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
About this device
Designed specifically for transecting critical vessels, the ECHELON FLEX™ Powered Vascular Stapler is used in both open and minimally invasive surgical procedures. This 35mm stapler is intended for use with ENDOPATH ECHELON™ Vascular White Reloads.2
Specialties
General, Pediatric, Thoracic, Urologic
Procedures
Lung Resection, Nephrectomy, Appendectomy, Splenectomy
Economic evidence
In large-scale, peer-reviewed studies, across multiple countries, the ECHELON FLEX™ Powered Vascular Staplers in VATS Lobectomy has been associated with:
- 14% reduction in length of stay3B
- 28% shorter OR time4C
Clinical evidence
Design differences matter when it comes to performance and results. The use of ECHELON FLEX™ Powered Vascular Stapler in VATS Lobectomy has been associated with:
- 66% lower rate of hemostasis-related complications3D
- 56% lower intra-operative blood loss4E
Features & benefits
Maneuver in tight spaces
A 26% narrower curved, blunt tip anvil provides enhanced maneuverability around vascular structures compared to Endo GIA™ Curved Tip Reload with Tri-Staple™ Technology.1F
Flexibility with placement
Designed for 11% greater manual articulation in each direction for better access to difficult-to-reach vessels compared to Endo GIA™ Curved Tip Reload with Tri-Staple™ Technology.1G
Greater access
Designed to allow for an additional 43.8 degrees of approach angles prior to rib prying in the intercostal space due to its 26% thinner shaft when compared to the Endo GIA™ Curved Tip Reload with Tri-Staple Technology.1,5H
Learn how to use this device
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ETHICON™ 4000 Stapler System
Our latest innovation in laparoscopic stapling, the ETHICON™ 4000 Stapler and ETHICON™ 3D Reloads are designed to manage tissue complexities for the most secure staple line yet.1 Featuring proprietary 3D Stapling Technology for more evenly distributed pressure designed to reduce leaks and bleeds at the staple line.2A
ECHELON™+ Stapler with GST Reloads
The ECHELON™+ Stapler is a powered laparoscopic stapler with exceptional staple line integrity across the broadest range of tissue thicknesses.1,2A It advances staple line security to deliver fewer leaks at the staple line and better staple formation, even in challenging conditions.3,4B
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.
References
A. Compared to the Endo GIA™ Curved Tip Reload with Tri-Staple™ technology. PVE35A, EGIA30CTAVM, and PSE45A articulation data from IFUs of each device.
B. Review of 1,051 cases between 2015 and 2016 from the Premier Healthcare Database. Length of stay: 4.99 vs 5.82; p=0.047.
C. Review of 275 cases between 2008 and 2016 from Yonsei University College of Medicine, Seoul, Korea (189.9 min vs 137.1 min, p < 0.0001)
D. Review of 1,051 cases between 2015 and 2016 from the Premier Healthcare Database (4.8% vs 14.2%; p=0.010).
E. Review of 275 cases between 2008 and 2016 from Yonsei University College of Medicine, Seoul, Korea (182.4 vs. 79.8; p=0.0004)
F. Comparison of anvil widths for ECHELON FLEX™ Powered Vascular Stapler (PVE35A) vs. Endo GIA™ Curved Tip Reload with Tri-Staple™ Technology (EGIA30CTAVM). Measurement results: 7.0mm vs. 9.5mm respectively.
G. Based on articulation data from IFUs of each device.
H. Approach angles assessed in a virtual CAD environment in the 5th intercostal space.
- Ethicon, ECHELON FLEX™ Powered Vascular Stapler Commercial Claim Sub-Completion Report 1. 11.19.2014. Windchill Document #PRC068229.
- ECHELON FLEX™ Powered Vascular Stapler Instructions for Use. Ethicon, Inc.
- 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.
- Park et al,. Clinical and economic benefits associated with the use of powered and tissue-specific endoscopic staplers among the patients undergoing thoracoscopic lobectomy for lung cancer. Journal of Medical Economics. 2019;4: 1-8.
- Ethicon, ECHELON FLEX™ Powered Vascular Stapler Commercial Claims Sub-Protocol 1. 10.17.2014. Windchill Document #PRC068228.
For complete indications, contraindications, warnings, precautions, and adverse reactions, please reference full package insert.
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