million Procedures14

Megadyne™ Reusable Patient Return Electrodes have been used in over 100 Million procedures worldwide.14

Automatic instrument recognition

The GEN11 Generator for HARMONIC and ENSEAL offers: Automatic instrument recognition,  Touchscreen for easy setup and operation,  High-resolution display with wide viewing angles and Compact design.15

Ethicon Energy Solutions can support your goal of helping patients heal faster

We believe Ethicon Energy Solutions can support your goal of helping patients heal faster, which ultimately leads to improving the health of our healthcare system. That is why our ambition is to help our customers make surgery safer, to improve effectiveness and to help the recovery go faster. We focus on optimizing the use of energy to do less tissue damage, advancing OR safety to minimize risks and partnering with our stakeholders to create a healthier health system. 

All Energy Sealing & Dissecting Products

References

*Upon review of product catalogs and websites (Advanced Energy, Core Energy, Surgical Smoke Evacuation) for the respective manufacturers: Medtronic, Olympus, Intuitive Surgical, Conmed, Ethicon (2021)

¥Based on preclinical studies of Adaptive Tissue Technology

±As per literature searches for advanced energy devices in Embase/Medline, PubMed, and Google Scholar through May 2021

≤Centers for Disease Control and Prevention

≠ENSEAL™ X1 Curved Jaw Tissue Sealer can capture, seal and transect a longer length of tissue per single activation due to a 16% (or 3.4mm) longer jaw (p < 0.001) and a 19% (or 3.5mm) longer cut length (p < 0.001) compared to LigaSure™ Maryland (LF1937)

∂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)
δGrasping force measured as the maximum amount of force required to pull porcine jejunum from the distal tip of device jaws. Comparison of ENSEAL X1 Curved Jaw to LigaSure™ Maryland (LF1937) (p < 0.001)

**In benchtop testing on porcine arteries, vessels sealed with ENSEAL X1 Curved Jaw had a 22% higher average burst pressure than vessels sealed with LigaSure™ Maryland (LF1937), (1055mmHg vs. 862mmHg, p < 0.001)

βAs per designed and internal market share data

^Compared to HARMONIC™ ACE+7 Shears as demonstrated in engineering and pre-clinical studies

µCompared to traditional "sticky" patient return electrode

∞Comparison of ENSEAL™ X1 Straight Jaw to LigaSure™ Maryland (LF1937). Benchtop testing on porcine arteries (1077mmHg vs. 862mmHg, p < 0.001)

πENSEAL™ X1 Straight Jaw had a 24% higher average burst pressure than vessels sealed with LigaSure™ Maryland

αENSEAL™ X1 Straight Jaw Tissue Sealer can capture more tissue per bite with a longer jaw compared to LigaSure™ Blunt Tip

§Based on a meta-analysis of HARMONIC™ FOCUS™ (HF) versus clamp, cut and tie, where HF reduced:
• operative time (p<0.001)
• intra-operative blood loss (p<0.001)
• length of stay (p<0.005)
• drainage volume (p<0.01)
• post-operative pain via Visual Analogue Scale (p<0.001)

***Adaptive Tissue Technology algorithm powered by GEN11

ϖAs per literature searches for advanced energy devices in Embase/Medline, PubMed, and Google Scholar through May 2021. 
 
 

  1. Ethicon, 02092021, Value Proposition Editable Chart, Feb 2021, Data on File (121066-220217)
  2. Ethicon, 16022012, HAR & ACE Size and Adaptive Tissue technology Comparison Intra-operative and Histopathology memo, Feb 2012, Data on File (179359-210609)
  3. Ethicon, PCS0000215, Harmonic ® HARH36 and HARH23 Shears: Acute 5-7mm Vessel Study in the Goat – Performance and Lateral Thermal Damage, March 2015, Data on File (179359-210609)
  4. Ethicon, PSP003620A, Project Q/MAC – HARH36: Verification Acute Study in the Goat, April 2014, Data on File (179359-210609)
  5. Ethicon, PSP0003910A, Q/MAC vs LigaSure Thermal Damage Statistical Analysis, April 2014, Data on File (179359-210609)
  6. Ethicon, PSP004469A, Lateral Thermal Damage of HARMONIC ACE® Shears HARH36 vs LigaSure™ 5mm Blunt Tip LF1637, and THUNDERBEAT 5mm TB-0535FC, May 2015, Data on File (179359-210609)
  7. Ethicon, PSP004502B, Thermal Footprint Statistical Analysis, June 2015, Data on File (179359-210609)
  8. Ethicon, 500645881, ENSEAL™ X1 Adaptive Tissue Technology, Feb 2021, Data on File (179359-210609)
  9. Ethicon, 09052021, Energy Devices Volume of Publications May 2021 - Literature Search, May 2021, Data on File (201791-220121)
  10. Ethicon. 18022019, Energy Devices Volume of Publications February 2019 - Literature Search, Results, Feb 2019, Data on File (201791-220121)
  11. Ethicon, 01052021, Advanced Energy Publications Summary - all articles up to May 2021, Data on File (201791-220121)
  12. Ethicon, DOC023555A, A Floyd Claims Memo Industrial Design, July 2018, Data on File (155321-201009, 116498-210802, 181381-210628, 152441-200929)
  13. Ethicon, PRC095915A, Curved Design Validation 2 Completion Report, June 2020, Data on File (155321-201009)
  14. Ethicon, 07082019, MegaSoft Sales and Procedures Calculation 2019, Aug 2019, Data on File (117766-210721)
  15. As Per Generator G11 Operator’s Manual
  16. NIOSH Study Finds Healthcare Workers’ Exposure to Surgical Smoke Still Common. Nov 3, 2015 available at https://www.cdc.gov/niosh/updates/upd-11-03-15.html [accessed 19.02.2020] (132927-200819)
  17. As Per Instructions For Use (171107-210319, 115386-210319, 152441-200929, 201479-220118)
  18. Ethicon, Project Floyd: Claims Metrology Report, June 2018, PRC079564B (145163-200630, 145041-200629)
  19. Ethicon, Floyd Relaunch Claims Metrology, June 2020, PRC095763A (145163-200630, 145041-200629)
  20. Ethicon, Floyd Relaunch Claims Grasping Force, June 2020, PRC096063A (145160-200630)
  21. Ethicon, Floyd Relaunch Claims Ex-Vivo Sealing, June 2020, PRC094697A (145079-200629, 181384-210628)
  22. Ethicon, 01022019, Energy Devices Volume of Publications February 2019 - Literature Search Results, Feb 2019, Data on File (171107-210319)
  23. Ethicon, 01022019, AE Publications, Feb 2019, Data on File (171107-210319)
  24. Ethicon, 01022019, AE Publications Summary, Feb 2019, Data on File (171107-210319)
  25. Ethicon, 01122020, U.S. Market & Share Insights Report, Dec 2020, Data on File (171107-210319)
  26. Ethicon, PRC042296A, Triton (FCS17) Thermal Spread in Vessels, Feb 2010, Data on File (171107-210319)
  27. Ethicon, SCN008558A Triton (FCS17) Test Procedure: Thermal Spread on Vessels Following In Vivo Transection, April 2009, Data on File (171107-210319)
  28. Ethicon, SCN049171A, Several HARMONIC FOCUS Shears, 9 cm Length (FCS9) approved claims shall also apply to HARMONIC FOCUS + Adaptive Tissue Technology, 9 cm Length (HAR9F) based on similarity of design memo, Feb 2017, Data on File (171107-210319)
  29. Ethicon, 28082019, GBI Info - Harmonic Undisputed Claim memo, Aug 2019, Data on File (171107-210319)
  30. Ethicon, 500660262B, HARMONIC Adaptive Tissue Technology memo, March 2021, Data on File (171107-210319)
  31. Ethicon, PRC74432B: Buccaneer Energy Button Vessel Claims, April 2016, Data on File (176074-210823)
  32. Ethicon, PRC094080B, Scarlet DV- Vessel Transection Speed (and Burst Pressure), March 2020, Data on File (176074-210823)
  33. Ethicon, SCN075090A, Scarlet Witch Physical Equivalence memo, April 2020, Data on File (176074-210823)
  34. Ethicon, PRC095370C, Project Scarlet: Blade Temperature, May 2020, Data on FileProject Buccaneer (176074-210823)
  35. Ethicon, PSP004888A, HARMONIC™ HD 1000i Open Shears (HARHD20) and HARMONIC™ HD, 1000i Laparoscopic Shears (HARHD36): Design Verification Acute Study in the Pig, March 2016, Data on File (176074-210823)
  36. Ethicon, 28022018, Universal Plus Equivalency Memo, Feb 2018, Data on File (115386-210319)
  37. Ethicon, PRC095763B, Floyd Relaunch Claims Metrology, May 2021, Data on File (181977-220301)
  38. Cheng, A systematic review and meta-analysis of Harmonic Focus in thyroidectomy compared to conventional techniques;Thyroid Research;2015;8;15 (115424-210505)
  39. Ethicon, SCN047554A, Brick X1 System and Generator - Memo v2, Sept 2016, Data on File (173804-220302)
  40. Ethicon, 500645881B, ENSEAL™ X1 Adaptive Tissue Technology memo, Feb 2021, Data on File (173804-220302)
  41. Ethicon, 09052021, Energy Devices Volume of Publications May 2021 - Literature Search, May 2021, Data on File (201779-220121)
  42. Ethicon, 18022019, Energy Devices Volume of Publications February 2019 - Literature Search, Results, Feb 2019, Data on File (201779-220121)
  43. Ethicon, 01052021, Advanced Energy Publications Summary - all articles up to May 2021, Data on File (201779-220121)