ECHELON FLEX™ GST System

ECHELON FLEX™ GST System* enables staple line integrity on highly variable lung parenchyma thickness and diseased tissue, which ranges from fragile and friable to dense and fibrotic. The ECHELON FLEX GST System is now available with both 60mm and 45mm reloads, including an expanded offering of a black 45mm reload.

Control tissue slippage during firing

4X less tissue slippage for 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.

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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.

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Superior performance for robotic procedures

No occurrences of compromised staple line integrity in thick tissue testing††

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

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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

RELATED PRODUCTS


 

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

  • *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.
  • \\ 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).
  • **ECHELON FLEX™ GST System designed and tested to accommodate a tissue thickness range of 1.0mm to 4.0mm (measured at 8g/mm2) vs the Medtronic Tri-Staple portfolio intended for a thickness range of 0.75mm to 3.0mm (per IFU & materials 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).
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