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美国强生ETHICON ECH60C/S/L电动腔镜直线型切割吻合器

美国强生ETHICON ECH60C/ECH60S/ECH60L电动腔镜直线型切割吻合器，60mm

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ECHELON™ 3000_宣传册-英文

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ECHELON ™ 3000 电动腔镜直线型切割吻合器

产品代码： ECH60C ECH60S ECH60L

每一次手术都是不同的，因为每个病人都是不同的——这就是我们制造这个设备的原因。ECHELON 3000 吻合器可以对每个横断面实现更大的访问¹和更多的控制²，满足每位患者的不同需求。

特点与优势

更方便的访问

增大 27% 的关节跨度7和较短的关节⁸有助于外科医生进入具有挑战性的解剖结构，例如紧张的骨盆区域。⁹对于结直肠外科医生来说，这种改进的运动还增加了单次射击横切结肠的可能性。¹⁰

更方便的访问

更容易放置

钳口孔径加宽 39%，可以更轻松地将钳口放置在厚组织上，从而减少对组织的操作。¹¹对于胸外科医生来说，这不仅意味着可以更好地进入狭窄的胸腔⁹，而且还可以更容易地放置在厚厚的、可变的肺组织上。¹²

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参考

2022 年完成的 ECHELON™ 3000 吻合器、ECHELON™+ 吻合器和美敦力 Signia™ 吻合器系统之间的平均最大关节跨度和钳口孔径的比较。(202654-220202)
与传统的 Powered Plus 订书机相比。(207534-220323)
在 4.0 毫米厚的猪胃组织的台式测试中，与配备 SIG60AXT 的 Signia™ 吻合器相比，配备 GST60T 的 ECHELON™ 3000 吻合器的平均纵向变化更小：0.549 毫米 vs. 3.318 毫米，每组 N=20，P<0.0001。(208150-220330)
在配备 GST60W (0.35°) 的 ECHELON™ 3000 吻合器与配备 EGIA60AVM (5.15°) 的美敦力 Signia™ 吻合器系统之间远端移动的台式测试中分析的平均角度变化，每组 N=28，p < 0.001。(214166-220519)
平均而言，在 3.0mm 和 4.0mm 目标组织上，配备 GST60G 和 GST60T 的 ECHELON™ 3000 吻合器的畸形吻合器率为 0.26%，而配备 SIG60AXT 和 SIG60AXT 的 Signia™ 吻合器畸形率为 1.73%，p < 0.001。(210298-220420)
罗林斯 L、约翰逊 BH、约翰斯顿 SS 等。腹腔镜袖状胃切除术中两种动力手术吻合平台的比较有效性评估：一项回顾性匹配研究。医疗器械：证据和研究。2020：13 195–204。doi：https://doi.org/10.2147/MDER.S256237。米勒 DL、罗伊 S、卡西斯 ES 等。动力和组织特异性内窥镜吻合技术对电视辅助胸外科肺叶切除术临床和经济结果的影响：一项回顾性观察研究。高级治疗师。2018 年 4 月 16 日。doi：10.1007/s12325-018-0679-z。Sylla P、Sagar P、Johnston S 等人。使用新型动力圆形吻合器进行左侧结直肠重建的相关结果：与手动圆形吻合器进行倾向评分匹配调整的间接比较。外科内窥镜检查。2021.doi：10.1007/s00464-021-08542-7。(192176-211013)
ECHELON™ 3000 60mm 吻合器的平均最大关节角度 (56.51°) 与 Medtronic Signia™ 吻合器 60mm (44.56°) 的比较，p<0.05。（201022-220112）。
ECHELON™ 3000 吻合器 (28.4 毫米) 与 ECHELON™+ 吻合器 (38.7 毫米) 之间的关节长度比较。
ECHELON™ 3000 吻合器、ECHELON™+ 吻合器和美敦力 Signia™ 吻合器系统之间最大平均关节跨度的比较，p 值 < 0.001。最大平均关节角度：56.95°；43.92°；分别为45.87°。(205777-220309)
基于 50% 男性腹部扫描的 CAD 模型分析接近角度。(214011-220518)
ECHELON™ 3000 吻合器 60mm (22.79mm) 与 Medtronic Signia™ 吻合器系统 60mm (16.38mm) 的平均钳口孔径比较，p<0.001。(202186-220126)
ECHELON™ 3000 吻合器、ECHELON™+ 吻合器和美敦力之间的最大平均关节跨度和最大钳口孔径的比较
Signia™ 装订系统，p 值 < 0.001。最大平均钳口孔径：22.79mm；17.11毫米；分别为16.35毫米。具有挑战性的组织——不同的厚度和密度。(205778-220309)
控制功能包括动力铰接和进行 1° 铰接调整的能力。(207540-220323)

ECHELON^™ 3000 Stapler

Product Codes: ECH60C ECH60S ECH60L

Every surgery is different because every patient is different—which is why we built this device. The ECHELON 3000 Stapler enables greater access¹ and more control² over each transection, meeting the varying needs of each patient.

Features & Benefits

Greater Access

A 27% greater articulation span⁷ and a shorter articulation joint⁸ help surgeons access challenging anatomy, such as the tight pelvis region.⁹ For colorectal surgeons, this improved movement also increases the likelihood of transecting the colon in a single firing.¹⁰

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Easier Placement

A 39% wider jaw aperture can make placing the jaws on thick tissue easier, with potentially less tissue manipulation.¹¹ For thoracic surgeons, this not only means improved access to the tight thoracic cavity⁹ but also easier placement on thick, variable lung tissue.¹²

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More Control

Powered articulation that can be set to any point allows for more precision and one-handed use.¹³ For bariatric surgeons, this precise control over stapler placement can help in procedures like sleeve gastrectomies, where sleeve shape may impact both weight loss and acid reflux.

References

Comparison of average maximum articulation span and jaw aperture between the ECHELON™ 3000 Stapler, ECHELON™+ Stapler, and Medtronic Signia™ Stapling System completed in 2022. (202654-220202)
Compared to the legacy Powered Plus Stapler. (207534-220323)
In benchtop testing in 4.0mm thick porcine stomach tissue, the ECHELON™ 3000 Stapler with GST60T had less mean longitudinal change compared to the Signia™ Stapling System with SIG60AXT: 0.549mm vs. 3.318mm, N=20 per group, P<0.0001. (208150-220330)
Mean angle change analyzed in benchtop testing of distal tip movement between ECHELON™ 3000 Stapler with GST60W (0.35º) vs. Medtronic Signia™ Stapling System with EGIA60AVM (5.15º), N=28 per group, p < 0.001. (214166‐220519)
On average, the ECHELON™ 3000 Stapler with GST60G and GST60T had a 0.26% malformed staple rate as compared to a 1.73% malformed staple rate for Signia™ with SIG60AXT and SIG60AXT on 3.0mm and 4.0mm target tissue, p < 0.001. (210298-220420)
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)
Comparison of average maximum articulation angle for ECHELON™ 3000 60mm Stapler (56.51°) vs. Medtronic Signia™ Stapling System 60mm (44.56°), p<0.05. (201022-220112).
Comparison of articulation joint length between ECHELON™ 3000 Stapler (28.4mm) vs. ECHELON™+ Stapler (38.7mm).
Comparison of maximum average articulation span between the ECHELON™ 3000 Stapler, ECHELON™+ Stapler, and Medtronic Signia™ Stapling System, p-value < 0.001. Maximum average articulation: 56.95°; 43.92°; 45.87° respectively. (205777-220309)
Angles of approach analyzed in CAD model based on 50th percentile male abdominal scans. (214011-220518)
Comparison of average jaw aperture for ECHELON™ 3000 Stapler 60mm (22.79mm) vs. Medtronic Signia™ Stapling System 60mm (16.38mm), p<0.001. (202186-220126)
Comparison of maximum average articulation span and maximum jaw aperture between the ECHELON™ 3000 Stapler, ECHELON™+ Stapler, and Medtronic
Signia™ Stapling System, p-value < 0.001. Maximum average jaw aperture: 22.79mm; 17.11mm; 16.35mm respectively. Challenging tissue – varying thickness and density. (205778-220309)
Control features include powered articulation and the ability to make articulation adjustments by 1°. (207540-220323)

美国强生ETHICON ECH60C/S/L电动腔镜直线型切割吻合器

资源

ECHELON ™ 3000 电动腔镜直线型切割吻合器

产品代码： ECH60C ECH60S ECH60L