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A Better Way to Staple
Surgical Staplers
A Better Way to Staple
Surgical Staplers
Surgical stapling complications can have a major impact on clinical outcomes and an increased financial burden for healthcare systems. Our tissue-specific open and laparoscopic stapler designs are based on science and backed by a growing body of real-world evidence and have been associated with improved outcomes and reduced financial burden.1
Surgical stapling complications can have a major impact on clinical outcomes and an increased financial burden for healthcare systems. Our tissue-specific open and laparoscopic stapler designs are based on science and backed by a growing body of real-world evidence and have been associated with improved outcomes and reduced financial burden.1
Performance-Driven Results, Backed by Evidence
Since 2017, the use of ECHELON™ Powered Staplers has demonstrated an association with improved clinical and economic outcomes—across tissue types, patient populations and countries—in bariatric, thoracic and colorectal procedures.1

Clinical Evidence
Today’s patient enters the operating room with comorbidities that increase factors of surgical risk—like heart disease, obesity, diabetes and more. Providing a stapling technology that accounts for both challenging anatomy and complex procedures is critical in managing complications. Our line of surgical staplers can help decrease the burden of clinical complications.

Economic Evidence
Ethicon stapling solutions reduce complications1 - supporting higher efficiency in the operating room and reducing hospital costs. ECHELON™ Powered Staplers have been associated with lower hospital costs in bariatric and colorectal surgery.2,3
The Impact of Surgical Stapling Complications

Bariatric Bleeding
Postoperative bleeding can cause surgical complications that lead to substantial morbidity and incremental hospital costs of $6,715–$7,500.4,5

Thoracic Air Leaks
Postoperative air leaks occur in up to 24% of lobectomies and may lead to a higher risk of in-hospital mortality and incremental hospital costs of $6,500.6

Colorectal Leaks
Postoperative anastomotic leaks occur in up to 12% of colorectal resections with mortality reported between 12% and 27%,7 and costs of around $17.8k per leak.8

Reduce Bleeding Complications
ECHELON™ Powered Staplers have been associated with:
- 73% (0.61% vs. 2.24%) reduction in bleeding complications vs. Medtronic powered staplers in bariatric laparoscopic sleeve gastrectomy9
- 47% (1.61% vs. 3.05%) lower rate of bleeding complications vs. Medtronic manual staplers in bariatric laparoscopic procedures10
- 66% (4.8% vs. 14.2%) lower rate of bleeding complications vs. Medtronic manual staplers in thoracic VATS lobectomy11

Address Leaks
ECHELON™ Powered Staplers have been associated with:
- 85% reduced anastomotic leaks vs. manual circular staplers in left-sided colorectal surgery12
- 2x fewer staple line air leaks vs. Medtronic manual staplers in physiologic lung model13

Accommodate Tissue Variability
ECHELON™ Gripping Surface Technology (GST) Reloads and ECHELON ENDOPATH™ Staple Line Reinforcement (SLR) offer an unparalleled flexibility to match the unique tissue of the patient and procedure.
- Match unique tissue thicknesses with five custom reload options
- Enable seamless tissue manipulation with proprietary buttress attachment material14
- Designed with uniform staple heights for consistent compression