Mobilization and Vessel Sealing

Achieving optimal mobilization and vessel sealing is critical for Colorectal surgeons. The Ethicon Energy portfolio provides solutions for laparoscopic and open cases where Advanced Energy is needed.

Enseal® X1 Large Jaw

Better hemostasis and tissue management

88% less bleeding in thick tissue and 41% less lateral thermal spread compared to Ligasure ImpactTM.ðÞ

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World-class precision with secure and reliable sealing

HARMONIC ACE®+7 Shears with Advanced Hemostasis enables fast,¥,β,‡ precise dissectionǁ,€,£ with blade heat management and minimal lateral thermal spread,ǁ,∞ providing a reliable hemostasisǁ,µ in a wide range of vessels. Its multifunctionality can smooth the surgery process by enabling back-scoring or starting colon mobilization and creating enterotomies.±

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HARMONIC ACE+ 7 Shears  video_library

Precision and powerful sealing ability

Precise dissection, multifunctionality, and powerful sealing ability

Watch a laparoscopic low anterior resection featuring HARMONIC ACE®+7 Shears and ECHELON FLEX™ GST System§, performed by Dr. David C. Longcope from Rose Medical Center, Denver, CO, USA

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Advanced Hemostasis  open_in_new

Advanced Hemostasis

Reliable and secure hemostasis on larger vessels up to 7mmπ

HARMONIC ACE®+7 provides a stronger and more reliable hemostasisµ,ǁ in a wide range of vessels, including the inferior mesenteric artery (IMA), (n=40), the inferior mesenteric vein (IMV), (n=40), and other abdominal vasculature up to 7mm in diameter±,α.

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Advanced Hemostasis

Surgeons’ impressions and
usage experience

“An option for larger vessels with safe and effective hemostasis”

Listen to feedback from U.S. surgeons on their experience of using HARMONIC ACE®+7 Shears with Advanced Hemostasis.

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ENSEAL® G2 Articulating Tissue Sealers

The first articulating tissue sealer compatible with a 5mm port

ENSEAL® G2 Articulating Tissue Sealer facilitates a perpendicular approach to vessels and greater access to tissue in deep or tight spaces.* Vessels sealed with a perpendicular approach using ENSEAL® G2 Articulating Tissue Sealers were shown to be 51% stronger than vessels sealed at a 45° angle.*

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Secure sealing and more versatility at every turn

Unparalleled approach to secure sealing

Watch a laparoscopic sigmoid resection featuring ENSEAL® G2 Articulating, performed by Dr. Michael Stamos from UC Irvine Medical Center, Orange, CA, USA.

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Site References

  • * Compared to a non-articulating device
  • Based on articulation data from IFUs of each device
  • ¥ In benchtop test on 3-5mm porcine carotids that measured transection time, HARMONIC ACE®+7 MIN/power level 3 (6.56 secs) versus Sonicision MIN power level (7.44 secs) (p=0.0031) median comparison. Data on file.
  • β Versus HARMONIC FOCUS® Shears without Adaptive Tissue Technology, as exhibited in a bench-top study performed with devices on porcine tissue (median transection time of 2.22 sec vs. 4.41 sec for tip cuts on thin tissue, p=0.045)
  • As measured in porcine labs (5.7s vs. 4.5s, p<0.001).
  • ǁ vs. HARMONIC ACE® without Adaptive Tissue Technology
  • In a preclinical rat model that compared cold scissors, HARMONIC ACE®+, HARMONIC FOCUS® and monopolar electrosurgery (MES). Incision with cold scissors, HARMONIC ACE®+ and HARMONIC FOCUS® at 2mm from the sciatic nerve were not different via compound action potential (1621, 1519, 1803 mV-ms), conduction velocity (61.8, 62.3, 60.3 mm/ms), depolarization time (229.5, 211.6, 248.1 micro secs), repolarization time (2687, 2435, 2650 micro secs), vForce (20.2 , 17.0, 19.1 g), dForce (24.0, 21.4, 27.7 g) and beta- APP (12.6, 18.1, 18.6 % incidence), respectively (p-value for all >0.05). At 2mm from the sciatic nerve, MES resulted in significantly slower conduction velocity (58.5 mm/ms), longer depolarization time (283.1 micro secs), longer repolarization time (4150 micro secs) and higher incidence of beta-APP infiltration (31.8 % incidence) than cold scissors (p-value for all <0.05). (Note: p-values are comparison to cold scissors).
  • £ Device measurements based on a metrology study (distal and proximal clamp arm width measurements of 1.98mm vs. 3.30mm and 3.12mm vs. 4.83mm, respectively, and proximal and distal jaw height measurements of 2.82mm vs. 3.61mm and 5.99mm vs. 8.86, respectively.)
  • As exhibited in porcine histology (2.2mm vs. 1.7mm, p<0.001).
  • µ In benchtop test using 5‐7mm porcine carotids that compared median burst pressure for HARMONIC ACE®+ 7 (1419.5 mmHg) and LigaSure™ 5mm Blunt Tip (591.0 mmHg) (p< 0.001). Data on file.
  • ± SPED 20140701 HARMONIC ACE®+ 7
  • § System components include ECHELON FLEX™ Powered Plus Stapler and ECHELON™ ENDOPATH Reloads with Gripping Surface Technology.
  • π Based on a porcine study with 24 vessels sealing instances with a vessel size up to 7mm.
  • α As per IFU
  • In a preclinical study on 5-7mm goat carotids (n=76) that compared the mean thermal damage via histology of HARMONIC ACE®+7 in Advanced Hemostasis mode vs LigaSure™ 5mm Blunt Tip (LF1537) (2.54 (+0.48) mm vs. 3.08 (+0.67) mm, respectively, p=0.003). Data on file, Ethicon Endo-Surgery.
  • Internal market analysis as of 1/31/2014. Data on file, Ethicon Endo-Surgery (SCN034259).
  • In an observational study examining initial usage of ENSEAL® G2 Articulating Tissue Sealers by four colorectal laparoscopic surgeons (post-procedural survey on experience with articulating vs. past experience with non-articulating tissue sealer; 79% = 23 of 29 total procedures). Parker GS, et. al. Clinical Utility of a New Articulating Tissue Sealer in Laparoscopic Colorectal Surgery. World Journal of Colorectal Surgery. Vol 5, Issue 1, Article 2, 2015.
  • In bench-top studies using 5-7 mm porcine carotids that compared median burst pressures for HARMONIC ACE®+7 (1716.5 mmHg) vs. Thunderbeat™ (1528.3 mmHg) (p=0.0226); HARMONIC ACE®+7 (1419.5 mmHg) vs. LigaSure™ Advance (670.5 mmHg) (p< 0.001); and HARMONIC ACE®+7 (1419.5 mmHg) vs. LigaSure™ 5 mm Blunt Tip (591.0 mmHg) (p<0.001). Data on file. Ethicon Endo-Surgery, Inc.
  • As shown in an observational study. First pass hemostasis on IMA (100%). Plasencia G, et al. Large-Vessel Sealing in Laparoscopic Colectomy with an Ultrasonic Device. JSLS. 2016 Apr-Jun; 20(2)
  • As shown in an observational study. First pass hemostasis on IMV (97.5%). Plasencia G, et al. Large-Vessel Sealing in Laparoscopic Colectomy with an Ultrasonic Device. JSLS. 2016 Apr-Jun; 20(2)
  • ð Preclinical test of distal tip bleeding (ENSEAL® vs. Impact-LF4318) in thick porcine mesentery base (p<0.001). (062631-161101)
  • Þ Preclinical testing on porcine carotids (ENSEAL® vs. Impact-LF4318) that measured mean max lateral thermal damage via histology (p=0.005). (062746-161103)
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