Promise of Less Tissue Slippage with Ethicon’s New Echelon Flex™ GST Powered Stapler

A new design of stapler from Ethicon will feature at this week’s American College of Surgeons Clinical Conference in San Francisco. The ECHELON FLEX GST SYSTEM is a new powered stapler and reload system uniquely designed to provide a better grip on tissue for the least tissue slippage during firing.


Tissue movement or slippage during firing can result in poorly formed and spaced staples as well as the need for extra firings to complete the intended tissue transection.

The device’s so-called Gripping Surface Technology(GST) offers a proprietary ridged surface to provide an atraumatic grip that holds tissue in place during firing. Ethicon claims the result is four times less tissue slippage with the consequence of more targeted tissue transections and the potential to eliminate one reload per procedure. A marginal gain perhaps, but that’s what the game’s all about these days, especially if it can claim to provide enhanced economic value. Less tissue slippage during firing also results in consistent staple formation across a range of tissue thicknesses with each reload.

The ECHELON FLEX GST System includes the ECHELON FLEX™ Powered Plus Stapler and the ENDOPATH ECHELON™ Reloads with Gripping Surface Technology. Designed for bariatric, colorectal and thoracic procedures, the ECHELON FLEX GST System is being made immediately available to customers in the U.S. and will be introduced globally beginning in the first quarter of 2015.

Company comments 

“Surgeons have long needed a stapling solution that enables reliable performance and staple line security without potential risk of additional tissue trauma, particularly in bariatric surgery procedures such as sleeve gastrectomy, where they may encounter an unexpected variance in tissue thickness,” said Dr. Elliott Fegelman, Senior Medical Director at Ethicon. “The exciting aspect of the ECHELON FLEX GST System is that you now have optimal compression integrated with better grasping during the firing sequence. This means consistent staple formation, which may help reduce the risk of a leak or bleeding across broad range tissue thicknesses thereby reducing the potential for complications.”

Source: Ethicon, Inc., Ethicon Endo-Surgery, Inc.

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