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Peer-reviewed Evidence in Thoracic Surgery
Your Choice of Stapler Matters
Surgical complications are costly, and most importantly, can be devastating for patients. In VATS lobectomy, air leaks and bleeding are among the most common complications, leading to increased morbidity, longer hospital stay and increased costs.
Ethicon is committed to evidence and advancing surgical care to improve patient care and outcomes. We recently completed peer-reviewed studies, which allow us to share compelling evidence that ECHELON FLEX Powered Staplers have been associated with improved clinical and economic outcomes compared to Medtronic non-powered staplers.1*
Improved Clincial & Economic Outcomes1*
Economic evidence from a peer-reviewed study demonstrated that improved hemostasis outcomes were associated with the use of ECHELON FLEX PVS plus another ECHELON FLEX Powered Stapler—without increasing costs in VATS lobectomy.1§ Study published in Advances in Therapy.
ECHELON FLEX Powered Vascular Stapler
ECHELON FLEX Powered Vascular Stapler
ECHELON FLEX PVS enables more precise placement on fragile vessels3¶
ECHELON FLEX GST System
ECHELON FLEX GST System
ECHELON FLEX GST System enables you to transect as you intend, even on challenging tissue**
The Physiologic Lung Model4
First and only benchtop model to simulate mechanical and physiologic breathing (positive and negative pressure), developed in partnership with clinical experts at Massachusetts General Hospital.
Model has the ability to collect and measure air leak source, incidence, and volume.
2x Fewer Staple-Line Air Leaks5-8††
A published study from the Physiologic Lung Model demonstrated that under physiologic breathing conditions, the ECHELON FLEX GST System resulted in fewer staple line air leaks compared to Endo GIA with Tri-Staple Technology.
References
* Ethicon retrospective analysis of economic and clinical outcomes comparing the use of Echelon Powered vs. Medtronic non-powered endoscopic surgical staplers to treat patients undergoing video-assisted thoracoscopic surgery lobectomy. Review of 3,006 cases between 2012 and 2015 from the Premier Perspective® Hospital Database. Data assessed included length of stay, total hospital cost, supply cost, room & board cost, incidence of transfusion, and incidence of hemostasis-related complications; all p ≤ 0.05.
† Ethicon retrospective analysis of clinical outcomes between Echelon Powered vs. Medtronic non-powered endoscopic surgical staplers among patients undergoing video-assisted thoracoscopic surgery lobectomy. Review of 1,501 cases between 2012 and 2015 from the Premier Perspective® Hospital Database (4.8% vs. 14.2%;p=0.0098).
‡ Ethicon retrospective analysis of outcomes between Echelon Powered vs. Medtronic non-powered endoscopic surgical staplers among patients undergoing video-assisted thoracoscopic surgery lobectomy. Review of 3,006 cases between 2012 and 2015 from the Premier Perspective® Hospital Database (4.9 vs. 5.7 days; p=0.0374).
§ Ethicon retrospective analysis of outcomes between Echelon Powered vs. Medtronic non-powered endoscopic surgical staplers among patients undergoing video-assisted thoracoscopic surgery lobectomy. Review of 1,051 cases between 2012 and 2015 from the Premier Perspective® Hospital Database. Hemostasis-related complications: 4.8% vs. 14.2%; p=0.010. Transfusion: 3.0% vs. 9.4%; p=0.023. Total hospital costs: $23,219 vs. $25,207; p=0.242.
¶ Compared to the Endo GIA Curved Tip Reload with Tri-Staple Technology. PVE35A, EGIA30CTAVM, and PSE45A articulation data from IFUs of each device
** Challenging tissue—thick, fragile, and varying thickness and density
†† Staple line air leaks in porcine lungs using a physiologically-based ex-vivo lung chamber model. ECHELON FLEX GST System vs Endo GIA with Tri-Staple Technology. 20% vs 44%, GST 45 Blue (n=25) & Green (n=30) reloads vs Tri-Staple 45 Purple (n=25) & Black (n=30). Based on similar design features between ECHELON GST45 & GST60, no significant difference in performance is expected.
1. Ethicon Inc, Premier thoracic analysis, Ethicon Powered vs Medtronic manual sample, Data on File.
2. Miller D, Roy S, Kassis E, 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. 35:707-723.
3. Ethicon Inc, PRC068229, ECHELON FLEX Powered Vascular Stapler Completion Report, September 2014, Data on File.
4. Ethicon Inc, PLM draft ANNALS-S-18-0034, Data on File.
5. Ethicon Inc, PSB004651, Preclinical Bench Test Final Report, November 2017, Data on File.
6. Ethicon Inc, PSB004678, Preclinical Bench Test Final Report, November 2017, Data on File.
7. Ethicon Inc, PSB004730, Preclinical Bench Test Final Report, November 2017, Data on File.
8. Ethicon Inc, Engineering Memo, January 2018, Data on File.
For complete indications, contraindications, warnings, precautions, and adverse reactions, please reference full package insert.