ECHELON™ Gripping Surface Technology Reloads
The flexibility to select the right reload for each patient’s unique tissue is critical. With ECHELON™ Gripping Surface Technology (GST) Reloads, you get exceptional staple line integrity—across the broadest range of tissue thicknesses1-5A. For use with the ECHELON™ 3000 Stapler, ECHELON™+ Stapler, or ECHELON FLEX™ ENDOPATH™ Staplers.
About this device
Laparoscopic stapler reloads, each designed to accommodate the broadest range of tissue thicknesses.1B While our reload colors stay the same, the technology behind them keeps advancing, expanding the range of tissue thickness each reload color can handle.C Overlapping tissue thickness ranges assist in accommodating varying thicknesses with confidence, providing the flexibility to tailor your approach to each procedure’s unique requirements.7
Specialties
Colorectal, Thoracic, Bariatric, Urologic, General
Procedures
LAR, Colectomy, Lobectomy, Wedge Resection, Segmentectomy, Sleeve Gastrectomy, Gastric Bypass, Revisions
Optimizing reload selection
Focusing on tissue thickness instead of reload color gives surgeons flexibility to better match the unique tissue of the patient and procedure. GST Reloads offer choices that can match tissue thickness and each surgeon’s preference.7D
- For a drier staple line, you can “step down” and select a reload with a tighter closed staple height that is still within the range of the intended tissue thickness.
Verifying tissue thickness range
Whether tissue thickness is at the top or bottom of a GST Reload color’s range, surgeons will get exceptional staple line integrity.3-6A
Ranges are verified using:
- Benchtop testing in a variety of gastric tissue thicknesses to attain good staple formation
- 700+ firings across the 45mm and 60mm devices
Features & benefits
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Gripping surface technology
Proprietary pocket extensions grip and stabilize tissue during firing for controlled tissue movement compared to Tri-Staple reloads.8-13E
More uniform compression
Delivered 32% more uniform staple line compression compared to Medtronic Staplers with Tri-Staple™ Reloads.14F More uniform staple lines may reduce the risk of bleeding.
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Uniform staple height
For all staple rows to meet the needs of tissue and provide consistent compression.
Supporting documentation
Related products
ECHELON™+ Stapler with GST Reloads
The ECHELON™+ Stapler is a powered laparoscopic stapler with exceptional staple line integrity across the broadest range of tissue thicknesses.1,2A It advances staple line security to deliver fewer leaks at the staple line and better staple formation, even in challenging conditions.3,4B
ECHELON™ 3000 Stapler
The ECHELON™ 3000 Stapler was designed to accommodate each patient's unique anatomy, providing consistency across every staple line. It enables better access1A and more control2B over each transection, making it easier to tailor procedures to your patient's unique needs.
ECHELON FLEX™ ENDOPATH™ Staplers
The ECHELON FLEX™ ENDOPATH™ Staplers are manually operated laparoscopic surgical devices designed to simultaneously cut and staple tissue. They are intended for use in transection, resection, and the creation of anastomoses. The shaft features 360-degree rotation in both directions, and an articulation mechanism allows the distal end to pivot, enhancing lateral access to the surgical site.1
References
A. ECHELON FLEX GST System designed and tested to produce well-formed staple lines blocking potential leak paths in tissue thicknesses from 1.0mm to 4.0mm. Porcine tissues measured at 8g/mm2 prior to firing and comfortably compressed during firing per the IFU. vs: Medtronic Tri-Staple portfolio (intended thickness range 0.75mm - 3.0mm [per Medtronic P100154]); and, Intuitive EndoWrist® Stapler portfolio (intended thicknesses range - 0.75mm - 2.0mm [per user manual PN 551681-07 Rev. C 2016.12]).
B. Comparison of the ECHELON FLEX™ GST System designed to accommodate a tissue thickness range of 1.0mm to 4.0mm vs the Medtronic Tri-Staple portfolio intended for a thickness range of 0.75mm to 3.0mm (Medtronic literature, downloaded from Medtronic website on Nov 16, 2016).
C. Tissue thickness range compared to traditional flat deck reloads
D. IMPORTANT: If you are witnessing malformed or unformed staples it could be a sign that you are placing too much tissue in the jaw for the reload you have selected.
E. Based on acute and long term evaluations in animate porcine stomach, bowel, lung and vasculature. Visual comparisons of 10-20 second clamp and release and full firing staple lines immediately following, 1hr after clamping, 14 days post op and at necropsy, as well as histological evaluation at 14 days post op, revealed no additional clinically relevant trauma to the tissues.
F. Benchtop testing in 3.2mm synthetic tissue comparing staple line compression between ECHELON+ Stapler with GST Reloads (PSEE60A, GST60B,GST60G) to Medtronic Signia™ and Endo GIA™ Staplers with Tri-Staple™ Reloads (EGIA60AMT). Resulting in a statistically significant compression uniformity, p<0.05.
- Medtronic, Tri-Staple Reload Intended Tissue Thickness Range. 06.2016. Document#P100152(1)-(WF#523682)
- Intuitive Surgical, Endowrist Stapler Instruments and Accessories User Manual Addendum.
- Ethicon, Memorandum: Intended Tissue Thickness Range Triple Staple. Doc #199566
- Ethicon, Project Cowbell 45mm GST Reload Completion Report. 04/14/2020. Windchill Document #PRC093801A
- Ethicon, Project Cowbell 60mm GST Reload Completion Report. 07/27/2020. Windchill Document #PRC095237B
- Da vinci Xi, Endowrist Stapler Instruments and Accessories User Manual. 2016 PN 551681-07 Rev C
- Ethicon, Echelon Endopath™ Endoscopic Linear Cutter Reload with Gripping Surface Technology IFU. Rev. 2016-09-30 #P000143P02
- Ethicon, Evaluation of Closed Channel Endocutter and Gripping Surface Technology Cartridge Design. 10/17/2014. Windchill Document #PSP003903
- Ethicon, Medical Affairs Memo. 11/16/2015.
- Ethicon, Design Testing Report. Windchill Document #PSB004252
- Ethicon, Preclinical Memo. 10/07/2023.
- Ethicon, Roadrunne Acute Clamp & Release Applications in Porcine Vessels and Parenchyma - Report 5/6/2012. Doc# PSP003270A
- Ethicon, Projects Huckleberry and Warthog Evaluation of New Staple and Cartridge Design. A Survival Study.06/10/2011. Doc #PSP003008A
- Ethicon, Cowbell Foam Uniform Compression Study for Claims: Cowbell Powered Plus with GST vs. Covidien EndoGIA with TriStaple. 10.14.2020. Windchill Document #PRC097500
For complete indications, contraindications, warnings, precautions, and adverse reactions, please reference full package insert.
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