ECHELON LINEAR™ Cutter
Leaks can have a devastating impact for patients and hospitals. Compounding this challenge, increasing patient complexity in some open procedures further elevates the risk of leaks. The ECHELON LINEAR™ Cutter provided 47% fewer staple line leaks compared to the PROXIMATE™ Linear Cutter and GIA™ Stapler with Tri-Staple™ Technology.1A
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About this device
The ECHELON LINEAR™ Cutter features Gripping Surface Technology, 3D Stapling Technology, and re-engineered jaws. It delivers two, double-staggered rows of staples while simultanously dividing the tissue between rows. Narrow jaws and a four-row staple pattern are designed for easier insertion into tissue, less force to fire the stapler3B and less staple height variation even in thick tissue.3C
Specialties
Gastrointestinal, Thoracic, Pediatric
Procedures
Colectomy, Small Bowel Resection, Gastrectomy, Lobectomy, Wedge Resection
Features & benefits
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3D stapling technology
More evenly distributed compression throughout the staple line4D and reduced potential leak pathways.4E
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Gripping surface technology
Designed to stabilize and precisely compress tissue only where it is needed, resulting in lower potential of tissue slippage versus traditional linear cutters.5F
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One handed device placement
The first linear cutter with locked halves allowing for one-handed device placement.6G It offers the flexibility to keep the device halves locked or to separate them. This ergonomic approach is designed to accommodate a wide range of hand sizes.
Learn how to use this device
Supporting documentation
Related products
ETHICON PROXIMATE™ Linear Cutters
For over 25 years, Johnson & Johnson MedTech’s Linear Cutter platform has delivered consistent, reliable staple lines compared to DST Series GIA.1-3,A,B,C The ETHICON PROXIMATE™ Linear Cutter is designed to provide dependable staple formation3C with multiple device lengths and reload options4 to meet the unique needs of each patient and procedure.
References
A. Benchtop testing on porcine colon measuring staple line leak rate at 30mmHg, comparing rates of 52.8% for Medtronic GIA with TriStaple, Ethicon Linear Cutter, and PROXIMATE™ Linear Cutter to 27.7% for ECHELON LINEAR™ Cutter (n=36, p<0.001).
B. Benchtop testing on porcine colon measuring force to fire on 1.5mm colon with blue reload, comparing the 4-row, ECHELON LINEAR™ Cutter to the 6-row, ETHICON™ Linear Cutter (NTLC) (n=32, p<0.001).
C. Benchtop testing comparing to ETHICON™ Linear Cutter [NTLC], PROXIMATE™ Linear Cutter [TLC], and Medtronic GIA™ with DST™ Technology, averaged across on a range of tissue thickness (1.5-3.3mm), n=32 per device per tissue thickness, p<0.001.
D. Staple line compression analysis on Ethylene-Vinyl Acetate (EVA) foam assessing the deformation of foam. ECHELON LINEAR™ Cutter with blue reloads had better distributed compression pressure at 7.20% average pressure variation compared to PROXIMATE™ Linear Cutter [TLC] at 7.44% (P=.012), Medtronic GIA™ with DST™ Technology at 10.93% (P<.001), (N=32000)
E. Staple line assessment of compression zones inside of the staple line, comparing lower pressure outliers rates of 0.6% for ECHELON LINEAR™ Cutter (N= 30320) to [1.3% for PROXIMATE™ Linear Cutter [TLC] (N=30314) and 0.8% for Medtronic GIA™ with DST™ Technology (N=31980) (P<0.001).
F. Benchtop testing in 1.5mm porcine colon measuring tissue slippage failure rate under high cutting force. ECHELON LINEAR™ Cutter with Gripping Surface Technology (3.75%) compared to PROXIMATE™ Linear Cutter [TLC] (4.39%), ETHICON™ Linear Cutter [NTLC] (15.64%), Medtronic GIA™ with DST™ Technology (18.83%), n=24, p<0.05.
G. Surgeon usability evaluation of one-handed positioning and placement when the halves are locked
- Ethicon, Cornerstone Staple Line Leak Claims Testing. 1.19.2023. Windchill Document #500897557
- Ethicon, Cornerstone Design Plan. 11.14.2023. Windchill Document #DC002975
- Ethicon, Cornerstone Stapling Performance Claim Test Completion Report. 1.30.2023. Windchill Document #500927926
- Ethicon, Cornerstone More Evenly Distributed Pressure Claim Completion Report. 9.27.2023. Windchill Document #500916693
- Ethicon, Cornerstone Less Compression Forces on Tissue (Gentler Handing) Claim Completion Report. 12.15.2022. Windchill Document #500964180
- Ethicon, ECHELON™ Linear Cutter (Cornerstone) Customer Usability Claim Summary Report. 11.10.2022. Windchill Document #501027381
For complete indications, contraindications, warnings, precautions, and adverse reactions, please reference full package insert.
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