Ethicon, part of the Johnson & Johnson family of companies

ECHELON™+ Stapler with GST Reloads

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Significantly fewer leaks at the staple line.1

The ECHELON™+ Stapler with GST Reloads produced fewer leaks at the staple line with 98.9% well formed staples in challenging tissue compared to Medtronic’s 95.7%.2

Are you confident about stapling challenging tissue?

The Dynamic Firing Motor automatically adapts to tissue thickness.3

Improved patient outcomes with reduced bleeding complications.4

The ECHELON™ FLEX Stapler with GST Reloads has been associated with reduced hemostasis-related complications, as well as improved efficiency and reduced hospital costs.4

Hold tissue while you fire.5

The ECHELON™+ Stapler with GST Reloads produces better staple formation and may reduce one reload per procedure.5*

* Compared to Tri-Staple™ Reloads

Operate with a tool equipped for variability

Echelon

A better way to staple.

What Users Are Saying

Dr. Hamilton is a paid consultant of Ethicon US, LLC

Dr. Dovec is a paid consultant of Ethicon US, LLC

Dr. Rothchild is a paid consultant of Ethicon US, LLC

What Users Are Saying

A progression towards that perfect stapler that never has any bleeding, that never has any tissue line failure, that never has a leak.

The stapler’s actually able to adapt to the tissue resistance and allow it to change speed.

During firings with the GST reload, I can appreciate the dynamic nature of the firing and how the motor slows down for thicker tissue. It gives me confidence.

You’re prepared, but is your stapler?

The ECHELON™+ Stapler with GST Reloads allows you to operate with the variables that come with bariatric surgery in mind.

The following claims are based on comparisons to the Signia™ Stapler with Tri-Staple™ Reloads

Features

Dynamic Firing Motor

Slows as it engages thick tissue to enhance audible feedback and compression.

Features

ECHELON™+ Anvil

Designed with increased tissue capture to create symmetrical staples for significantly fewer leaks at the staple line.1

Features

ECHELON™ Gripping Surface Technology Reloads

Adds more support while firing so you can confidently produce better staples and reduce tissue movement.10

The following claims are based on comparisons to the Signia™ Stapler with Tri-Staple™ Reloads

Try it for yourself.

Request a demo of the ECHELON™+ Stapler with GST Reloads so you can equip yourself for variability and experience a better way to staple.

  • Reduced leaks at the staple line1
  • Better staple line formation2
  • Associated with reduced bleeding-related complications11
  • Less tissue movement while firing12

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Learn why the ECHELON is a better way to staple.

Resources
References
  1. Benchtop testing in porcine tissue ≤ 30mmHg (26mmHG average pressure experienced during intra-operative leak test), comparing Ethicon ECHELON+ Stapler PSEE60A with GST Reloads GST60B to Medtronic Signia Stapler with Tri-Staple Reloads EGIA60AMT. Cumulative number of leaked tests (0/30) & (7/30) respectively, n=30 p < 0.05 (149513-200811)
  2. Benchtop testing in 3.3mm and 4.0mm porcine tissue comparing malformed staples between ECHELON+ Stapler with GST Reloads (GST60G, GST60T) to Medtronic Signia™ Stapler with Tri-Staple™ Reloads (EGIA60AMT, EGIA60AXT) and Endo GIA™ with Tri-Staple™ Reloads (EGIA60AMT, EGIA60AXT). Percentage malformed results: 1.14% vs 4.28%, p < 0.05 (151140-200826)
  3. 153113-200915
  4. Rawlins L, Johnson BH, Johnston SS, et al. Comparative Effectiveness Assessment of Two Powered Surgical Stapling Platforms in Laparoscopic Sleeve Gastrectomy: A Retrospective Matched Study. Medical Devices: Evidence and Research. 2020:13 195–204. doi: https://doi.org/10.2147/MDER.S256237
  5. Miller DL, Roy S, Kassis ES, et al. Impact of Powered and Tissue-Specific Endoscopic Stapling Technology on Clinical and Economic Outcomes of Video-Assisted Thoracic Surgery Lobectomy Procedures: A Retrospective, Observational Study. Adv Ther. 2018 Apr 16. doi: 10.1007/s12325-018-0679-z
  6. Park SY, Kim DJ, Nam CM, et al. Clinical and Economic benefits Associated with the Use of Powered and Tissue-specific Endoscopic Staplers Among Patients Undergoing Thoracoscopic Lobectomy for Lung Cancer. Journal of Medical Economics, soi: 10.1080/13696998.2019.1634081
  7. Roy S, Yoo A, Yadalam S, et al. Comparison of economic and clinical outcomes between patients undergoing laparoscopic bariatric surgery with powered versus manual endoscopic surgical staplers. Journal of Medical Economics. 2017; 20:4, 423-433, doi: 10.1080/13696998.2017.1296453
  8. Tsunezuka Y, Tanaka N, Fujimori H. The Impact of Endoscopic Stapler Selection on Bleeding at the Vascular Stump in Pulmonary Artery Transection. Med Devices (Auckl). 2020;13:41-47 https://doi.org/10.2147/MDER.S240343
  9. In benchtop testing in porcine tissue, the ECHELON™ GST System (PSEE60A, GST60G) had less mean longitudinal change in 3.3mm thick tissue, 0.94 vs. 3.65, compared to the Signia™ Stapling System (SIGPHANDLE, EGIA60AMT), p-value < 0.05. Based on additional testing, ECHELON+ Stapler with GST Reloads showed less average tissue slippage and was statistically concluded to have at most 0.764mm more tissue slippage than the ECHELON FLEX(tm) GST System (p=0.05) (018989-201012)
  10. Based on benchtop testing in 4.0mm thick porcine stomach tissue, the ECHELON+ Stapler with GST Reloads has reliable staple line integrity and (PSEE60A, GST60T) had less mean longitudinal change, 0.79mm vs. 4.09mm, compared to the Signia™ Stapling System (SIGPHANDLE, SIG60AXT), p-value < 0.05 (167493-210218)
  11. Rawlins L, Johnson BH, Johnston SS, et al. Comparative Effectiveness Assessment of Two Powered Surgical Stapling Platforms in Laparoscopic Sleeve Gastrectomy: A Retrospective Matched Study. Medical Devices: Evidence and Research. 2020:13 195–204. doi: https://doi.org/10.2147/MDER.S256237. Analysis of clinical and economic outcomes from 982 laparoscopic sleeve gastrectomy cases between March 1, 2017 and December 31, 2018 from Premier Healthcare Database (0.61% versus 2.24%, p=0.0012; $9,771 vs. $10,487, p < 0.001 (140350-200514)
  12. In benchtop testing in porcine stomach tissue, the ECHELON+ Stapler with GST Reloads (PSEE60A, GST60T) had less mean longitudinal change in 4.0mm thick tissue, 0.79mm vs. 4.09mm, compared to the Signia™ Stapling System (SIGPHANDLE, SIG60AXT), p-value < 0.05 (158476-201109)

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For complete indications, contraindications, warnings, precautions, and adverse reactions, please reference full package insert.

© 2021 Ethicon, Inc. All rights reserved. 177227-210518

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