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ECHELON FLEX™ GST System

The ECHELON FLEX™ GST System* controls tissue movement to enable you to transect as you intend even on the most challenging tissue.

Control tissue slippage during firing

4x less tissue slippagefor the most precise transection

Uniquely designed for better grip to provide the least tissue slippage of any leading endocutter§ for the most precise transection. On each reload, the proprietary Gripping Surface Technology provides a superior tissue grip without additional trauma during firing. This means you can transect more of the tissue§ you intended—especially in very thick tissue—with each firing.

Download product brochure  picture_as_pdf

Better mucosal capture for improved leak resistance

7x more likely to fully capture mucosa in the staple line**

Better mucosal capture improves staple line integrity and leak resistance, and provides optimal conditions for tissue healing.†† By controlling tissue movement, the ECHELON FLEX™ GST System more consistently captures both layers of mucosa in the staple line. More info on mucosal capture.

Contact your rep for data on mucosal capture  assignment_ind

Exceptional staple line integrity

Reliability across the broadest range of tissue thicknesses‡‡

This surgeon-controlled stapling system delivers closed staple height formation reliability through a proprietary combination of multi-stage compression, powered firing and Gripping Surface Technology, including stronger internal reload components and redesigned staple geometry to mitigate the amount and effect of tissue slippage during firing.

Learn about Ethicon in Thoracic Surgery  launch

Superior performance in robotic procedures

In thick tissue testing, no occurrences of compromised staple line integrity compared to 43% with EndoWrist §§

The ECHELON FLEX™ GST System delivers superior staple line integrity in robotic procedures compared to EndoWrist® Stapler. In thick tissue, EndoWrist® Stapler 45 required multiple clamp attempts,¶¶ produced 3x more malformed staples\\ and had a significantly higher occurrence of compromised staple line integrity.§§

Download Optimal Device Performance guide  picture_as_pdf
ECHELON FLEX™ Powered Plus Stapler—now in both 45mm and 60mm
PRODUCT CODE DESCRIPTION QUANTITY SALES UNIT JAW
PCEE45A Compact Articulating Endoscopic Linear Cutter, 280mm 3 45mm
PCEE60A Compact Articulating Endoscopic Linear Cutter, 280mm 3 60mm
PLEE45A Long Articulating Endoscopic Linear Cutter, 440mm 3 45mm
PLEE60A Long Articulating Endoscopic Linear Cutter, 440mm 3 60mm
PSEE45A Standard Articulating Endoscopic Linear Cutter, 340mm 3 45mm
PSEE60A Standard Articulating Endoscopic Linear Cutter, 340mm 3 60mm
ECHELON ENDOPATH™ Reloads with GST
PRODUCT CODE DESCRIPTION COLOR QUANTITY SALES UNIT OPEN STAPLE HEIGHT CLOSED STAPLE HEIGHT
GST45W White reload intended for use in vascular/thin tissue White 12 2.6mm 1.0mm
GST60W White reload intended for use in vascular/thin tissue White 12 2.6mm 1.0mm
GST45B Blue reload intended for use in regular tissue Blue 12 3.6mm 1.5mm
GST60B Blue reload intended for use in regular tissue Blue 12 3.6mm 1.5mm
GST45D Gold reload intended for use in regular/thick tissue Gold 12 3.8mm 1.8mm
GST60D Gold reload intended for use in regular/thick tissue Gold 12 3.8mm 1.8mm
GST45G Green reload intended for use in thick tissue Green 12 4.1mm 2.0mm
GST60G Green reload intended for use in thick tissue Green 12 4.1mm 2.0mm
GST45T Black reload intended for use in very thick tissue Black 12 4.2mm 2.3mm
GST60T Black reload intended for use in very thick tissue Black 12 4.2mm 2.3mm

Site References

  • * System components include ECHELON FLEX™ Powered Plus Stapler and ECHELON™ ENDOPATH Reloads with Gripping Surface Technology
  • Benchtop testing in porcine stomach tissue. Mean tissue movement from after clamping on tissue to after firing ECHELON FLEX™ Powered Plus Stapler (PSEE60A) and ECHELON Reloads with GST vs ENDO GIA™ ULTRA Handle (EGIAUSTND) and Endo GIA™ Reloads with Tri-Staple™ Technology at 3.3 and 4.0mm tissue thicknesses (3.3mm: GST60T 0.642mm vs EGIA60AMT 4.806mm p<0.001; 4.0mm: GST60T 0.654mm vs EGIA60AXT 5.116mm p<0.001).
  • Benchtop testing in porcine stomach tissue. Mean peak load required to pull tissue from the clamped jaws of ECHELON FLEX™ Powered Plus Stapler (PSEE60A) and ECHELON Reload with GST vs ENDO GIA™ ULTRA Handle (EGIAUSTND) and Endo GIA™ Reload with Tri-Staple™ Technology (GST60B 6.496lbf & GST60T 7.789lbf vs EGIA60AMT 1.325lbf & EGIA60AXT 1.920lbf, all p<0.001).
  • § Benchtop testing in porcine stomach tissue. Mean tissue movement from after clamping on tissue to after firing ECHELON FLEX™ Powered Plus Stapler (PSEE60A) and ECHELON Reloads with GST vs ENDO GIA™ ULTRA Handle (EGIAUSTND) and Endo GIA™ Reloads with Tri-Staple™ Technology at 1.5, 2.5, 3.3 and 4.0mm tissue thicknesses (1.5mm: GST60B 1.067mm vs EGIA60AMT 2.452mm p<0.001; 2.5mm: GST60G 1.148mm vs EGIA60AMT 3.261mm p<0.001; 3.3mm: GST60T 0.642mm vs EGIA60AMT 4.806mm p<0.001; 4.0mm: GST60T 0.654mm vs EGIA60AXT 5.116mm p<0.001).
  • Based on acute and long term evaluations in animate porcine stomach, bowel, lung and vasculature. Visual comparisons of 10-20 second clamp and release and full firing staple lines immediately following, 1hr after clamping, 14 days post op and at necropsy, as well as histological evaluation at 14 days post op, revealed no additional clinically relevant trauma to the tissues.
  • ** ECHELON™ GST System Blue and Green Reloads compared to Endo GIA with Tri Staple™ Technology Purple Reloads evaluated via gross observations of firings in 1.5mm to 3.0mm thick animate porcine ileum. Mucosal capture was rated via a 5 point Likert scale with the highest rating representing fully captured mucosal.
  • †† GST System Blue and Green Reloads compared to Endo GIA with Tri Staple™ Technology Purple Reloads evaluated via gross observations of firings in 1.5mm to 3.0mm thick animate porcine ileum. Mucosal capture was rated via a 5 point Likert scale with the highest rating representing fully captured mucosal. Average apposition ratings 2.81 (GST60B) and 2.56 (GST60G) vs 3.23 (EGIA60AMT), p=0.001.
  • ‡‡ Comparison of the ECHELON FLEX™ GST System designed to accommodate a compressed tissue thickness range of 1.0mm to 4.0mm vs the Medtronic Tri-Staple portfolio intended for a thickness range of 0.75mm to 3.0mm (Medtronic literature, downloaded from Medtronic website on Nov 16, 2016).
  • §§ Benchtop testing of GST (PCEE60A & GST60G) vs. EndoWrist™ (410298 & 41445G) on excised porcine stomach that measured overall non-B staple form quality at 3.3mm tissue thickness. Compromised staple line integrity defined as groups of malformed staples that could potentially allow fluid to pass to the cut line. Lower occurrence of compromised staple line integrity (p=0.006), fewer malformed staples (p<0.001).
  • ¶¶ Benchtop testing on excised porcine stomach of EndoWrist™ (410298, Green41445G) that measured the number of “inadequate clamp” messages encountered for each firing by the da Vinci Si system at 3.3mm tissue thickness (n=14/15 had ≥ 3 attempts).
  • \\Benchtop testing on excised porcine stomach of GST (PCEE60A, Green-GST60G) vs. EndoWrist™ (410298, Green-41445G) that measured overall non-B staple form quality at 3.3mm tissue thickness (p<0.001).
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