ECHELON CIRCULAR™ Powered Stapler

Product codes:

CDH23P
CDH25P
CDH29P
CDH31P

Leaks during surgery can lead to serious complications, especially in challenging cases. The ECHELON CIRCULAR™ Powered Stapler significantly reduced leaks at the staple line and produced greater perfusion compared to the Medtronic EEA™ Circular Stapler with Tri-Staple™ Technology.¹^,^2A The device combines two breakthrough innovations—3D Stapling and Gripping Surface Technologies—on one consistent and reliable powered platform.

Contact rep Device specifications

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 line^3B

The performance of the ECHELON CIRCULAR™ Powered Stapler is validated by clinical and real-world evidence. This stapler demonstrated the following in a meta-analysis featuring 2,947 patients:

50% reduction in anastomotic leak rate in colorectal procedures compared to manual circular staplers^4C
0.96% bleeding rate in colorectal procedures, which represented an 88% reduction compared to manual circular staplers^4D

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 outcomes^5-7:

Reduced clinical complications
Reduced hospital costs
Improved efficiency

View the evidence

Features & benefits

Reduced potential leak paths^8E

Designed with offset closure of the staple legs, 3D Stapling Technology evenly distributed compression throughout the anastomosis^8E and reduced potential leak paths compared to the Medtronic EEA™ Stapler.^8E 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 needed^10G to prepare the tissue for staple formation. It also provided gentler handling, with a 38% reduction in compressive forces on tissue compared to the Medtronic EEA™ Circular Stapler with Tri-Staple™ Technology.^9F

Increased stability^11H

Designed to standardize performance across users, powered push button firing with ECHELON CIRCULAR™ delivered greater stability with less distal tip movement during firing^12I and also reduced force to fire by 97% compared to the Medtronic EEA™ Circular Stapler with Tri-Staple™ Technology.^13J

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Learn how to use this device

Supporting documentation

Product resources

Evidence

PDF

ECHELON CIRCULAR™ Powered Stapler product brochure

PDF

ECHELON CIRCULAR™ Powered Stapler VAC pack

PDF

ECHELON CIRCULAR™ Powered Stapler optimal device performance guide

PDF

ECHELON CIRCULAR™ Powered Stapler competitive brochure

PDF

Circular stapler portfolio brochure

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Related education

Stapling Academy
This program offers interactive learning about the science of stapling and novel stapler design technologies.
Total colectomy using the ECHELON CIRCULAR™ Powered Stapler
Watch Dr. Longcope perform a laparoscopic total colectomy with ileorectal anastomosis using the ECHELON CIRCULAR™ Powered Stapler.
Laparoscopic low anterior resection using the ECHELON CIRCULAR™ Powered Stapler
Watch Dr. Longcope perform a laparoscopic low anterior resection with splenic flexure mobilization using the ECHELON CIRCULAR™ Powered Stapler.

Related products

ETHICON™ Circular Stapler

Designed to enable surgeons to create a strong anastomosis with effective perfusion to promote conditions for healing,^1,2 the ETHICON™ Circular Stapler aims to reduce anastomotic leaks^3A through controlled tissue compression^1,2, adjustable staple height technology, and more audible and tactile feedback when firing.¹

View full product details

References

A. Benchtop testing in porcine tissue at <34mmHg, comparing number of leaks of 11 for ECHELON CIRCULAR Powered Stapler (CDH29P) (n=30) to 21 for Medtronic EEA™ Circular Stapler with Tri-Staple™ Technology (TRIEEA28MT) (n=30), p<0.05, and preclinical perfusion model comparing means of 0.35085 (n=23) for CDH29P to 0.32665 (n=23) for TRIEEA28MT, p < 0.05.

B. Benchtop testing in porcine tissue at ≤30mmHg (26mmHg average pressure experienced during intra-operative leak test), comparing Ethicon CDH29P to Medtronic (Covidien) EEA2835, p<0.001.

C. Based on a meta-analysis of 2497 subjects with an anastomotic leak rate of 4.1% for Powered Circular stapler and 8.23% for Manual Circular Stapler (p<0.001).

D. Based on a meta-analysis of 2497 subjects with an bleeding rate of 0.96% for Powered Circular stapler and 7.91% for Manual Circular Stapler (p<0.001).

E. Staple line analysis in benchtop testing, comparing system standard deviation of pressure of 1.49 for CDH31P to 2.05 for Medtronic TRIEEA31MT, n=15.

F. Benchtop testing on porcine colon measuring compressive forces during closure, comparing means of 8.22 lbf for Ethicon CDH29P (n=15) to 13.25 lbf for Medtronic TRIEEA28MT (n=15), p<0.01.

G. Benchtop testing on porcine colon, comparing Ethicon CDH29P to Medtronic Covidien EEA2835, p<0.001.

H. Users fired in a porcine model, comparing Ethicon CDH29P to Medtronic Covidien EEA2835, p=0.003.

I. Users firing in a porcine model, comparing Ethicon CDH29P to Medtronic TRIEEA28MT

J. Benchtop testing of peak load, comparing means of 2.00 lbf for Ethicon CDH31P (n=30) to 58.17 lbf for Medtronic TRIEEA31MT (n=15), p<0.05.

Ethicon, Vegas Perfusion Test Completion Report. 07/16.2021. Windchill Document #500669863
Ethicon, Leak Testing Report. 10/2/2020. Windchill Document #PRC097405
Ethicon, Leak Claims Testing. 11.29.2016. Windchill Document #PRC077848
Martín-Arévalo J, Pla-Martí V, Huntley D, et al. Two-row, three-row or powered circular stapler, which to choose when performing colorectal anastomosis? A systematic review and meta-analysis. Int J Colorectal Dis. 2024;39:51
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
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
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
Ethicon, Even Compression Completion Report. 03.24.2021. Windchill Document # 500597518
Shivdekar. Echelon Circular Powered Stapler Gentler Handling Completion Report. 2020
Ethicon, Echelon Powered Circular Gentler Handling Completion Report. 1.18.2017. Windchill Document #PRC078621
Ethicon, Distal Tip Movement Claims Testing. 11.15.2016. Windchill Document #PRC078105
Ethicon, Completion Report for Distal Tip Movement Claims Testing Protocol. 07. 01.2021. Windchill Document #500748397
Ethicon, Force to Fire Claims Testing Report. 04.29.2021. Windchill Document #500651883

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

The third-party trademarks used herein are trademarks of their respective owners.

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