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ECHELON CIRCULAR Powered Stapler
The ECHELON CIRCULAR Powered Stapler is designed to reduce leaks without compromising perfusion—which can result in 61% fewer leaks at the staple line compared to the Medtronic DST Series EEA Stapler.1*
Features & Benefits
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3D Stapling Technology
Can reduce potential leak paths.2# Designed with offset closure of the staple legs, 3D Stapling Technology can evenly distribute compression throughout the anastomosis.2#
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Gripping Surface Technology
Gentler handling: can reduce compressive forces on tissue by 33%.3† Gives precise compression only where it is needed to prepare the tissue for staple formation.3†
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61% fewer leaks at the staple line4‡
Optimized perfusion.5§ Reduced leaks at the staple line.4‡ Benchtop testing in porcine tissue comparing ECHELON CIRCULAR Powered Stapler to Medtronic DST Series EEA Stapler showed that the ECHELON CIRCULAR Powered Stapler provides significantly fewer leaks at the staple line without compromising perfusion, compared to the Medtronic DST Series EEA Stapler.1* Read the study in the Clinical Evidence section below.6
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Powered firing platform
Reduced force to fire by 97% compared to the Medtronic DST Series EEA Stapler.7¥ Push button firing has significantly reduced movement at the distal tip for increased stability.8¶ It is designed to minimize variation in usage and standardize performance across users.9
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The Management of Anastomotic Leaks
Reviewed studies on post-operative colorectal anastomotic leaks showed mean rates of 6.1%10 to 13.5%11 of the cases, and substantial cost increase. The new ECHELON CIRCULAR Powered Stapler is designed to reduce leaks at the staple line.1* Read the studies in the Clinical Evidence section below.10-12
Product Resources
Videos
Videos
Supporting Documentation
Clinical Evidence
A Novel Powered Circular Stapler Designed for Creating Secure Anastomoses6
Intra-Operative Anastomotic Leak Rates and Testing Methodology in Colorectal Resection Surgery12
Estimated Rate of Post-Operative Anastomotic Leaks Following Colorectal Resection Surgery10
Diagnosis and Management of Intraoperative Colorectal Anastomotic Leaks11
Product Support
ECHELON CIRCULAR Product Brochure
ECHELON CIRCULAR Optimized Device Performance
ECHELON CIRCULAR Steps for Release and Removal
ECHELON CIRCULAR Battery Fact Sheet
References
* Benchtop testing in porcine tissue ≤30mmHg (26mmHg average pressure experienced during intra-operative leak test), comparing Ethicon CDH29P to Medtronic (Covidien) manual EEA2835 (p<0.001) and preclinical perfusion model, in which perfusion was not significantly different between devices.
# Staple line analysis in benchtop testing, comparing Ethicon CDH25P to Medtronic manual
† Benchtop testing on porcine colon, comparing Ethicon CDH29P to Medtronic manual, p<0.001.
‡ Benchtop testing in porcine tissue at ≤30mmHg (26mmHg average pressure experienced during intra-operative leak test), comparing Ethicon CDH29P to Medtronic (Covidien) manual EEA2835, p<0.001.
§ Preclinical perfusion model comparing Ethicon CDH29P to Medtronic manual EEA2835, in which perfusion was not statistically significantly different between devices (p>0.005).
¥ Benchtop testing, comparing Ethicon CDH29P to Medtronic manual, p=0.001.
¶ Users firing in a porcine model, comparing Ethicon CDH29P to Medtronic manual, p=0.003.
1. Ethicon, PRC077848 Leak Claims Testing, October 2016, Data on File. Ethicon, PSB004557 A comparison of staple line perfusion between 29mm ECHELON CIRCULAR™ Powered Stapler (CDH29P) and manual 28mm DST Series™ EEA™ Circular Stapler (EEA2835), November 2016, Data on File (063164-180102)
2. Ethicon, PRC078258 Even Compression Claims Testing, November 2016, Data on File (063169-170314).
3. Ethicon, PRC078621 Echelon Powered Circular Gentler Handling Test Completion Report, January 2017, Data on File (065619-170117)
4. Ethicon, PRC077848 Leak Claims Testing, October 2016, Data on File (063159-170816)
5. Ethicon, PSB004557 A comparison of staple line perfusion between 29mm ECHELON CIRCULAR™ Powered Stapler (CDH29P) and manual 28mm DST Series™ EEA™ Circular Stapler (EEA2835), November 2016, Data on File (063163-161111)
6. Rojatkar P, Henderson CE, Hall S, Jenkins SA, Paulin-Curlee GG, et al. (2017) A novel powered circular stapler designed for creating secure anastomoses. Med Devices Diagn Eng 2: DOI: 10.15761/MDDE.1000123.
7. Benchtop testing, comparing Ethicon CDH29P to Medtronic manual, p=0.001. Ethicon, PRC078173 Reduced Force to Fire Claims Study, November 2016, Data on File (063168-161111)
8. Users firing in a porcine model, comparing Ethicon CDH29P to Medtronic manual, p=0.003. Ethicon, PRC078105 Distal Tip Movement Claims Testing, November 2016, Data on File (063167-161111)
9. Ethicon, E844 Summary of Design intent for ECHELON CIRCULAR Powered Stapler to support claims, November 2016, Data on File (063173-161111)
10. Schiff A, Brady BL, Ghosh SK, Roy S, Ruetsch C, et al. (2016) Estimated Rate of Post-Operative Anastomotic Leak Following Colorectal Resection Surgery: A Systematic Review. J Surg Surgical Res 2(1): 060-067. 10.17352/2455-2968.000033
11. Schiff A, Roy S, Pignot M, Ghosh SK, Fegelman EJ. Diagnosis and Management of Intraoperative Colorectal Anastomotic Leaks: A Global Retrospective Patient Chart Review Study. Surg Res Pract. 2017;2017:3852731.
12. Schiff A, Brady BL, Ghosh SK, Roy S, Ruetsch C, et al. (2016) Intra-Operative Anastomotic Leak Rates and Testing Methodology in Colorectal Resection Surgery. J Surg Surgical Res 2(1): 048-054.10.17352/2455-2968.000031
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Last updated February 22, 2019. The third-party trademarks used herein are trademarks of their respective owners. Data and usage fees may apply. See your carrier for more information.
*As of March 2017, per internal research conducted by Ethicon.