Updated: Jun 8, 2022
Ethicon, part of Johnson & Johnson MedTech, has launched the ECHELON 3000 Stapler in the US. According to the company, this digitally enabled device provides surgeons with simple, one-handed powered articulation to help address the unique needs of their patients. Designed with 39% greater jaw aperture and a 27% greater articulation span, Echelon 3000 gives surgeons better access and control over each transection, even in tight spaces and on challenging tissue. These features combined with software that provides real-time haptic and audible device feedback enable surgeons to make critical adjustments during procedures.
"The Echelon 3000 has the flexibility that we as surgeons have long craved in a surgical stapler – with greater articulation for better access to tissue in tight spaces, such as the thoracic cavity," said Dr Zane Hammoud, Chief of General Thoracic Surgery at Ascension Providence Hospital System. "As a thoracic surgeon, these new enhancements to a trusted device may allow for a more seamless and efficient surgical experience."
Echelon 3000 builds upon the Echelon+ Stapler with GST Reloads, bringing forward the same capabilities in advancing staple line security and delivering fewer leakage pathways at the staple line, even in challenging conditions compared to the Medtronic Signia Stapling System.1,2 While it can be used in a wide range of surgical procedures, it was designed to be used in thoracic, colorectal, and bariatric/gastric laparoscopic procedures where improvements in device access and control can make a meaningful difference:
VATS Segmentectomy - Improved access in the tight thoracic cavity and a wider jaw aperture to place thick, variable lung tissue more easily within the jaws
Low Anterior Resection - Better access and angle of approach in the tight pelvis region to increase the likelihood of transecting the colon in a single firing
Sleeve Gastrectomy - Easier to control the shape of the gastric sleeve from the first firing to the last with one-handed powered articulation and the ability to set the jaws to any point within the articulation span
"Greater jaw aperture, powered articulation and articulation within a shortened distance are all incredibly valuable assets that make an already beneficial stapler, even better," said Dr Joe Northup, Bariatric Surgeon at BMI Surgery, Past-Chair, ASMBS Access to Care Committee and ASMBS Executive Council. "Having placed the Echelon+ stapler in my hand already, it feels natural and familiar to transition right into this new device."
Echelon 3000 45mm and 60mm Staplers are sterile, single-patient-use instruments that simultaneously cut and staple tissue. There are six staggered rows of staples, three on either side of the cut line. The shaft can rotate 360⁰ and an articulation mechanism enables the distal portion of the shaft to pivot to facilitate lateral access to the operative site. The devices include both powered firing and powered articulation.
The ECHELON 3000 Staplers are intended for transection, resection, and/or creation of anastomoses and are compatible with GST reloads, which are associated with reduced complications in compromised tissue. The instruments have application in multiple open or minimally invasive general, urologic, thoracic, and paediatric surgical procedures. They can be used with staple line or tissue reinforcement materials. The instruments may also be used for transection and resection of liver parenchyma (hepatic vasculature and biliary structures), pancreas, kidney, and spleen.
"Surgical complications often stem from difficult-to-access anatomy and compromised tissue, which this next generation Echelon stapler is specifically designed to address," said Tom O'Brien, Worldwide President, Endomechanical, Ethicon. "Our goal, with ECHELON 3000, is to arm surgeons with a device that helps address the root causes of surgical complications, enabling them to successfully navigate the differing needs of each patient's anatomy, deliver on their preoperative plans and ultimately make a meaningful difference in patient outcomes."
2. Benchtop testing in porcine tissue ≤ 30mmHg (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. Cumulative number of leaked tests (0/30) & (7/30) respectively, n=30 p < 0.05. (149513-200811)