Johnson & Johnson MedTech launches the DUALTO Energy System combining multiple energy modalities into an integrated platform for use across open and minimally invasive surgery

Johnson & Johnson MedTech has launched the DUALTO Energy System, a surgical solution that combines multiple energy modalities into an integrated platform for use across open and minimally invasive surgery. The system can be paired with Service Solutions to support uptime and is designed to work with the Polyphonic Fleet software application for device management. DUALTO has also been designed for future use with the company’s OTTAVA Robotic Surgical System.

DUALTO Energy System

DUALTO has been developed to offer clinical teams the choice of powering monopolar, bipolar, ultrasonic, and advanced bipolar instruments, including HARMONIC and ENSEAL devices, from a single, consolidated system. The modular design and flexible architecture allow for up to 46% less footprint versus separate generators. According to the company, DUALTO is also the first and only surgical energy system that will be available in a double configuration, allowing two surgeons to work in a complex procedure and activate simultaneous energy from one electrosurgical unit.

DUALTO leverages proprietary Adaptive Tissue Technology, enhancing the performance of HARMONIC and ENSEAL advanced energy devices. Adaptive Tissue Technology responds intelligently to changing tissue conditions, regulates energy delivery for improved temperature management, and provides tone changes and user signals, to enable more precise energy delivery.5II When powered by DUALTO, HARMONIC 700 and HARMONIC FOCUS+ instruments demonstrate more efficiency, transecting thick tissue up to 18% and 25% faster, respectively.

Streamlined OR setup could help to minimise stress levels for surgeons and their clinical teams. The design of DUALTO prioritizes usability – the instinctive touchscreen interface offers guided setup and troubleshooting, features clear visual and auditory cues for real-time feedback, and streamlines workflows in the operating room. With the capability to store personalised profiles for different surgeons and procedures, DUALTO supports faster setup and adjustments through custom energy settings.

“The user-friendly touchscreen of the energy system simplifies setup, and it allows my team to configure the system to fit my preferences and the specific procedure,” said Dr Maie St John, Professor and Chair, Department of Head and Neck Surgery in Los Angeles. “The design not only helps to reduce setup time and saves space in the OR, but it also streamlines troubleshooting with on-screen prompts and ultimately can improve our surgical energy workflows.”

The DUALTO Energy System is designed to work with Polyphonic Fleet – an easy-to-use software application that helps hospitals oversee capital equipment. Polyphonic Fleet can inform the status of DUALTO for software upgrades and routine maintenance needs and provide instructions remotely, helping biomedical managers, engineers, and other users ensure the system has the latest software without disrupting the operating room schedule.  

The Polyphonic digital ecosystem, which includes Polyphonic Fleet, will connect data across world-class surgical technologies, robotics, and surgical software while leveraging the global scale of Johnson & Johnson.

“Johnson & Johnson MedTech’s Polyphonic ecosystem will enable new experiences across our portfolio of medical devices, robotics, and software solutions,” said Shan Jegatheeswaran, Vice President, Digital, Johnson & Johnson MedTech. “DUALTO combines advanced energy technology with Polyphonic Fleet’s ecosystem to provide remote support. We are excited to empower healthcare teams with capabilities for more connected OR devices.”

The DUALTO Energy System and Polyphonic Fleet will soon be available to select hospital sites in select markets. 

The OTTAVA Robotic System is under development and is not authorized to be marketed or sold in any market.