ECHELON™+ Stapler with GST Reloads

The ECHELON™+ Stapler advances security to deliver fewer leaks at the staple line and better staple formation, even in challenging conditions.*,†

ECHELON+ Stapler product image

Resources

ECHELON+ Stapler Overview Video
ECHELON+ Stapler Overview Video
01:35
ECHELON™ Stapler In-Service Demonstration Video
ECHELON™ Stapler In-Service Demonstration Video
06:07
ECHELON™ Stapler Tissue Slippage Comparison Video
ECHELON™ Stapler Tissue Slippage Comparison Video
00:31
ECHELON+ Stapler with GST Reloads and Dynamic Firing Pre-compression and Focal Compression Animation Video
ECHELON+ Stapler with GST Reloads and Dynamic Firing Pre-compression and Focal Compression Animation Video
02:21

Supporting Documentation

Product Support

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) 

References

* Benchtop testing in porcine tissue ≤52mmHg (Double the 26mmHG average pressure experienced during intra-operative leak test), comparing Ethicon ECHELON+ Stapler PSEE60A with GST Reloads GST60B to Medtronic Signia Stapler with Tri-Staple Reloads EGIA60AMT and Medtronic Endo GIA™ with Tri-Staple™ Reloads EGIA60AMT. Cumulative number of leaked tests (14/30), (23/30), (25/30) respectively, n=30 p < 0.05. (150356-200818)

† Benchtop testing in 3.3mm and 4.0mm porcine tissue comparing malformed staples between ECHELON+ Stapler with GST Reloads (GST60G, GST60T) to Medtronic Signia™ Stapler with Tri-Staple™ Reloads (EGIA60AMT, EGIA60AXT) and Endo GIA™ with Tri-Staple™ Reloads (EGIA60AMT, EGIA60AXT). Percentage malformed results: 1.14% vs 4.28%, p < 0.05. (151140-200826)

‡ Benchtop testing in porcine tissue ≤ 30mmHg,  ≤ 40mmHg, ≤ 50mmHg (26mmHG average pressure experienced during intra-operative leak test), comparing Ethicon ECHELON+ Stapler PSEE60A with GST Reloads GST60B to Medtronic Signia™ and Endo GIA™ Staplers with Tri-Staple Reloads EGIA60AMT. Leak results at ≤ 30mmHg,  ≤ 40mmHg, ≤ 50mmHg respectively, (0/30, 7/30, 14/30), (7/30, 13/30, 23/30), (9/30, 21/30, 22/30). (149515-200811)

§ Benchtop testing in 3.3mm and 4.0mm porcine tissue comparing malformed staples between ECHELON+ Stapler with GST Reloads (GST60G, GST60T) to Medtronic Signia™ Stapler with Tri-Staple™ Reloads (EGIA60AMT, EGIA60AXT) and Endo GIA™ with Tri-Staple™ Reloads (EGIA60AMT, EGIA60AXT). Percentage malformed results: 1.14% vs 4.28%, p < 0.05. (151140-200826)

¶ Benchtop testing in 3.2mm synthetic tissue comparing staple line compression between ECHELON+ Stapler with GST Reloads (PSEE60A, GST60B, GST60G) to Medtronic Signia™ and Endo GIA™ Staplers with Tri-Staple™ Reloads (EGIA60AMT). Resulting in a statistically significant
compression uniformity, p<0.05. (155751-201014)

β In benchtop testing in porcine stomach tissue, the ECHELON+ Stapler with GST Reloads (PSEE60A, GST60T) had less mean longitudinal change in 4.0mm thick tissue, 0.79mm vs. 4.09mm, compared to the Signia™ Stapling System (SIGPHANDLE, SIG60AXT), p-value <0.05. (158476-201109)

1. Rawlins L, Johnson BH, Johnston SS, et al. Comparative Effectiveness Assessment of Two Powered Surgical Stapling Platforms in Laparoscopic Sleeve Gastrectomy: A Retrospective Matched Study. Medical Devices: Evidence and Research. 2020:13 195–204. doi: https://doi.org/10.2147/MDER.S256237

2. 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

3. Park SY, Kim DJ, Nam CM, et al. Clinical and Economic benefits Associated with the Use of Powered and Tissue-specific Endoscopic Staplers Among Patients Undergoing Thoracoscopic Lobectomy for Lung Cancer. Journal of Medical Economics, doi: 10.1080/13696998.2019.1634081 

4. Roy S, Yoo A, Yadalam S, et al. Comparison of economic and clinical outcomes between patients undergoing laparoscopic bariatric surgery with powered versus manual endoscopic surgical staplers. Journal of Medical Economics. 2017; 20:4, 423-433, doi: 10.1080/13696998.2017.1296453 

5. Tsunezuka Y, Tanaka N, Fujimori H. The Impact of Endoscopic Stapler Selection on Bleeding at the Vascular Stump in Pulmonary Artery Transection. Med Devices (Auckl). 2020;13:41-47 https://doi.org/10.2147/MDER.S240343

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