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 configurable to different care settings, and easily upgradable.1,2A The DUALTO™ Energy System is the first and only surgical generator that is available in a double configuration, for simultaneous energy activation by two surgeons at the same time.3BC
Features & benefits

Multiple energy modalities in one
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.1,2A

Designed for today and tomorrow’s OR ecosystem
With its modular design and connected technologies2, 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.

Simultaneous energy delivery
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.1,3BC

User-centric approach to surgical energy
Keeping the user at the forefront of design, DUALTO™ enhances setup speed1A and ease1D, offering surgeons custom energy settings based on preferences or procedure.2 Its touchscreen interface also provides guided steps for generator setup and troubleshooting.2
Learn how to use this device
Supporting documentation
Related products

ETHICON™ GEN11 Generator
The ETHICON™ GEN11 Generator combines advanced technology to support all HARMONIC™ Ultrasonic and ENSEAL™ Advanced Bipolar Devices through a simple touchscreen.1 It offers Adaptive Tissue Technology which works with the GEN11 to provide enhanced feedback, enabling more precise energy delivery and improved temperature management.2,3A

MEGADYNE™ Electrosurgical Generator
The MEGADYNE™ Electrosurgical Generator is easy to use.1A It provides multiple cut, coagulation, and bipolar modes - with power settings designed to optimize the delivery of energy for target tissue.2
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. 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.
B. When compared to other energy generators on the market as of 01 May 2025 from Johnson & Johnson, Medtronic, Olympus, Erbe, and Conmed.
C. 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.
D. 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.
- Johnson & Johnson and its affiliates, DUALTO Energy System Marketing Claims Report. 03/20/2025. Windchill Document #501949635.
- Ethicon Communications Module, Ethicon User Screen, and Ethicon Energy Cart Operator's Manual.
- Competitor websites: www.medtronic.com, medical.olympusamerica.com, vio.erbe-med.com, www.conmed.com.
The third-party trademarks used herein are trademarks of their respective owners.
For complete indications, contraindications, warnings, precautions, and adverse reactions, please reference full package insert.
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