ECHELON FLEX™ GST System

The ECHELON FLEX GST System* controls tissue movement to enable you to transect as you intend even on challenging tissue. Echelon Powered staplers are the only brand of staplers backed by large scale real world evidence.

ETHICON ECHELON FLEX GST Laparoscopic Stapler and Reloads with Gripping Surface Technology

Features & Benefits

ETHICON ECHELON FLEX GST Laparoscopic Stapler fewer staple line air leaks

2x Fewer Staple-Line Air Leaks vs EndoGIA™ with Tri-Staple™§

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.§

ETHICON ECHELON FLEX GST Laparoscopic Stapler Real World Evidence Results vs Medtronic EndoGIA

ECHELON FLEX Staplers Have Been Associated with Improved Clinical and Economic Outcomes

ECHELON FLEX™ Powered Staplers vs. Medtronic Non-Powered Staplers has been associated with: reduction in hemostasis-related complications,# reduction in length of stay and improved hemostasis outcomes without increasing cost.

ETHICON ECHELON FLEX GST Laparoscopic Stapler Tissue Slippage Comparison vs Endo GIA Stapler

Control Tissue Slippage During Firing

4x less tissue slippage** for the most precise transection. Uniquely designed for better grip†† to provide the least tissue slippage‡‡ for the most precise transection. Proprietary Gripping Surface Technology provides superior tissue grip†† without additional trauma during firing.§§ This means you can transect more of the tissue‡‡ you intended – especially in very thick tissue – with each firing.

ETHICON ECHELON FLEX GST Laparoscopic Stapler Tissue Thickness Comparison vs Endo GIA Tri-Staple

Exceptional Staple Line Integrity

Reliability across the broadest range of tissue thicknesses.¶¶ Surgeon-controlled stapling delivers closed staple height formation reliability through a proprietary combination of multi-stage compression, powered firing and Gripping Surface Technology, including stronger internal reload components and redesigned staple geometry to mitigate the amount and effect of tissue slippage during firing.

Product Specifications

Product Code

Product Code

Description

 
PCEE45A PCEE45A 45mm Powered Plus Stapler (Compact) 

Product Code

Product Code

Description

 
PCEE60A PCEE60A 60mm Powered Plus Stapler (Compact) 

Product Code

Product Code

Description

 
PLEE45A PLEE45A 45mm Powered Plus Stapler (Long) 

Product Code

Product Code

Description

 
PLEE60A PLEE60A 60mm Powered Plus Stapler (Long) 

Product Code

Product Code

Description

 
PSEE45A PSEE45A 45mm Powered Plus Stapler (Standard) 

Product Code

Product Code

Description

 
PSEE60A PSEE60A 60mm Powered Plus Stapler (Standard) 

Videos

Resources

Mastering Movement / Features & Benefits Video
Mastering Movement / Features & Benefits Video
03:47
ECHELON FLEX GST System* Engineers Video
ECHELON FLEX GST System* Engineers Video
05:16
ECHELON FLEX™ GST System Clinical Challenges Design Video
ECHELON FLEX™ GST System Clinical Challenges Design Video
01:48

Supporting Documentation

Clinical Evidence

Published Study of Staple Line Interventions in LSG

Product Support

ECHELON FLEX™ GST Optimal Device Performance guide

ECHELON FLEX™ GST Product Brochure

ECHELON FLEX™ GST In-Servicing Guide

ECHELON FLEX™ GST System offers an increased range in thick tissue

Guide to Choosing the Right Reload

Infographic, GST Range vs Tri-Staple

Infographic, Closed Staple Heights

Infographic, GST Reliable Staple Formation

References

* System components include ECHELON FLEX™ Powered Plus Stapler and ECHELON ENDOPATH™ Reloads with Gripping Surface Technology.

† Challenging tissue—thick, fragile, and varying thickness and density

‡ Based on literature search performed May 2019. Large‐scale is defined as sample size greater than 3,500 cases.

§ 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.

# Miller DL, 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. Review of 1,051 cases between 2015 and 2016 from the Premier Healthcare Database (4.8% vs 14.2%; p=0.010).

ǁ Miller DL, Roy S, Kassis ES, 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 Apr 16. doi: 10.1007/s12325-018-0679-z. Review of 3,006 cases between 2012 and 2016 from the Premier Healthcare Database (4.9 vs 5.7 days; p=0.0374).

¶ Miller DL, Roy S, Kassis ES, 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 Apr 16. doi: 10.1007/s12325-018-0679-z. Review of 1,051 cases between 2015 and 2016 from the Premier Healthcare Database. Hemostasis-related complications: 4.8% vs 14.2%; p=0.010. Transfusion: 3.0% vs 9.4%; p=0.023. Total hospital cost: $23,219 vs $25,207; p=0.242.

** Benchtop testing in porcine stomach tissue. Mean tissue movement from after clamping on tissue to after firing ECHELON FLEX™ Powered Plus Stapler (PSEE60A) and ECHELON Reloads with GST vs ENDO GIA™ ULTRA Handle (EGIAUSTND) and Endo GIA™ Reloads with Tri-Staple™ Technology at 3.3 and 4.0mm tissue thicknesses (3.3mm: GST60T 0.642mm vs EGIA60AMT 4.806mm p<0.001; 4.0mm: GST60T 0.654mm vs EGIA60AXT 5.116mm p<0.001).

†† Benchtop testing in porcine stomach tissue. Mean peak load required to pull tissue from the clamped jaws of ECHELON FLEX™ Powered Plus Stapler (PSEE60A) and ECHELON Reload with GST vs ENDO GIA™ ULTRA Handle (EGIAUSTND) and Endo GIA™ Reload with Tri-Staple™ Technology (GST60B 6.496lbf & GST60T 7.789lbf vs EGIA60AMT 1.325lbf & EGIA60AXT 1.920lbf, all p<0.001).

‡‡ Benchtop testing in porcine stomach tissue. Mean tissue movement from after clamping on tissue to after firing ECHELON FLEX™ Powered Plus Stapler (PSEE60A) and ECHELON Reloads with GST vs ENDO GIA™ ULTRA Handle (EGIAUSTND) and Endo GIA™ Reloads with Tri-Staple™ Technology at 1.5, 2.5, 3.3 and 4.0mm tissue thicknesses (1.5mm: GST60B 1.067mm vs EGIA60AMT 2.452mm p<0.001; 2.5mm: GST60G 1.148mm vs EGIA60AMT 3.261mm p<0.001; 3.3mm: GST60T 0.642mm vs EGIA60AMT 4.806mm p<0.001; 4.0mm: GST60T 0.654mm vs EGIA60AXT 5.116mm p<0.001).

§§ Based on acute and long term evaluations in animate porcine stomach, bowel, lung and vasculature. Visual comparisons of 10-20 second clamp and release and full firing staple lines immediately following, 1hr after clamping, 14 days post op and at necropsy, as well as histological evaluation at 14 days post op, revealed no additional clinically relevant trauma to the tissues.

¶¶ Comparison of the ECHELON FLEX™ GST System designed to accommodate a compressed tissue thickness range of 1.0mm to 4.0mm vs the Medtronic Tri-Staple portfolio intended for a thickness range of 0.75mm to 3.0mm (Medtronic literature, downloaded from Medtronic website on Nov 16, 2016).

For complete indications, contraindications, warnings, precautions, and adverse reactions, please reference full package insert.