Intended for healthcare professionals

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.

About this device

The ECHELON™ 3000 Stapler is an advanced laparoscopic stapling device. It is designed to staple and transect tissue across various open and minimally invasive procedures and features powered firing and powered articulation for enhanced access and maneuverability.1,2AB

Specialties

Colorectal, Thoracic, Bariatric, Urologic, General

Procedures

LAR, Colectomy, Lobectomy, Wedge Resection, Segmentectomy, Sleeve Gastrectomy, Gastric Bypass, Revisions

Real world evidence

Design differences matter when it comes to performance and results. ECHELON™ stapling devices have proven results across varied tissue types, patient populations and countries - in bariatric, thoracic and colorectal procedures. These findings are drawn from fourteen peer-reviewed studies covering over 47,000 patients and 700 hospitals, spanning nine countries and four continents.

Associated with improved clinical and economic outcomes3-5:

  • Reduced clinical complications
  • Reduced hospital costs
  • Improved efficiency

Clinical performance

The ECHELON™ 3000 Stapler delivered the staple line security surgeons have come to expect from ECHELON™ Staplers, with added control and flexibility.

  • 83% less tissue slippage during firing6C
  • 93% less tip movement during firing on vessels7D
  • 99.7% well-formed staples8E

Features & benefits

ECHELON™ 3000 Stapler

Greater access

A 27% greater articulation span1F and a shorter articulation jointG help you access challenging anatomy, such as the tight pelvis region.1H For colorectal surgeons, this improved movement also increases the likelihood of transecting the colon in a single firing.9I

ECHELON™ 3000 Stapler

Easier placement

A 39% wider jaw aperture can make placing thick tissue in the jaws easier, with potentially less tissue manipulation.1J For thoracic surgeons, this means improved access to the tight thoracic cavity1H and easier placement on thick, variable lung tissue.1,2K

ECHELON™ 3000 Stapler

More control

Powered articulation that can be set to any point allows for more precision and one-handed use.2L For bariatric surgeons, this precise control over stapler placement can help in procedures like sleeve gastrectomies, where sleeve shape may impact both weight loss and acid reflux.

Learn how to use this device

ECHELON™ 3000 Stapler

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Supporting documentation

PDF

ECHELON™ 3000 Stapler fact sheet

PDF

ECHELON™ 3000 Stapler VAC pack

PDF

ECHELON™ 3000 Stapler ODP
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ECHELON FLEX™ ENDOPATH™ Staplers

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

echelon plus stapler

ECHELON™+ Stapler with GST Reloads

The ECHELON™+ Stapler is a powered laparoscopic stapler built to adapt seamlessly to diverse tissue types. It advances staple line security to deliver fewer leaks at the staple line and better staple formation, even in challenging conditions.1,2A

ECHELON FLEX™ Powered Vascular Stapler

ECHELON FLEX™ Powered Vascular Stapler

In thoracic surgery, tight spaces can limit visibility, control, and access, making it difficult to navigate critical anatomy with confidence. The narrow anvil, increased articulation, and smaller shaft diameter of the ECHELON FLEX™ Powered Vascular Stapler, improved access in VATS procedures, enabling precise placement on fragile pulmonary vessels.1A

References

A. Comparison of average maximum articulation span and jaw aperture between the ECHELON™ 3000 Stapler, ECHELON+ Stapler, and Medtronic Signia™ Stapling System completed in 2022.

B. Compared to the legacy Powered Plus Stapler

C. In benchtop testing in 4.0mm thick porcine stomach tissue, the ECHELON™ 3000 Stapler with GST60T had less mean longitudinal change compared to the Signia™ Stapling System with SIG60AXT: 0.549 mm vs 3.318 mm, N=20 per group, P<0.001

D. Mean angle change analyzed in benchtop testing of distal tip movement between ECHELON™ 3000 Stapler with GST60W (0.35°) vs Medtronic Signia™ Stapling System with EGIA60AVM (5.15°), N=28 per group, p < 0.001.

E. On average, the ECHELON™ 3000 Stapler with GST60G & GST60T had a 0.26% malformed staple rate as compared to a 1.73% malformed staple rate for Signia™ with SIG60AXT & SIG60AXT on 3.0mm & 4.0mm target tissue, p < 0.001.

F. Comparison of average maximum articulation angle for ECHELON™ 3000 60mm Stapler (56.51°) vs. Medtronic Signia™ Stapling System 60mm (44.56°), p<0.05

G. Comparison of articulation joint length between ECHELON™ 3000 Stapler (28.4mm) vs. ECHELON™+ Stapler (38.7mm).

H. Comparison of maximum average articulation span between the ECHELON™ 3000 Stapler, ECHELON+ Stapler, and Medtronic Signia™ Stapling System, p-value < 0.001. Maximum average articulation: 56.95°; 43.92°; 45.87° respectively.

I. Angles of approach analysed in CAD model based on 50th percentile male abdominal scans compared to ECHELON+™ Stapler.

J. Comparison of average jaw aperture for ECHELON™ 3000 Stapler 60mm (22.79mm) vs. Medtronic Signia™ Stapling System 60mm (16.38mm), p< 0.001

K. Comparison of maximum average articulation span and maximum jaw aperture between the ECHELON™ 3000 Stapler, ECHELON+ Stapler, and Medtronic Signia™ Stapling System, p-value < 0.001. Maximum average jaw aperture: 22.79mm; 17.11mm; 16.35mm respectively. Challenging tissue - varying thickness and density.

L. Control features include powered articulation and the ability to make articulation adjustments by 1°

  1. Ethicon, Jaw Aperture and Articulation Angle Measurement: Echelon™ 3000 Stapler with GST vs EndoGIA and Signia with Tri-Staple Technology. 1.10.2022. Windchill Document #500657863
  2. Ethicon, Memorandum for Echelon™ 3000 Devices Design Claims 2022. 2.14.2022. Windchill Document #500884201
  3. Rawlins et al,. Comparative Effectiveness Assessment of Two Powered Surgical Stapling Platforms in Laparoscopic Sleeve Gastrectomy: A Retrospective Matched Study. Medical Devices: Evidence and Research. 2020;13: 195–204
  4. Miller D, Roy S, Kassis E, Yadalam S, Ramisetti S, Johnston S. Impact of Powered and Tissue-Speci?c Endoscopic Stapling Technology on Clinical and Economic Outcomes of Video-Assisted Thoracic Surgery Lobectomy Procedures: A Retrospective, Observational Study. Advances in Therapy. 2018; 35:707-723
  5. Sylla P, Sagar P, Johnston S, et al. Outcomes associated with the use of a new powered circular stapler for left-sided colorectal reconstructions: a propensity score matching-adjusted indirect comparison with manual circular staplers. Surgical Endoscopy. 2021; 36: 13
  6. Ethicon, Evaluation of stomach tissue movement during stapler firing for claims: McLaren vs Signia. 12.13.2021. Windchill Document #500676460
  7. Ethicon, End Effector Stability: Echelon™ 3000 Stapler with GST vs EndoGIA and Signia with Tri-Staple Technology. 01.14.2022. Windchill Document #500676433
  8. Ethicon, Evaluation of Malformed Staples in Thick Tissue for Claims: Echelon 3000 Stapler with GST vs EndoGIA and Signia with Tri-Staple Technology. 6.15.2024. Windchill Document #500697356
  9. Ethicon, Comparison of Device Placement in LAR Model. 3/22/2021. Windchill #500677246


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


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