Distal Transection

Distal transection is a critical step and can be challenging in low anterior resections. Ethicon solutions deliver access and unsurpassed stapling performance* even in the most demanding procedures.

ECHELON FLEX™ GST System

4X less slippage compared to Endo GIA™ Reloads with Tri-Staple Technology*

Transect the tissue you intend the first time with a more targeted tissue transection with each firing.† The ECHELON FLEX GST 45 enables transecting colorectal tissue in fewer firings due to less slippage on colon.§

ECHELON FLEX GST System Product Brochure
Performance Guide  picture_as_pdf

Colorectal surgeon’s testimonial

Learn about surgeons’ experience with ECHELON FLEX™ GST System

Dr. David C. Longcope from Rose Medical Center in Denver shares how the ECHELON FLEX GST System provided reliable staple formation, minimal tissue slippage and reduced usage of reload during procedure.

Learn more about device-tissue interactions  picture_as_pdf

Better mucosal capture

7X more likely to fully capture mucosa in the staple line

The ECHELON FLEX™ GST System is 7 times more likely to fully capture mucosa in the staple line compared to Endo GIA™ Reloads with Tri-Staple™ Technology. Better mucosal capture improves staple line integrity and leak resistance and provides optimal conditions for tissue healing.\\ More info on mucosal capture.

Contact your rep for data on mucosal capture  assignment_ind

CONTOUR® Curved Cutter Stapler

Enhanced visibility and deep reach in tight space

Designed for low pelvic access, the unique curved head provides 40mm cut line in a 30mm space. With a 21% smaller head width than Covidien’s Radial Reload with Tri-Staple** and a 13% larger jaw aperture than Radial Reload,†† CONTOUR Curved Cutter Stapler helps you navigate tight pelvic regions and facilitates excellent maneuverability.

Learn more about CONTOUR Curved Cutter Stapler  open_in_new
CONTOUR® Curved Cutter Stapler

RELATED PRODUCTS


Site References

  • * 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 Reload with GST vs ENDO GIA™ ULTRA Handle (EGIAUSTND) and Endo GIA™ Reload 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 tissue movement from before clamping on tissue to release of tissue after firing 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 at 1.5, 2.5, 3.3 and 4.0mm tissue thicknesses (1.5mm: GST60B 2.835mm vs EGIA60AMT 2.369mm NS; 2.5mm: GST60G 2.864mm vs EGIA60AMT 3.273mm p<0.001; 3.3mm: GST60T 0.897mm vs EGIA60AMT 6.814mm p<0.001; 4.0mm: GST60T 1.415mm vs EGIA60AXT 4.616mm p<0.001).
  • System components include ECHELON FLEX™ Powered Plus Stapler and ECHELON™ ENDOPATH Reloads with Gripping Surface Technology.
  • § Benchtop testing in porcine colon ranging in width from 28mm to 36mm, and in thickness from 1.5mm to 2.5mm. Mean tissue slippage ECHELON FLEX™ GST45 with Blue reload (1.69mm), Tri-Staple45 with Purple reload (2.12mm), p=0.022.
  • ECHELON FLEX™ 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 best rating representing fully captured mucosa. Mucosal capture was evaluated in a preclinical study comparing compression damage, mucosal injury and mucosal capture on varying thicknesses of porcine gastrointestinal tissue utilizing a 5-point Likert scale. The ECHELON FLEX™ GST System had a higher percentage of firings that were rated as having good mucosal apposition (12.1% GST vs 1.7% Tri-Staple™) and a lower percentage of firings that were rated as having poor mucosal apposition (10% GST vs 24% Tri-Staple™).
  • \\ 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. Average apposition ratings 2.81 (GST60B) and 2.56 (GST60G) vs 3.23 (EGIA60AMT), p=0.001.
  • ** Ethicon US, LLC. (CONTOUR® head width, 2.5in. / 64mm.), Covidien, Endo GIA™ Radial Reload with Tri-Staple™ Technology Technical Guide. (Radial Reload head width, 3.2in. / 81mm).
  • †† Ethicon US, LLC. (CONTOUR® 18.5mm full jaw opening), Covidien, Endo GIA™ Radial Reload with Tri-Staple™ Technology Technical Guide (Radial reload 16.3mm jaw opening).
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