By collaborating with leaders in the surgical community, the design of the ECHELON FLEX ENDOPATH Stapler is grounded in Halsted's principles of surgery – the importance of hemostasis and the gentle handling of tissue.
The first and only articulating mechanical endocutter with true one-handed operation, the ECHELON FLEX ENDOPATH Stapler is designed to deliver optimal system-wide compression by combining a precision-machined anvil with 3-point gap control. You get uniform, consistent staple formation for hemostasis in a wide range of tissue thicknesses.
ECHELON FLEX ENDOPATH Staplers are sterile, single-patient-use articulating instruments that simultaneously cut and staple tissue. They deliver six staggered rows of staples, three on either side of the cut line. They are offered with staple cartridge lengths of 60mm and 45mm, and come in long or compact shaft lengths. It is the first articulating mechanical stapler/cutter that can be operated with only one hand.
With its natural articulation, the shaft can rotate freely in both directions. An articulation mechanism enables the distal portion of the shaft to pivot to facilitate lateral access to the operative site.
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Looking for more specific instruction regarding our devices? Here are various materials and media to explain and walk you through the proper steps for their use. For the full steps to use of any of our devices, please refer to the package insert.
Respect for tissue is at the heart of everything we do at Ethicon. In the 19th century, Dr. William Halsted defined a set of interrelated principles for safe and effective surgery. He stressed the importance of hemostasis, adequate blood supply, and the gentle handling of tissue. It is these principles that help drive our approach to developing advanced surgical devices.
Those principles haven't changed. However, with the evolution of surgery, techniques of interacting with tissue have become more complex. For these reasons, we at Ethicon are constantly working to deepen the understanding of living tissue dynamics, and to design our devices to help surgeons reduce trauma associated with their use.
Compression is a critical factor in successful surgical stapling. Prior to stapling, applying compression over time exudes fluid from tissue, which helps ensure a more consistent thickness in the targeted tissue. After tissue is compressed, it is ready to accommodate a securely closed staple. Proper staple formation is necessary to achieve a leak-proof and hemostatic staple line.
At Ethicon, understanding the properties of living tissue is fundamental to our approach to surgical stapling. Our staplers are uniquely designed to work with the properties of tissue to prepare it for staples.
When it comes to comes to compression, as illustrated below, it is important to apply enough pressure to achieve good hemostasis and a leak-free anastomosis. However, it is also necessary to maintain control of the applied pressure to avoid potential injury to the tissue.
Ethicon devices apply precompression, which exudes fluid from tissue prior to firing to create a smooth stapling surface. This helps ensure that staples form properly, which in turn contributes to optimal compression.
Surgeons seek to minimize movement of endoscopic stapling devices during transection to protect targeted and surrounding fragile organs and tissue. Particularly when firing on thick tissue or at awkward angles, maintaining a steady firing can be challenging. Because of this, Ethicon has developed the Powered ECHELON FLEX ENDOPATH Stapler combining a smooth, consistent firing stroke with virtually effortless firing to maintain stability at the tip. This reduced force to fire leads to less movement of the tip on or near vital structures during transaction, potentially resulting in less trauma.