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ETHICON GST45D ECHELON ENDOPATH™ Reloads 45mm Gold

ECHELON Gripping Surface Technology (GST) Reloads offer exceptional staple line integrity across the broadest range of tissue thicknesses.1 For use with the ECHELON™ 3000 Stapler, ECHELON™+ Stapler, and ECHELON ENDOPATH™ Staplers.

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Overview Specifications Dimensions

ECHELON^™ Gripping Surface Technology Reloads

Product Codes: GST45D

The ability to choose the right reload based on tissue thickness gives the flexibility to better match the unique tissue of each patient. ECHELON Gripping Surface Technology (GST) Reloads offer exceptional staple line integrity across the broadest range of tissue thicknesses.¹ For use with the ECHELON^™ 3000 Stapler, ECHELON^™+ Stapler, and ECHELON ENDOPATH™ Staplers.

GST reloads

Specialties

Colorectal, Thoracic, Bariatric, Urologic, General

Procedures

LAR, Colectomy, Lobectomy, Wedge Resection, Segmentectomy, Sleeve Gastrectomy, Gastric Bypass, Revisions

Optimizing Reload Selection

Focusing on tissue thickness instead of reload color gives surgeons flexibility to better match the unique tissue of the patient and procedure. GST Reloads offer choices that can match tissue thickness and each surgeon’s preference.^B

For a drier staple line, surgeons can “step down” and select a reload with a tighter closed staple height that is still within the range of the intended tissue thickness.

Verifying Tissue Thickness Range

Whether tissue thickness is at the top or bottom of a GST Reload color’s range, surgeons will get reliable staple formation.¹ How did we verify these ranges?

Benchtop testing in a variety of gastric tissue thicknesses to attain good staple formation
700+ firings across the 45mm and 60mm devices

Features & Benefits

Gripping Surface Technology

Proprietary pocket extensions grip and stabilize tissue during firing for controlled tissue movement.³

More Uniform Compression

Delivered 32% more uniform staple line compression compared to Medtronic Staplers with Tri-Staple^™ Reloads.⁴

Uniform Staple Height

For all staple rows to meet the needs of tissue and provide consistent compression.

Uniform Staple Height

References

A. Tissue thickness range compared to traditional flat deck reloads.

B. IMPORTANT: If you are witnessing malformed or unformed staples it could be a sign that you are placing too much tissue in the jaw for the reload you have selected.

1. ECHELON FLEX™ GST System designed and tested to produce well-formed staple lines blocking potential leak paths in tissue thicknesses from 1.0mm to 4.0mm. Porcine tissues measured at 8g/mm2 prior to firing and comfortably compressed during firing per the IFU. vs: Medtronic Tri-Staple™ portfolio (intended thickness range 0.75mm - 3.0mm [per Medtronic P100154]); and, Intuitive EndoWrist® Stapler portfolio (intended thicknesses range - 0.75mm - 2.0mm [per user manual PN 551681-07 Rev. C 2016.12]) (082493-200902).

2. Based on acute and long term evaluations in animate porcine stomach, bowel, lung and vasculature. Visual comparisons of 10-20 second clamp and release and full firing staple lines immediately following, 1hr after clamping, 14 days post op and at necropsy, as well as histological evaluation at 14 days post op, revealed no additional clinically relevant trauma to the tissues. (018992-200929)

3. Benchtop testing in 3.2mm synthetic tissue comparing staple line compression between ECHELON+ Stapler with GST Reloads (PSEE60A, GST60B, GST60G) to Medtronic Signia™ and Endo GIA™ Staplers with Tri-Staple™ Reloads (EGIA60AMT). Resulting in a statistically significant compression uniformity, p<0.05. (155751-201014)

4. Benchtop testing in 3.2mm synthetic tissue comparing staple line compression between ECHELON+ Stapler with GST Reloads (PSEE60A, GST60B,GST60G) to Medtronic Signia™ and Endo GIA™ Staplers with Tri‐ Staple™ Reloads (EGIA60AMT). Resulting in a statistically significant compression uniformity, p<0.05. (155751‐201014)

	Featured Product

	ECHELON^™ Gripping Surface Technology Reloads
Codes	GST45D
Description	Powered stapler reload
Device Technology	Gripping Surface Technology
Sizes	45mm
Tissue Thickness Range	1.8mm-3.8mm
Tissue Thickness Description	Regular/Thick
Closed Staple Height	1.8mm
Open Staple Height	3.8mm
Qty./Box	12