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Improving Surgical Outcomes
Setting Standards in Education
Advancing Thoracic Surgery
Committed to Improving Surgical Outcomes
Ethicon has the only comprehensive, evidence-backed portfolio focused on addressing key surgical challenges like bleeding and air leaks. Learn more about published studies demonstrating how the ECHELON portfolio is associated with reduced hemostasis-related complications*1, fewer staple line air leaks†, and reliable sealing of small pulmonary vessels.2
Setting Standards in Professional Development
The Johnson & Johnson Institute offers world-class programming with breakthrough digital technologies designed to help enhance surgeon performance. The J&J Institute trains thousands of surgeons annually.
Advancing Thoracic Surgery
We’re harnessing our position as a company with influence across the entire spectrum of human health to advance the treatment of lung disease. We invest in purposeful R&D to further improve surgical outcomes, make strategic acquisitions like the Monarch® Platform, and drive toward earlier intervention with the establishment of the Lung Cancer Initiative.
ECHELON FLEX™ Powered Vascular Stapler
ECHELON FLEX™ Powered Vascular Stapler
ECHELON FLEX™ Powered Vascular Stapler has been associated with reduction in hemostasis-related complications‡, shorter stays§ and improved hemostasis outcomes without increased cost in VATS Lobectomy.*1
ECHELON FLEX™ GST System
ECHELON FLEX™ GST System
A published study on the Physiologic Lung Model demonstrated that under physiologic breathing conditions, ECHELON FLEX™ GST System resulted in fewer staple line air leaks.†
HARMONIC ACE®+7 Shears With Advanced Hemostasis
HARMONIC ACE®+7 Shears With Advanced Hemostasis
HARMONIC® ultrasonic energy devices reliably sealed pulmonary artery branches.¶3
HARMONIC® HD 1000i Shears
HARMONIC® HD 1000i Shears
HARMONIC® devices are the undisputed ultrasonic leader proven to minimize the impact on tissue.** Experience unparalleled strength featuring a unique blade designed to deliver secure seals.#
References
* 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 cost: $23,219 vs $25,207; p=0.242.
† 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).
§ 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).
¶ HARMONIC® used to seal 239 vessels in this study with 3 intraoperative bleeds (98.7% success). Liberman M, et al. Prospective, multicenter, international phase 2 trial evaluating ultrasonic energy for pulmonary artery branch sealing in video‐assisted thoracoscopic surgery lobectomy. J of Thoracic and Cardiovascular Surgery. Sep 2019. DOI 10.1016/j.jtcvs.2019.09.061
** Market share data compiled from Decision Resources Group (120150-190806)
# Based on a benchtop study with 5-7mm porcine carotid arteries. (Burst pressure:1878 mmHg) (057616-200427)
1. Premier thoracic analysis
2. Liberman M, Goudie E, Morse C, et al. et al. Prospective, multicenter, international phase 2 trial evaluating ultrasonic energy for pulmonary artery branch sealing in video-assisted thoracoscopic surgery lobectomy. J Thorac Cardiovasc Surg. 2019;S0022-5223(19):32065-3.
3. See Results and Conclusion in Abstract