About this Device
The ECHELON CIRCULAR™ Powered Stapler is designed for creating a secure anastomosis (when surgeons connect two tube-shaped structures). It’s available in four sizes to allow proper matching of device to diameter of the patient’s anatomy.
Specialties
Colorectal, Gastric, Thoracic
Procedures
Colorectal Resections, Gastrectomies, Gastric Bypass, Esophagectomies
Reduced leaks at the staple line1
The performance of the ECHELON CIRCULAR™ Powered Stapler was validated by clinical and real-world evidence. This stapler demonstrated the following in two studies:
- 1.8% anastomotic leak rate2 in a multi-site, multi-country clinical study
- 1.7% anastomotic leak rate in a single institution clinical study, which represented an 85% reduction compared to manual circular staplers3 (1.7% v. 11.8%, p=0.02)
Real-World Evidence
Design differences matter when it comes to performance and results. Since 2017, the use of ECHELON™ Powered Staplers has demonstrated an association with reduced clinical complications, reduced hospital cost, and improved efficiency.4
Large-scale, real-world, peer-reviewed studies:
- 46,000+ patients
- 700+ hospitals
- 9 studies across 7 countries and 3 continents
Features & Benefits

Reduced Potential Leak Paths5
Designed with offset closure of the staple legs, 3D Stapling Technology evenly distributed compression throughout the anastomosis5 and reduced potential leak paths compared to the Medtronic EEA™ Stapler.5 Tissue compression can be controlled by varying the height of the closed staple.

Gentler Tissue Handling
Gripping Surface Technology delivers precise compression only where it is needed6 to prepare the tissue for staple formation. It also provided gentler handling, with a 33% reduction in compressive forces on tissue compared to the Medtronic DST Series™ Stapler.6

Increased Stability7
Designed to standardize performance across users, powered push button firing delivered 37% less movement at the distal tip for increased stability7 compared to Medtronic’s manual DST Series™ EEA™ Stapler. The ECHELON CIRCULAR Powered Stapler also reduced force to fire by 97% compared to the Medtronic EEA™ Circular Stapler with Tri-Staple™ Technology.8
Device Specifications and Comparison
Device Specifications and Comparison
The ECHELON CIRCULAR™ Powered Stapler has application throughout the alimentary tract for end-to-end, end-to-side, and side-to-side anastomoses.
Select Competitive Products: Medtronic EEA™ Circular Stapler with Tri-Staple™ Technology
Featured Product |
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ECHELON CIRCULAR™ Powered Stapler |
ETHICON™ CIRCULAR Stapler |
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Codes |
CDH23P, CDH25P, CDH29P, CDH31P
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ECS21B, ECS25B, ECS29B, ECS33B
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Description |
Powered Circular Stapler with Gripping Surface Technology and 3D Staples |
Circular Stapler, XL Sealed |
Device Technology |
Powered with Adjustable Staple Height |
Adjustable Staple Height |
Lumen Diameter |
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Staple Rows |
2 |
2 |
Open Staple Leg Length |
5.2mm |
5.2mm |
Closed Staple Height |
1.5mm-2.2mm |
1.5mm-2.2mm |
Staple Technology |
GST + 3D |
B-Form |
Qty./Box |
3 |
3 |
Supporting Documentation
Product Resources
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ECHELON CIRCULAR™ Powered Stapler Optimized Device Performance Guide
View PDF
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ECHELON CIRCULAR Powered Stapler Fact Sheet
View PDF
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ECHELON CIRCULAR Powered Stapler Product Brochure
View PDF
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ECHELON CIRCULAR Powered Stapler Value Analysis Brief
View PDF
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ECHELON CIRCULAR Powered Stapler Competitive Comparison Guide
View PDF
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ECHELON CIRCULAR™ Powered Stapler 510(k)
Download PDF
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ECHELON CIRCULAR™ Powered Stapler IFU
Download PDF
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Evidence Resources
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ECHELON CIRCULAR Impact Risk of Anastomotic Leakage (V. Pla Martí- Spain) Study
View PDF
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ECHELON CIRCULAR Powered Stapler Assessment of a Circular Powered Stapler for Creation of Anastomosis (D. Herzig 2020) Study
View PDF
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ECHELON CIRCULAR Powered Stapler Associated Outcomes in Left-Sided Colorectal Reconstructions (Sylla 2021) Study
View PDF
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ECHELON CIRCULAR Powered Stapler Economic Analysis of Leak Complications in Anastomoses (Pollack 2021) Study
View PDF
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Real-World Evidence Compendium
View PDF
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Select all documents (5)