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ETHICON ECHELON™+ P(C/S/L)EE45A Powered Stapler

ETHICON ECHELON™+ PCEE45A PSEE45A PLEE45A Powered Stapler

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Overview Specifications Dimensions

ECHELON^™+ Stapler

Product Codes: PCEE45A, PSEE45A, PLEE45A

The ECHELON+ Stapler is a powered laparoscopic stapler made to accommodate various tissue types for each unique patient. It advances staple line security to deliver fewer leaks at the staple line and better staple formation, even in challenging conditions.¹

Features & Benefits

Dynamic Firing Motor

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

Echelon

ECHELON^™+ Anvil

Reengineered anvil with tapered pockets to better capture and form staples for significantly fewer leaks at the staple line.¹

Echelon

ECHELON^™ Gripping Surface Technology Reloads

Adds more support while firing to help produce better staples and reduce tissue movement.⁷

Echelon

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. 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)

5. 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)

6. 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)

7. 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)

Device Specifications and Comparisons

The ECHELON™+ Stapler with GST Reloads is intended for transection, resection, and/or creation of anastomoses.

Select Competitive Products: Medtronic Signia™ Stapling System

	Featured Product

	ECHELON™+ Stapling System
Codes	PCEE45A, PLEE45A, PSEE45A
Associated Reloads	GST45W GST45B GST45D GST45G GST45T
Description	45mm laparoscopic stapler
Firing	Powered
Articulation	Manual
Shaft Length	Compact 28cm Standard 34cm Long 44cm
Degrees of Articulation	88º
Staple Rows	6
Max Firings	12
Staple Form	B-Form
Qty./Box	3