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ETHICON CDH23P/25P/29P/31P ECHELON CIRCULAR™ Powered Stapler

ETHICON CDH23P/CDH25P/CDH29P/CDH31P ECHELON CIRCULAR™ Powered Stapler

Phone:+86-21-54286005

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ECHELON CIRCULAR_Brochure-EN

ECHELON CIRCULAR Powered Stapler

Product Codes: CDH23P, CDH25P, CDH29P, CDH31P

Leaks are a major surgical concern, especially in the most challenging cases. The ECHELON Circular Powered Stapler, backed by robust clinical data, reduced leaks without compromising healing.1 It combines two stapling innovations – 3D Stapling and Gripping Surface Technologies - on a consistent and reliable powered platform.

 

Features & Benefits

Reduced Potential Leak Paths5

Designed with offset closure of the staple legs, 3D Stapling Technology evenly distributed compression throughout the anastomosis5 and reduced potential leak paths compared to the Medtronic EEA Stapler.5 Tissue compression can be controlled by varying the height of the closed staple. 

Echelon-Circular

Gentler Tissue Handling

Gripping Surface Technology delivers precise compression only where it is needed6 to prepare the tissue for staple formation. It also provided gentler handling, with a 33% reduction in compressive forces on tissue compared to the Medtronic DST Series Stapler.6

Echelon-Circular
 

Increased Stability7

Designed to standardize performance across users, powered push button firing delivered 37% less movement at the distal tip for increased stability7 compared to Medtronic’s manual DST Series EEA Stapler. The ECHELON CIRCULAR Powered Stapler also reduced force to fire by 97% compared to the Medtronic EEA Circular Stapler with Tri-Staple™ Technology.8

Echelon-Circular

 

References

1. Benchtop testing in porcine tissue at ≤30mmHg (26mmHg average pressure experienced during intra‐operative leak test), comparing Ethicon CDH29P to Medtronic (Covidien) EEA2835, p<0.001. (063159‐191113)

2. A Prospective, Multi‐ Center Evaluation of the ECHELON CIRCULAR Powered Stapler in Left‐Sided Colorectal Anastomoses. While this study was not statistically powered to determine anastomotic leak rate, 3 of the 168 patients experienced an anastomotic leak at the circular staple line and 1 patient leak was not related to the anastomosis. Thirty‐five of the 168 patients had a diverting ostomy. (153735‐220928)

3. Impact of the Novel Powered Circular Stapler on Risk of Anastomotic Leakage in Colorectal Anastomosis. A Propensity Score-Matched Study. [ECHELON CIRCULAR 1.7% (1/60) vs. manual circular 11.8% (14/119), p=0.022] (153162‐200916)

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. 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. Sylla P, Sagar P, Johnston S, et al. Outcomes associated with the use of a new powered circular stapler for left-sided colorectal reconstructions: a propensity score matching-adjusted indirect comparison with manual circular staplers. Surgical Endoscopy. 2021. doi: 10.1007/s00464-021-08542-7. (192176-211013)

5.Staple line analysis in benchtop testing, comparing system standard deviation of pressure of 1.49 for CDH31P to 2.05 for Medtronic TRIEEA31MT. (172549‐210331)

6. Benchtop testing on porcine colon, comparing Ethicon CDH29P to Medtronic EEA2835, p<0.001. (065619‐191120)

7. Users firing in a porcine model, comparing Ethicon CDH29P to Medtronic EEA2835, p=0.003. (063167‐191113)

8. Benchtop testing of peak load, comparing means of 2.00 lbf for Ethicon CDH31P (n=30) to 58.17 lbf for Medtronic TRIEEA31MT (n=15), p<0.05. (175807‐210505)

Device Specifications and Comparison

The ECHELON CIRCULAR Powered Stapler has application throughout the alimentary tract for end-to-end, end-to-side, and side-to-side anastomoses.

Select Competitive Products: Medtronic EEA™ Circular Stapler with Tri-Staple Technology 

 

Featured Product

  PoweredCircular
 

ECHELON CIRCULAR Powered Stapler

Codes

CDH23P, CDH25P, CDH29P, CDH31P

Description

Powered Circular Stapler with Gripping Surface Technology and 3D Staples

Device Technology

Powered with Adjustable Staple Height

Lumen Diameter

  • 23mm
  • 25mm
  • 29mm
  • 31 mm

Staple Rows

2

Open Staple Leg Length

5.2mm

Closed Staple Height

1.5mm-2.2mm

Staple Technology

GST + 3D

Qty./Box

3

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