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Ethicon launches first powered circular stapler for colorectal surgery

Tue, 09/24/2019 - 15:11
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New Echelon Circular Powered Stapler results in 61% fewer leaks at the staple line

Ethicon, a Johnson & Johnson company, has launched the industry’s first powered circular stapler – the Echelon Circular Powered Stapler reduces leaks by 61% at the staple line compared to Medtronic’s DST Series EEA Stapler1. The device can be used for colorectal, gastric and thoracic surgery.

The new Echelon Circular Powered Stapler combines two innovative Ethicon technologies - 3D Stapling Technology that evenly distributes compression2 and Gripping Surface Technology (GST), which provides gentler handling to reduce compressive forces on tissues3. Together these technologies significantly reduce leaks at the staple line without compromising perfusion4, which includes the passage of fluid through the blood stream or lymphatic system, the company claims.

“The Echelon Circular Powered Stapler gives me the confidence that I can create a secure and more reproducible anastomosis,” said Ron Dr Landmann, Section Chief of Colon and Rectal Surgery at Baptist MD Anderson Cancer Center, Jacksonville, FL. “The new 3D technology and Gripping Surface Technology allows for the creation of air-tight and fluid-tight anastomoses that can help reduce the risk of complications from leaks which can have a significant impact on patient outcomes.”

The Echelon Circular’s one-finger push button firing reduces force to fire by 97 percent5 and delivers 37 percent less movement at the distal tip for increased stability6. By significantly reducing force to fire5 and increasing stability6, the advanced stapling device standardises performance and helps minimize variation in usage, which may lead to improved outcomes.

“Ethicon looks at the entire surgical experience for opportunities to enhance patient outcomes, increase patient satisfaction and reduce cost to healthcare systems. We then bring together our latest science, technology, and evidence to create surgical solutions like Echelon Circular Powered Stapler,” said Tom O’Brien, Worldwide President Endomechanical, Ethicon. “We are relentless in our pursuit of surgical solutions to the most complex and challenging surgical problems and focus on delivering those solutions that deliver the best outcomes in real world clinical settings.”

References

  1. Benchtop testing in porcine tissue ≤30mmHg (26mmHg average pressure experienced during intra-operative leak test), comparing Ethicon CDH29P to Medtronic EEA2835 (p<0.001).
  2. Staple line analysis in benchtop testing, comparing Ethicon CDH25P to Medtronic EEA2535.
  3. Benchtop testing on porcine colon, comparing Ethicon CDH29P to Medtronic EEA2835, p<0.001.
  4. Benchtop testing in porcine tissue ≤30mmHg (26mmHg average pressure experienced during intra-operative leak test), comparing Ethicon CDH29P to Medtronic EEA2835 (p<0.001) and preclinical perfusion model, in which perfusion was not significantly different between devices.
  5. Benchtop testing, comparing Ethicon CDH29P to Medtronic EEA2835, p=0.001
  6. Users firing a porcine model, comparing Ethicon CDH29P to Medtronic EEA2835, p=0.003