Innovative Products

Ethicon offers a comprehensive portfolio that delivers precision at every critical step of thoracic procedures- from access to closure.

ECHELON FLEX™ Powered Vascular Stapler

Thin. Nimble. And incredibly precise.

Designed with a narrower curved blunt tip anvil, thinner shaft, and greater manual articulation* compared to Endo GIA™ Curved Tip Reload with Tri-Staple™ Technology to enable the most precise placement on fragile vessels.

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ECHELON FLEX™ GST System

Mastering movement. To transect as you intend.

The ECHELON FLEX™ GST System controls tissue movement to enable you to transect as you intend even on the most challenging tissue. Featuring Gripping Surface Technology, the ECHELON FLEX™ GST System is now available in both 45mm and 60mm.

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HARMONIC ® HD 1000i Shears

Unprecedented performance and usability in a single device

Designed to address unique challenges in complex open and VATS procedures, the HARMONIC® HD 1000i offers a seamless combination of precision and strength for improved dissection, faster transection, and more secure sealing.

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SURGICEL® Essential Product Information

Indications

SURGICEL® Absorbable Hemostat (oxidized regenerated cellulose) is used adjunctively in surgical procedures to assist in the control of capillary, venous, and small arterial hemorrhage when ligation or other conventional methods of control are impractical or ineffective. SURGICEL® ORIGINAL, SURGICEL® FIBRILLAR™ and SURGICEL® NU-KNIT® Hemostats can be cut to size for use in endoscopic procedures.

Precautions
  • Use only as much SURGICEL® Absorbable Hemostat as is necessary for hemostasis, holding it firmly in place until bleeding stops. Remove any excess before surgical closure in order to facilitate absorption and minimize the possibility of foreign body reaction.
  • In urological procedures, minimal amounts of SURGICEL® Absorbable Hemostat should be used and care must be exercised to prevent plugging of the urethra, ureter, or a catheter by dislodged portions of the product.
  • Since absorption of SURGICEL® Absorbable Hemostat could be prevented in chemically cauterized areas, its use should not be preceded by application of silver nitrate or any other escharotic chemicals.
  • If SURGICEL® Absorbable Hemostat is used temporarily to line the cavity of large open wounds, it should be placed so as not to overlap the skin edges. It should also be removed from open wounds by forceps or by irrigation with sterile water or saline solution after bleeding has stopped.
  • Precautions should be taken in otorhinolaryngologic surgery to assure that none of the material is aspirated by the patient. (Examples: controlling hemorrhage after tonsillectomy and controlling epistaxis.)
  • Care should be taken not to apply SURGICEL® Absorbable Hemostat too tightly when it is used as a wrap during vascular surgery (see Adverse Reactions).
Adverse Events
  • “Encapsulation” of fluid and foreign body reactions have been reported.
  • There have been reports of stenotic effect when SURGICEL® Absorbable Hemostat has been applied as a wrap during vascular surgery.
  • Paralysis and nerve damage have been reported when SURGICEL® Absorbable Hemostat was used around, in, or in proximity to foramina in bone, areas of bony confine, the spinal cord, and/or the optic nerve and chiasm.
  • Blindness has been reported in connection with surgical repair of a lacerated left frontal lobe when SURGICEL® Absorbable Hemostat was placed in the anterior cranial fossa.
  • Possible prolongation of drainage in cholecystectomies and difficulty passing urine per urethra after prostatectomy have been reported.
  • For more information, please consult your doctor or for product quality and technical questions, call 1-800-795-0012.

Site References

  • * Based on articulation data from IFUs of each device.
  • System components include ECHELON FLEX™ Powered Plus Stapler and ENDOPATH ECHELON™ 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 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)
  • § Internal market analysis as of 1/31/2014.
  • In bench-top studies with 5‐7mm porcine carotids that compared median burst pressure, HARMONIC ACE+7 exhibited higher burst pressures vs. LigaSure™ 5mm Blunt Tip (p< 0.001) and LigaSure Advance (p< 0.001)
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