Ethicon Open Stapling A solution for every staple line 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 3. Close the enterotomy using the PROXIMATE Reloadable Linear Stapler Open Left Colectomy / Sigmoidectomy 1. Transect the left or sigmoid colon using the 2. Create a side-to-side anastomosis with the 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 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 Ethicon Colorectal Solutions
Ethicon Circular Staplers The most chosen Circular Stapler for colorectal anastomoses 1 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 closure 2,3 Fixed anvil design causes less tension on the anastomosis with less strain on the staple line during opening 4,5 ECHELON CIRCULAR Powered Stapler* Delivers 61% fewer leaks at the staple line without compromising perfusion 6 Produces more evenly distributed compression & reduces potential leaks paths. 7 With Gripping Surface Technology provides gentler handling with a 33% reduction in compressive forces on tissue 8 *Compared to Medtronic DST Series EEA Stapler CONTOUR Curved Cutter Stapler Curved 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 Technology 9 PROXIMATE Linear Cutter Superior 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 Stapler Consistent staple formation Parallel jaw closure is designed to help compress tissue evenly within the jaws of the instrument for consistent staple formation 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=0.0 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=0.0. 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. (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 Endoscopic Circular Stapler Device code Diameter Cartridge Staple type # of staples Open staple leg length Compressed tissue thickness* Qty/box ECS21A 21mm Standard flat deck B-form 16 5.5mm 1.0 2.5mm 3 ECS25A 25mm Standard flat deck B-form 20 5.5mm 1.0 2.5mm 3 ECS29A 29mm Standard flat deck B-form 24 5.5mm 1.0 2.5mm 3 ECS33A 33mm Standard flat deck B-form 28 5.5mm 1.0 2.5mm 3 Ethicon Curved Open Circular Stapler Device code Diameter Cartridge Staple type # of staples Open staple leg length Compressed tissue thickness* Qty/box CDH21A 21mm Standard flat deck B-form 16 5.5mm 1.0 2.5mm 3 CDH25A 25mm Standard flat deck B-form 20 5.5mm 1.0 2.5mm 3 CDH29A 29mm Standard flat deck B-form 24 5.5mm 1.0 2.5mm 3 CDH33A 33mm Standard flat deck B-form 28 5.5mm 1.0 2.5mm 3 CONTOUR Curved Cutter Stapler Device code Tissue Staple rows Cut line length Staple line length Max firings Qty/box CS40B 4 40mm 51mm 6 3 CS40G 4 40mm 51mm 6 3 Reload code Tissue Closed staple height Open staple height Wire diameter Qty/box CR40B 3.5mm 6 CR40G 4.7mm 6 PROXIMATE Linear Cutter Description Device code Tissue Staple rows Cut line length Staple line length # of staples Max firings Qty/box 55mm TVC55 TLC55 TCT55 Vascular/Thin 4 53mm 57mm 56 8 3 75mm TLC75 TCD75 TCT75 / 4 73mm 77mm 76 8 3 *1.0mm compressed tissue thickness provides closed staple height
Description Device code Tissue Staple rows Cut line length Staple line length # of staples Max firings Qty/box 100mm TLC10 TCT10 4 98mm 102mm 100 8 3 Description Reload code Tissue Closed staple height Wire diameter Open staple height Qty/box 55mm Reload TVR55 TCR55 TRT55 Vascular/Thin 1.0mm 2.6mm 75mm Reload TCR75 TRD75 TRT75 / 1.8mm 4.2mm 100mm Reload TCR10 TRT10 PROXIMATE Reloadable Staplers Description Device code Tissue Staple rows Staple line length # of staples Max firings Qty/box 30mm Stapler Vascular TX30V Vascular 3 30mm 23 8 3 30mm TX30B TX30G 2 30mm 11 8 3 60mm TX60B TX60G 2 60mm 21 8 3 Description Reload code Tissue Closed staple height (mm) Wire diameter Open staple height Qty/box 30mm Reload Vascular XR30V Vascular 1.0mm 2.4mm 30mm Reload XR30B XR30G 0.27mm 3.6mm 4.7mm 60mm Reload XR60B XR60G 0.27mm 3.6mm 4.7mm
How to Order All purchase orders are made to Johnson & Johnson Health Care Systems, Inc. (JJHCS) or your authorized distributor. Electronic Ordering Options (Note: Placing orders electronically avoids minimum order fees for your hospital.) Johnson & Johnson Gateway: www.jnjgateway.com/commerce For questions about your order, visit the website or call 1-866-JNJ-GATE (565-4283). Global Healthcare Exchange (GHX): www.ghx.com For questions about your order, visit the website or call 1-800-YOUR-GHX (968-7449). Electronic Data Interchange (EDI): JJHCS EDI Help Line: 1-800-262-2888 Customer Support For product use assistance, clinical guidelines, service and repair, emergency assistance, copy of a 510(k) clearance letter or complaints, please contact our Customer Support Center at customersupport@eesus.jnj.com or by calling 1-877-ETHICON (384-4266). Our Support Center is staffed 24 hours a day, 7 days a week by qualified nurses to answer your product-related questions. Nonelectronic/Manual Ordering Options Call JJHCS at 1-800-255-2500 between 8:30 a.m. and 9:00 p.m. Eastern Standard Time or fax your order to 1-732-562-22. For complete product information, including full steps for use, indications, contraindications, warnings and precautions, please see Instruction for Use. 2018 Ethicon US, LLC. All Rights Reserved. 076700-180213