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ETHICON HARH23 HARMONIC ACE™+7 Shears,23cm

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HARMONIC ACE^™+7 Shears with Advanced Hemostasis

Product Codes: HARH45

When operating in tight spaces or near critical structures, precise energy delivery becomes vital. HARMONIC^™ devices are the undisputed ultrasonic leader proven to minimize the impact on tissue with precise energy delivery.¹ HARMONIC ACE+7 Shears with Adaptive Tissue Technology is designed to enable greater surgical precision and performance,² multifunctionality³ along with strong vessel sealing for vessels up to and including 7mm diameter.⁴

References

1. Per internal market share data and preclinical testing of thermal impact. (120150‐220809)

2. As compared to HARMONIC™ devices without Adaptive Tissue Technology. (041693‐210708)

3. HARMONIC ACE™+7 Shears Instructions for Use. Ethicon, Inc.

4. Based on a benchtop study with 5‐7mm porcine carotid arteries, achieved burst pressure of 1697 mmHg. (140636‐200801)

5. Liberman M, et al. Prospective, multicenter, international phase 2 trial evaluating ultrasonic energy for pulmonary artery branch sealing in video-assisted thoracoscopic surgery lobectomy. J of Thoracic and Cardiovascular Surgery. Sep 2019. DOI 10.1016/j.jtcvs.2019.09.061 (127242-191107, 127241-191107, 127251-191107, 127390-191111).

6. Budget Impact Model analysis comparing portfolio‐wide adoption of Ethicon energy devices versus other non‐Ethicon manufactured energy devices in a typical hospital performing 8,000 annual electrosurgery procedures across five specialties (bariatric, colorectal, thoracic, gynecology, and general surgery). Ferko, N., et al. A Device Category Economic Model of Electrosurgery Technologies Across Procedure Types: A U.S. Hospital Budget Impact Analysis. J of Med Eco. Jan‐Dec 2021;24(1):524‐535. (185706‐220323).

7. 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 (LF1537) (p< 0.001) and LigaSure™ Advance (LF5544) (p< 0.001). (031943‐221112).

8. (110339-221116).

9. As compared to HARMONIC™ devices without Adaptive Tissue Technology. (041693‐210708).

10. In a preclinical study on ≤5mm porcine carotids in MIN mode vs. LF1637 (Power Level 2). Mean damage compared and determined via histology (p<0.001). (035148-221206).

11. In a preclinical study on 5‐7mm goat carotids (n=38) that compared the mean thermal footprint via histology of HARMONIC ACE™+7 in Advanced Hemostasis mode vs LigaSure™ Blunt Tip (LF1537) (6.48 [±0.81] mm vs. 10.07 [±1.12] mm, respectively, p<0.001). Thermal footprint = left thermal damage + jaw width + right thermal damage. (013199‐170609).

Device Specifications and Comparisons

The HARMONIC ACE+7, 5 mm Diameter Shears with Advanced Hemostasis are indicated for soft tissue incisions when bleeding control and minimal thermal injury are desired. The instruments can be used as an adjunct to or substitute for electrosurgery, lasers and steel scalpels in general, plastic, pediatric, gynecologic, urologic, thoracic, exposure to orthopedic structures (such as spine and joint space), sealing and transection of lymphatic vessels, and other open and endoscopic procedures. The instruments allow for the coagulation of vessels up to and including 7 mm in diameter, using the Advanced Hemostasis hand control button.3

Select Competitive Products: Medtronic LigaSure™ Maryland, Medtronic LigaSure™ Blunt Tip, Medtronic Sonicision™, Olympus THUNDERBEAT®

	Featured Product

	HARMONIC ACE™+7 Shears with Advanced Hemostasis
Codes	HARH45
Generator Required	GEN11
Handpieces Required	HARHPGR HP054
Description	Ultrasonic shears, curved tip
Shaft Diameter	5mm
Shaft Length	45cm
Jaw/Tip Configuration	Curved
Jaw Aperture*	11.16mm
Jaw Length*	14.56mm
Cut Length*	14.56mm
Jaw Width*	2.67mm
Handle Type	Gun design
Degrees of Articulation	360º
Vessel Indication	≤ 7mm
Device Technology	Ultrasonic energy, Adaptive Tissue Technology, Advanced Hemostasis
Surgical Approach	Laparoscopic
Qty./Box	6