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Peer-Reviewed Evidence in Thoracic Surgery
ECHELON FLEX™ Powered Staplers vs. Medtronic Non-Powered Staplers Has Been Associated With:



Watch this video to learn more about the Physiologic Lung Model, a unique model designed to better understand air leaks under physiologic breathing conditions.
References
1. 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.
2. 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).
3. Ethicon retrospective analysis of economic and clinical 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. Length of stay:4.9 vs 5.7 days; p=0.0374, Total hospital cost: $23,785 vs. $26,180; p=0.0078, Supply cost: $5,021 vs. $5,989; p=0.0161, Room & board cost: $6,792 vs. $7,984; p=0.0385, Transfusion: 4.7% vs. 9.3%; p=0.018, Hemostasis-related complications: 8.2% vs. 13.9%; p=0.0218.
4. 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.
5. 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 1,051 cases between 2012 and 2015 from the Premier Perspective® Hospital Database (4.8% vs. 14.2%;p=0.0098).
6. Compared to the Endo GIA™ Curved Tip Reload with Tri-Staple™ Technology. PVE35A, EGIA30CTAVM, and PSE45A articulation data from IFUs of each device
7. Challenging tissue—thick, fragile, and varying thickness and density
8. 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.
For complete indications, contraindications, warnings, precautions, and adverse reactions, please reference full package insert.