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Supporting Surgeons with Tools to Help Address Colorectal Surgery Complications
Healthcare Professional View
We are committed to providing the support you need to care for your patients.
Quick Links to Ethicon Resources
Product Support
Ethicon sales representatives are accessible by phone and email. We offer 24-hour clinical support at [email protected] and 1‐877‐ETHICON. We have also created a library of in-service videos and device guides to help support the setup and use of our products
Product Ordering
To place orders, check product availability, or check on order status visit J&J Customer Connect. You can also contact JJHCS Customer Support Services at 1-866-JNJ-GATE
Professional Education
We continue to offer a variety of online learning options at the Johnson & Johnson Institute
Shaping the Future of Surgery
Impacting Patient Outcomes
Helping a colorectal surgeon restore colorectal continuity and ultimately affecting patient outcomes with ECHELON CIRCULAR Powered Stapler.
Committed to Colorectal Surgeons
32% of colorectal surgeries are performed each year for cancer.1 Ethicon supports your efforts to reduce complications through dedicated programs in research, innovative products, and education.
Responding With a Caring Spirit
What happens when Ethicon Test Engineer becomes a patient following a colorectal cancer diagnosis.
Over a Century of Meaningful Innovation
At Ethicon, weʼre focused on improving health outcomes for patients and helping solve the greatest health challenges… with only meaningful innovation. The kind that led to the creation of the first sutures, that helped revolutionize surgery with minimally invasive procedures, and that elevates standards of care around the world.
1887 — Sterile Sutures
1887 — Sterile Sutures
Johnson & Johnson’s mass production of sterile sutures and other products ushered in the widespread practice of modern antiseptic surgery that dramatically raised survival rates.
1960 — SURGICEL<sup>®</sup> Original Absorbable Hemostat
1960 — SURGICEL® Original
SURGICEL® made history as the first oxidized regenerated cellulose hemostat and set a new standard for managing surgical bleeding.
1969 — PROLENE<sup>®</sup> Polypropylene Suture
1969 — PROLENE® Polypropylene Suture
The first synthetic sterile suture, PROLENE® Polypropylene Suture is used in cardiac bypass surgery for its strength, secure knotting and biocompatibility.
1978 — PROXIMATE<sup>®</sup> Disposable Skin Stapler
1978 — PROXIMATE® Disposable Skin Stapler
This game-changing skin stapler introduced disposable instruments to the OR. The success of disposable PROXIMATE opened the door to new innovations for open and minimally invasive procedures.
1979 — Coated VICRYL<sup>®</sup> (polyglactin 910) Suture
1979 — Coated VICRYL® (polyglactin 910) Suture
Used by surgeons around the world today for general surgery use, Coated VICRYL® (polyglactin 910) Suture balances the surgeon’s need for slide with knot security in achieving reliable approximation and closure.
1988 —Laparoscopic Cholecystectomy
1988 —Laparoscopic Cholecystectomy
First Laparoscopic Cholecystectomy and development of Minimally Invasive solutions
1993 — ETHICON ENDO-SURGERY
1993 — Ethicon Endo-Surgery
Founded in Ohio, Ethicon Endo-Surgery brought surgical technologies and solutions including staplers, energy devices and trocars.
1995 — Telesurgery
1995 — Telesurgery
Our pioneering live telesurgery, Dr. J. Barry McKernan performed a laparoscopic cholecystectomy at the American College of Surgeons’ annual meeting introduced clinicians to the possibilities of distance learning.
1998 — DERMABOND<sup>®</sup> Topical Skin Adhesive
1998 — DERMABOND® Topical Skin Adhesive
The first FDA-approved topical skin adhesive in the U.S., DERMABOND® Topical Skin Adhesive paved the way for replacing sutures with a new generation of skin closure solutions.3,4
1998 — HARMONIC<sup>®</sup> Scalpel Shears
1998 — HARMONIC® Shears
Our launch of the first 5mm HARMONIC® shears allowed surgeons for the first time to dissect, cut and coagulate with one ultrasonic energy device with minimal lateral thermal damage.
2000 — Fighting Obesity
2000 — Fighting Obesity
Committed to shaping the future of surgery in the fight against obesity and metabolic diseases and helping to elevate the standard of care through research and evidence, best-in-class education and training, innovative products and expanding patient access to care.
2003 — Coated VICRYL<sup>®</sup> Plus Antibacterial (polyglactin 910) sutures
2003 — PLUS Sutures
The first commercially available antibacterial suture, Coated VICRYL® Plus Antibacterial (polyglactin 910) Suture broke new ground in addressing a known risk factor for surgical-site infections (SSI), bacterial colonization of the suture.5
2011 — ECHELON FLEX™ Powered ENDOPATH<sup>®</sup> Stapler
2011 — ECHELON FLEX™ Powered ENDOPATH® Stapler
This first powered endocutter with system-wide compression and stability helped to fuel the revolution to minimally invasive approaches. Less unwanted movement of the tip offered the potential for reduced trauma to vital structures, even in thick tissue and at awkward angles.
2015 — VERB Surgical Partnership
2015 — VERB Surgical Partnership
Verb Surgical, founded in 2015, is developing a digital surgery platform built with technology from Verily (formerly Google Life Sciences) and Ethicon Endo-Surgery, Inc. Verb’s platform will include robotics, visualization, advanced instrumentation, data analytics, and connectivity.
2016 — NEUWAVE Medical Acquisition
2016 — NEUWAVE Medical Acquisition
Ethicon acquires NeuWave Medical, Inc., a company that manufactures and markets minimally invasive soft-tissue microwave ablation systems. This acquisition is consistent with the strategy of advancing innovation and investing in areas of unmet medical needs such as surgical oncology.
2017 — MEGADYNE Acquisition
2017 — MEGADYNE Acquisition
The acquisition of Megadyne’s innovative portfolio of electrosurgical tools represents a major step forward in Ethicon’s goal to deliver the most comprehensive suite of intelligent energy solutions that enhance precision and efficiency in the operating room.
New Best-in-Class Evidence on Sealing Pulmonary Artery Branches
See why HARMONIC ACE®+7 Shears with Advanced Hemostasis is the right tool for small pulmonary artery vessels. In this first international multicenter clinical trial using advanced energy to seal pulmonary artery branches in VATS lobectomy, HARMONIC ACE®+7 Shears was shown to reliably seal pulmonary vessels.
Colorectal Professional Education
The Johnson & Johnson Institute offers comprehensive Colorectal specialty learning opportunities on the safe and efficacious usage of Ethicon devices, surgical techniques and measures to reduce complications and improve patient outcomes. These educational experiences include in-person courses, digital learning and hands-on practice.
Patient Website Provides Condition and Surgery Information
Direct your patients to Ethicon’s website to find information for colorectal cancer, diverticulitis or inflammatory bowel disease (IBS.)
Optimizing Outcomes with a Full Portfolio of Products
Our commitment to Colorectal surgery focuses on reducing the risk of complications and associated costs with full portfolio of products.
Healing Starts with a Safe OR for Everyone
Learn how you can partner with MEGADYNE™ Energy, part of Ethicon, to build a stronger OR safety environment for staff and patients.
Health Authorities Recommended
The use of triclosan-coated sutures for surgical site infection (SSI) prevention is now recommended by three globally recognized health authorities: Centers for Disease Control and Prevention (CDC),10* World Health Organization (WHO)11* and American College of Surgeons & Surgical Infection Society (ACS & SIS.)12*
*The CDC, WHO, and ACS/SIS guidelines on reducing the risk of surgical site infections are general to triclosan-coated sutures and are not specific to any one brand.
Bariatric Resources Web Site
Ethicon’s comprehensive portfolio of materials are designed to power transformations. We offer HCP materials for every stage of their patient’s journey, from making the decision to have surgery, to sustaining a healthy life-style post-operatively. (Log-in required)
Always Prepared
One family. 5 products. Trusted for 50+ years.13-16
Trust the SURGICEL® Family of Absorbable Hemostats for every continuous oozing bleeding situation.
Knot your average suture
Knot your average suture
Get more with STRATAFIX™ Knotless Tissue Control Devices
Traditional suturing techniques can lead to knot-related complications. STRATAFIX™ provides more efficiency and consistency with no need to tie knots, more strength†† and security than traditional sutures, and Plus Antibacterial Technology. Why Knot? When you can STRATAFIX™.5,6,17-23
†† Refers to STRATAFIX Symmetric PDS Plus Device only.
Your closure is their beginning
Patient website now available for DERMABOND® Prineo Skin Closure System. Direct your patients to PrineoForPatients.com today.
SURGIFLO®. Fully Stocked.
SURGIFLO® Hemostatic Matrix Kit is back with a strengthened supply chain
The recent supply interruption of SURGIFLO® is over—it is back and ready to stop difficult-to-access bleeding situations.
Orthopedic Bariatric Coordinated Care Program
For patients with severe obesity, studies show that undergoing bariatric surgery before total joint replacement surgery may lead to better surgical outcomes. 24
Learn expert tips for effective coordination between orthopedic and bariatric teams to help optimize these patients for surgery.
Peer-Reviewed Evidence in Thoracic Surgery
Your Choice of Stapler Matters
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. 25
ECHELON CIRCULAR™ Powered Stapler
ECHELON CIRCULAR™ Powered Stapler
The ECHELON CIRCULAR Powered Stapler is designed to reduce leaks without compromising perfusion—resulting in 61% fewer leaks at the staple line compared to the Medtronic DST Series™ EEA™ Stapler.*
ECHELON FLEX™ GST System
ECHELON FLEX™ GST System
The ECHELON FLEX GST System† controls tissue movement to enable you to transect as you intend even on the most challenging tissue.
ENSEAL® X1 Large Jaw Tissue Sealer
ENSEAL® X1 Large Jaw Tissue Sealer
Designed for use in open surgical procedures, ENSEAL X1 Large Jaw Tissue Sealer is an advanced bipolar device that provides better hemostasis, less thermal spread, and improved ergonomics compared to LigaSure Impact™.
HARMONIC® HD 1000i Shears
HARMONIC® HD 1000i Shears
HARMONIC® HD 1000i Shears offers a seamless combination of unmatched precision, unparalleled strength, and optimal efficiency.
MONOCRYL® Plus Antibacterial (poliglecaprone 25) Suture
MONOCRYL® Plus Antibacterial (poliglecaprone 25) Suture
MONOCRYL® Plus Antibacterial Suture are ideal for subcuticular skin closure 9 and shown in vitro to inhibit bacterial colonization of the suture.5,10,11
News & Events
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References
* Benchtop testing in porcine tissue ≤30mmHg (26mmHg average pressure experienced during intra-operative leak test), comparing Ethicon ECHELON CIRCULAR™ Powered Stapler CDH25P to Medtronic DST Series™ EEA™ Stapler EEA2535 (p<0.001) and preclinical perfusion model, in which perfusion was not significantly different between devices.
† System components include ECHELON FLEX™ Powered Plus Stapler and ECHELON ENDOPATH™ Reloads with Gripping Surface Technology.
- Premier Hospital Database 2011. Primary Colectomy Procedures by Primary Diagnosis.
- Wick E, Shore A, Hirose K, et al. (2011). Readmission Rates and Cost Following Colorectal Surgery. Dis Colon Rectum. 54(12):14751479.
- P960052B.
- Keplinger 07PD0748. Protocol investigation of the comparison of PRINEO with conventional wound closure techniques.
- Rothenburger S, Spangler D, Bhende S, Burkley D. In vitro antimicrobial evaluation of coated Vicryl Plus Antibacterial Suture (coated polyglactin 910 with triclosan) using zone of inhibition assays. Surg Infect (Larchmt). 2002;3 (suppl):S79-S87.
- Berríos-Torres SI, Umscheid CA, Bratzler DW, et al. Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017. JAMA Surg. doi:10.1001/jamasurg.2017.0904.
- WHO Global Guidelines for the Prevention of Surgical Site Infection, 2016.
- Ban KA, Minei JP, Laronga C, et al. American College of Surgeons and Surgical Infection Society: Surgical Site Infection Guidelines, 2016 Update. J Am Coll Surg. 2016;224:59-74.
- MONOCRYL Plus Antibacterial (poliglecaprone 25) Suture Instructions for Use. Ethicon, Inc.
- Ming X, Rothenburger S, Yang D. In vitro antibacterial efficacy of Monocryl Plus Antibacterial Suture (poliglecaprone 25 with triclosan). Surg Infect. 2007;8(2):201-207.
- Ming X, Rothenburger S, Nicholos MM. In vivo and in vitro antibacterial efficacy of PDS Plus (polidioxanone with triclosan) suture. Surg. Infect 2008;9(4):451-457.
SURGICEL Essential Product Information
• INDICATIONS
SURGICEL® Absorbable Hemostat (oxidized regenerated cellulose) is used adjunctively in surgical procedures to assist in the control of capillary, venous, and small arterial hemorrhage when ligation or other conventional methods of control are impractical or ineffective. SURGICEL® ORIGINAL, SURGICEL® FIBRILLAR™, SURGICEL® NU-KNIT®, and SURGICEL® SNoW™ Absorbable Hemostats can be cut to size for use in endoscopic procedures.
• PRECAUTIONS
Use only as much SURGICEL® Absorbable Hemostat as is necessary for hemostasis, holding it firmly in place until bleeding stops. Remove any excess before surgical closure in order to facilitate absorption and minimize the possibility of foreign body reaction.
In urological procedures, minimal amounts of SURGICEL® Absorbable Hemostat should be used and care must be exercised to prevent plugging of the urethra, ureter, or a catheter by dislodged portions of the product.
Since absorption of SURGICEL® Absorbable Hemostat could be prevented in chemically cauterized areas, its use should not be preceded by application of silver nitrate or any other escharotic chemicals.
If SURGICEL® Absorbable Hemostat is used temporarily to line the cavity of large open wounds, it should be placed so as not to overlap the skin edges. It should also be removed from open wounds by forceps or by irrigation with sterile water or saline solution after bleeding has stopped.
Precautions should be taken in otorhinolaryngologic surgery to assure that none of the material is aspirated by the patient. (Examples: controlling hemorrhage after tonsillectomy and controlling epistaxis.)
Care should be taken not to apply SURGICEL® Absorbable Hemostat too tightly when it is used as a wrap during vascular surgery (see Adverse Reactions section of the complete product package insert).
• ADVERSE EVENTS
“Encapsulation” of fluid and foreign body reactions have been reported.
There have been reports of stenotic effect when SURGICEL® Absorbable Hemostat has been applied as a wrap during vascular surgery.
Paralysis and nerve damage have been reported when SURGICEL® Absorbable Hemostat was used around, in, or in proximity to foramina in bone, areas of bony confine, the spinal cord, and/or the optic nerve and chiasm.
Blindness has been reported in connection with surgical repair of a lacerated left frontal lobe when SURGICEL® Absorbable Hemostat was placed in the anterior cranial fossa.
Possible prolongation of drainage in cholecystectomies and difficulty passing urine per urethra after prostatectomy have been reported.
For more information, please consult your doctor or for product quality and technical questions, call 1-800-795-0012. For complete product information including indications, contraindications, warnings, precautions, and adverse reactions, please reference the individual product package inserts.
063768-180827