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Peer-reviewed Evidence in Thoracic Surgery



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.