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 leaks3A through controlled tissue compression1,2, adjustable staple height technology, and more audible and tactile feedback when firing.1
About this device
The ETHICON™ Circular Stapler was designed for creating the anastomosis in colorectal, bariatric, and thoracic procedures. It includes manual firing and adjustable staple height technology that allows the user to adjust compression based on patients’ specific tissue conditions.4
Specialties
Bariatric, Colorectal, Thoracic
Procedures
Left Colectomy, Lower Anterior Resection, Sigmoidectomy, Esophagectomy, Gastric Bypass
Features & benefits
More control
Controlled tissue compression, with an adjustable closed staple height range of 1.5-2.2mm4, delivered significantly less tissue damage compared to circular staplers with fixed compression.5B
Gentle on tissue
The fixed anvil design and continuously smooth anvil shaft, produced significantly less tissue movement during closure and tissue strain during opening than the Medtronic DST Series™ EEA™ Stapler with its tilting anvil.6C
Device feedback
The breakaway washer gives more audible and tactile feedback than the Medtronic DST Series EEA,7D to help confirm a formed anastomosis.
Learn how to use this device
Supporting documentation
Related products
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ECHELON CIRCULAR™ Powered Stapler
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.
References
A. In retrospective clinical study with ETHICON Circular Staplers (CDH21A, CDH25A, CDH29A, CDH33A), 11 out of 126 patients with precompression had AL (8.7% leak rate) vs. 8 out of 28 patients (28.6%) in non-precompression group; P=0.008
B. In-vitro collagen tissue model with ETHICON Circular Staplers, 19 out of 232 collagen tissues exhibited unacceptable tissue damage with adjustable compression (CDH29A), vs. 29 out of 88 with Medtronic fixed compression (EEA28MT).
C. Benchtop testing on porcine colon, comparing means of 1.214mm for Ethicon CDH29B (n=23) to 10.240mm for Medtronic EEA28 (n=23), p<0.001
D. Benchtop testing comparing average vibration measured as mean vectorial acceleration during firing. ECS29B 11.76 m/s2 vs EEA 3.71 m/s2, (p<0.001, 95% CI for difference = 6.79 m/s2, 9.32 m/s2). Benchtop testing comparing mean peak sound intensity during firing. ECS29B 100.46dB (linear) vs EEA 96.32dB (linear), (p=0.003, 95% CI for difference = 1.57, 6.71).
- Ethicon, Design Intent for Circular Stapler with Manual Actuation. 01.08.2021. Windchill Document #SCN052882
- Myers, S, Rothermel, W, Shaffer, L. The effect of tissue compression on circular stapler line failure. Surgical Endoscopy. 2011;25:3043-3049
- Kawada K, et al,. Risk factors for anastomotic leakage after laparoscopic low anterior resection with DST anastomosis. Surgical Endoscopy. 2014; 28.
- ETHICON™ Circular Stapler Instructions for Use. Ethicon, Inc.
- Son et al,. Compression injury of the circular stapler for gastrointestinal end-to-end anastomosis: preliminary in-vitro study. Ann Surg Treat Res. 2020; 99:72-81
- Ethicon, TISSUE DISPLACEMENT AND DEFORMATION OF ETHICON RENO (RENO) AND MEDTRONIC DST (DST) CIRCULAR STAPLERS ON HARVESTED PORCINE COLON. 1.23.2019. Windchill Document #PSB004770
- OMECO, Comparison of Peak Sound and Vibration Produced by Disposable Surgical Circular Staplers. 11.17.2017. Document #REL/0354/17
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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