Ethicon Open Stapling A solution for every staple line Ethicon Colorectal Solutions Open Right Colectomy 1. Use the PROXIMATE® Linear Cutter to transect the proximal and distal ends of the specimen 2. Perform a side to side anastomosis with the PROXIMATE Linear Cutter 3. Close the enterotomy using the PROXIMATE® Reloadable Linear Stapler Open Left Colectomy / Sigmoidectomy 1. Transect the left or sigmoid colon using the PROXIMATE Linear Cutter 2. Create a side-to-side anastomosis with the PROXIMATE Linear Cutter 3. Use the PROXIMATE Reloadable Linear Stapler to close the enterotomy Open Low Anterior Resection 1. Transect the proximal end of the specimen with the PROXIMATE Linear Cutter 2. Use the CONTOUR® Curved Cutter Stapler to transect the distal end of the rectum 3. Create the end to end anastomosis using the Ethicon Circular Stapler
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Ethicon Open Stapling · Ethicon Endoscopic Circular Stapler Device code Diameter Cartridge Staple type # of staples Open staple leg length Compressed tissue thickness* Qty/box ECS21A
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Ethicon Open StaplingA solution for every staple line
Ethicon Colorectal Solutions
Open Right Colectomy
1. Use the PROXIMATE® Linear Cutter to transect the proximal and distal ends of the specimen
2. Perform a side to side anastomosis with the PROXIMATE Linear Cutter
3. Close the enterotomy using the PROXIMATE® Reloadable Linear Stapler
Open Left Colectomy / Sigmoidectomy
1. Transect the left or sigmoid colon using the PROXIMATE Linear Cutter
2. Create a side-to-side anastomosis with the PROXIMATE Linear Cutter
3. Use the PROXIMATE Reloadable Linear Stapler to close the enterotomy
Open Low Anterior Resection
1. Transect the proximal end of the specimen with the PROXIMATE Linear Cutter
2. Use the CONTOUR® Curved Cutter Stapler to transect the distal end of the rectum
3. Create the end to end anastomosis using the Ethicon Circular Stapler
1. US DRG dollar share data from 2014-2015 for circular stapler product codes. 2. Benchtop testing on porcine jejunum, comparing mean tissue draw during anvil closing of the Ethicon CDH25P and Medtronic EEA2535. 0.01cm vs 1.762cm, p=0.001. 3. Benchtop testing on porcine jejunum. Comparing mean tissue draw during anvil closing of the Ethicon Circular Stapler (CDH25A) and the DST Series EEA circular stapler (EEA2535). 0.437cm vs 1.708cm, p<0.05. 4. Benchtop testing on porcine jejunum, comparing mean tissue stretch during anvil opening after firing of the Ethicon CDH25P and the Medtronic EEA2535. 1.148cm vs 1.832cm, p=0.012 5. Benchtop testing on porcine jejunum. Comparing mean tissue stretch during anvil opening after firing of the Ethicon Circular Stapler (CDH25A) and the DST Series EEA circular stapler (EEA2535). 1.558cm vs 2.228cm, p<0.05. 6. Benchtop testing in porcine tissue at ≤30mmHg (26mmHg average pressure experienced during intra-operative leak test), comparing Ethicon CDH29P to Medtronic Covidien EEA2835, p<0.001. 7. Staple line analysis in benchtop testing, comparing Ethicon CDH25P to Medtronic EEA2535. 8. Benchtop testing on porcine jejunum, comparing mean tissue stretch during anvil opening after firing of the Ethicon CDH25P and the Medtronic EEA2535. 1.148cm vs 1.832cm, p=0.012. Benchtop testing on porcine colon, comparing Ethicon CDH29P to Medtronic EEA2835, p<0.001. 9. Benchtop testing on porcine rectum. Normalized mean tissue movement along the cut line from before clamping on tissue to after firing the CONTOUR® Curved Cutter Stapler (CS40G) vs ENDO GIA™ ULTRA Handle (EGIAUSTND) and Endo GIA™ Radial Reload with Tri-Staple™ Technology (EGIARADMT) on 2.1mm to 2.9mm thick tissue. 3.8mm (9.4%) vs 17.4mm (32.5%), p<0.001. 10. Benchtop testing in porcine tissue vs DST Series GIA (GIA8038S), Frankenman LC80B, Reach RLC8038S and Touchstone LC8038 at 2mm-5mm thickness range (p<0.001).
Ethicon Circular StaplersThe most chosen Circular Stapler for colorectal anastomoses1 with controlled tissue compression and Adjustable Height Staple Technology to promote conditions for healing*
• Continuously smooth anvil shaft creates less excess tissue draw during anvil closure2,3
• Fixed anvil design causes less tension on the anastomosis with less strain on the staple line during opening4,5
ECHELON CIRCULAR™ Powered Stapler*
• Delivers 61% fewer leaks at the staple line without compromising perfusion6
• With Gripping Surface Technology provides gentler handling with a 33% reduction in compressive forces on tissue8
*Compared to Medtronic DST Series™ EEA™ Stapler
CONTOUR® Curved Cutter StaplerCurved to go deep
• Unique curved head designed to cut and staple deep in the pelvis
More precise transection
• Parallel closure and tissue retention pin provides 78% less tissue slippage during firing compared to Covidien EndoGIA Radial Reload with Tri-Staple Technology9
PROXIMATE® Linear CutterSuperior staple formation
• 51% fewer malformed staples than DST Series GIA (GIA8038S)10
Controlled compression
• With its unique CAM Mechanism and tissue retention pin is designed to deliver controlled tissue compression from thin to thick tissue
PROXIMATE® Reloadable Linear StaplerConsistent staple formation
• Parallel jaw closure is designed to help compress tissue evenly within the jaws of the instrument for consistent staple formation
Ethicon Endoscopic Circular Stapler
Device code Diameter Cartridge Staple type # of staplesOpen staple leg length
For complete product information, including full steps for use, indications, contraindications, warnings and precautions, please see Instruction for Use.