Intended for healthcare professionals

Surgical energy

Every energy decision influences how surgery progresses. Our comprehensive portfolio of energy devices is built on decades of expertise and is purposefully designed to meet the diverse needs of today’s surgical procedures. By delivering energy tailored to specific tissue types, we help surgeons achieve better outcomes—making complex surgeries easier, more efficient, and less invasive.

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Surgical Energy Hero 1
Surgical energy
Surgical energy
Surgical energy
Surgical Energy Hero 1
Surgical energy
Surgical energy
Surgical energy

Evidence

Economic Evidence

Economic evidence

Our energy solutions not only support surgical performance but also deliver measurable value to hospitals. Portfolio-wide adoption of Johnson & Johnson MedTech energy devices has been associated with an average savings of $101 per procedure, due to reduced OR time and shorter patient hospital stays versus other energy devices.1A

Clinical Value

Clinical Value

J&J MedTech HARMONIC™ and ENSEAL™ Technologies are supported by more peer-reviewed publications than any other advanced energy manufacturer combined.2B Our R&D teams commit over 15,000 hours to each design process and run 70+ rigorous tests against engineering requirements. We aim for consistency in variable tissue, and control where it’s hardest to maintain.

The Science of Energy
The Science of Energy

The science of energy

Our product innovation is grounded in the science of energy. For deeper learning on energy principles, watch The Science of Energy videos.

The right modality matters

The J&J MedTech Energy comprehensive portfolio ensures surgeons can optimize outcomes by choosing the best energy modality for the situation. 

Precise Energy Delivery
Precise Energy Delivery

Precise energy delivery4,5

HARMONIC™ Ultrasonic Shears 

HARMONIC™ Shears are ultrasonic devices that deliver a unique type of energy to the tissue, which helps protect surrounding tissue and vital structures from being damaged.4,5 HARMONIC™ 1100 Shears with Adaptive Tissue Technology provides strong sealing for vessels up to and including 7mm in diameter6-8E and is designed to optimize clinical outcomes through precise energy delivery.4,5

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HARMONIC™ 1100 Shears offers a high level of precision8-10F to help with tough surgical challenges.

HARMONIC™ 700 Shears with Advanced Hemostasis offers precise energy delivery5,11,12G in a versatile device - ideal for sealing and dissecting in a variety of procedures. 

HARMONIC FOCUS™ Shears’ thin profile is designed to offer maximum visibility in tight spaces13 to help surgeons protect what matters most in open procedures.

Surgical energy
Surgical energy

Secure & reliable sealing14-16 H-J

ENSEAL™ X1 Tissue Sealers

ENSEAL™ X1 Tissue Sealers with Adaptive Tissue Technology deliver strong, reliable performance.14-20K In preclinical testing, ENSEAL™ X1 achieved first-pass hemostasis in 100% of vessels.15,16,19IJL 

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360° continuous shaft rotation to enable easy access to targeted tissue21,22M

Separate seal and cut capabilities21,22

Conveniently placed control buttons for less hand movement23

Energy designed for the entire OR staff
Energy designed for the entire OR staff

Energy designed for the entire OR staff

DUALTO™ Energy System

With more than a century of expertise in surgery, we’re combining insights with OR needs to provide a solution that elevates the way surgical energy is delivered - multiple energy modalities powered by a single system that is simple to use across procedures, configurable to different care settings, and is easily upgradable.24,25N

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DUALTO™ combines multiple energy modalities into a single system that is simple to use across procedures, configurable to different care settings and is easily upgradable.24,25N

Keeping the user at the forefront of design, DUALTO™ enhances setup speed24N and ease24O, offering surgeons custom energy settings based on preferences or procedure.25 The touchscreen interface also provides guided steps for generator setup and troubleshooting.25

With its modular design and connected technologies, DUALTO™ is rising to meet the evolving needs across open and minimally invasive surgery. Device management through Polyphonic™ Fleet helps support easier upgrades over the life of the system. 

The DUALTO™ Energy System is configurable to different OR needs. The modular design allows for the seamless integration of an additional energy module on one system, allowing two surgeons to activate simultaneous energy from one electrosurgical unit in a complex procedure.26PQ

Supporting documentation

PDF

ENSEAL™ X1 Tissue Sealer portfolio brochure

PDF

HARMONIC™ Shears portfolio brochure

PDF

DUALTO™ Energy System fact sheet
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References

The ETHICON™ Total Energy System is now referred to as DUALTO™ Energy System, with no changes to its intended use, design, performance, or regulatory status under FDA 510(k) K243067.

A. Budget Impact Model analysis comparing portfolio-wide adoption of Ethicon energy devices versus other non-Ethicon manufactured energy devices in a typical hospital performing 8,000 annual electrosurgery procedures across five specialties (bariatric, colorectal, thoracic, gynecology, and general surgery).

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

C. Upon review of product catalogs and websites (Advanced Energy, Core Energy, Surgical Smoke Evacuation) for the respective manufacturers: Medtronic, Olympus, Intuitive Surgical, Conmed. Ethicon (2022).

D. Sealing of ex vivo 5-7mm diameter porcine vessels showed median burst pressure of >1800 mmHg. Based on pre-clinical testing on animal models and clinical effect is unknown

E. Based on a benchtop study with 5-7mm porcine carotid arteries, achieved burst pressure of 1878 mmHg.

F. Based on a PreClinical evaluation.

G. Comparison vs HARMONIC ACE™+7 Shears. Comparison of median transection time via Mann-Whitney analysis. P-value p<0.001. Transections performed at Power Level 5 on full bite excised porcine Jejunum. 45cm shaft length.

H. In an acute porcine model, 104 of 105 vessels sealed maintained hemostasis during blood pressure challenge. During blood pressure challenge, systolic blood pressure was increased to at least 200 mmHg for a minimum of 10 minutes to simulate a hypertensive crisis.

I. 144 of 144 vessels sealed successfully on first pass in an acute porcine model.

J. 112 of 112 vessels sealed successfully on first pass in an acute porcine model. All seals maintained hemostasis during blood pressure challenge. During blood pressure challenge, systolic blood pressure was increased to at least 200 mmHg for a minimum of 10 minutes to simulate a hypertensive crisis.

K. As shown in multiple internal preclinical and benchtop studies for ENSEAL™ X1 Curved, Straight and Large Jaw.

L. 105 of 105 vessels sealed successfully on first pass in a acute porcine model.

M. As compared to devices with less than 360° degree shaft rotation

N. In a pre-clinical summative usability study, with surgeons (n=33) that went through an end-to-end procedure and afterward responded to a series of statements regarding the DUALTO™ Energy System.

O. In a pre-clinical summative usability study, with OR nurses (n=15), that went through an end-to-end procedure and afterward responded to a series of statements regarding the DUALTO™ Energy System.

P. When compared to other energy generators on the market from Johnson & Johnson MedTech, Medtronic, Olympus, Erbe, and Conmed.

Q. As of May 1, 2025, DUALTO can run any two energy instruments simultaneously that have a maximum power draw of <=150W. Refer to the instrument IFU for maximum power draw of Advanced Energy Instruments.

  1. Ferko N, Wright G, Syed I, Naoumtchik E, Tommaselli G, Gangoli G. A Device Category Economic Model of Electrosurgery Technologies Across Procedure Types: A U.S. Hospital Budget Impact Analysis. Journal of Medical Economics. 2021;24:524-535.
  2. Energy Devices Publications - 1994 - Mar 2019 Energy Devices Publications - Mar 2019 thru May 2021 Advanced Energy Publications Summary - all articles up to May 2021.
  3. Product catalogs and websites (Advanced Energy, Core Energy, Surgical Smoke Evacuation) for the respective manufacturers: Medtronic, Olympus, Intuitive Surgical, Conmed. Ethicon (2022).
  4. Ethicon, Project Gemini: Claim Rationale. 07/19/2022. Windchill Document #501001842
  5. Ethicon, HARMONIC™ 700 Claims Rationale Design History File Memo for Project Gemini. 05/16/2022. Windchill Document #500951334
  6. Ethicon, Buccaneer Claims - Vessel Testing. 02/08/2016. Windchill Document #PRC074054
  7. Ethicon, Project Scarlet: Claims Jaw and Distal Shaft Temperature. 04/20/2021. Windchill Document #PRC095370
  8. Ethicon, Scarlet Witch Physical Equivalence Memo. 04/13/2020. Windchill Document #SCN075090
  9. Ethicon, HARMONIC™ HD 1000i Open Shears (HARHD20) and HARMONIC HD 1000i Laparoscopic Shears (HARHD36): Design Verification Acute Study in the Pig. 10/26/2016. Windchill Document #PSP004888
  10. Welling A, Scoggins P, Cummings J, Clymer J, Amaral J. Superior dissecting capability of a new ultrasonic device improves efficiency and reduces adhesion formation. Global Surgery. 2017;3(1):1-5
  11. Ethicon, Project Gemini - Draft thermal protection memo. 09/03/2022. Windchill Document #501068549
  12. Ethicon, Project Gemini Claims - Transection Speed. 05/04/2022. Windchill Document #500898990
  13. Ethicon, Several HARMONIC FOCUS™+ Long Curved Shears, 17cm Length (FCS17) approved claims shall also apply to HARMONIC FOCUS+ Long Shears+ Adaptive Tissue Technology, 17cm (HAR17F) based on similarity of design. 07/29/2015. Research & Development Memo
  14. Ethicon, Evaluation of ENSEAL X1 Tissue Sealer, Straight Jaw, in an Acute Porcine Model. 08/27/2021. Windchill Document #PSP007659.
  15. Ethicon, Project Vise: Comparison of Hemostasis Performance between ENSEAL™ X1 Large Jaw (NSLX120L) and Ligasure Impact (LF4418) in an Acute Porcine Model. 12/14/2022. Windchill Document #PRE 22-0096 REPORT
  16. Ethicon, Evaluation of ENSEAL™ X1 Tissue Sealer, Curved Jaw, in an Acute Porcine Model. 02/27/2020. Windchill Document #PSP007612
  17. Ethicon, ENSEAL™ X1 Large Jaw Marketing Claims. 12/19/2022. Windchill Document #501171465
  18. Ethicon, ENSEAL™ X1 ATT Memo. 04/09/2021. Windchill Document #500645881
  19. Ethicon, Evaluation of ENSEAL™ X1 Tissue Sealer, Straight Jaw, in an Acute Porcine Model. 08/27/2021. Windchill Document #PSP007659
  20. Ethicon, Project Floyd Evaluation of the Thermal Spread of ENSEAL™ X1 Curved and Straight Devices Compared to Ligasure Maryland and Blunt Devices in an Acute Porcine Vessel Sealing. 03/08/2023. Windchill Document #PRE 21-0079 REPORT
  21. Ethicon, ENSEAL™ X1 Tissue Sealer IFU
  22. Ethicon, ENSEAL™ X1 Large Jaw Tissue Sealer IFU
  23. Ethicon, Project Floyd Claims Memo. 07/18/2018. Windchill Document #DOC023555
  24. Johnson & Johnson and its affiliates, DUALTO Energy System Marketing Claims Report. 03/20/2025. Windchill Document #501949635
  25. Ethicon Communications Module, Ethicon User Screen, and Ethicon Energy Cart Operator's Manual
  26. Competitor websites: www.medtronic.com, medical.olympusamerica.com, vio.erbe-med.com, www.conmed.com

For complete indications, contraindications, warnings, precautions, and adverse reactions, please reference full package insert.

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