Precision perfected in thoracic surgery

The ECHELON FLEX Powered Vascular Stapler also gives you enhanced stability on fragile vessels, providing 83% reduction in tip movement1 during transection, potentially resulting in less trauma.

A portfolio focused on precisionAccess, visualization and dissection are challenging in thoracic cases using traditional endoscopic devices. While surgical complications are rare, when they do occur—they could be serious for the patient and expensive for the hospital.

Ethicon is committed to developing innovative technologies and providing a comprehensive portfolio of products and solutions to enable greater precision in every aspect of thoracic surgery, giving surgeons the tools to deliver superior patient outcomes.

ECHELON FLEX™ Powered Vascular Stapler

Thin. Nimble. And incredibly precise. For transecting the PA/PV:The ECHELON FLEX™ Powered Vascular Stapler gives you a narrower anvil, thinner shaft and more articulation than Endo GIA™ Curved Tip Reload with Tri-Staple™ Technology.

11% greater manual articulation in each direction,1 allowing more flexibility during final placement

26% thinner shaft, offering the greatest angle of reach in the tight intercostal space

26% narrower curved, blunt tip anvil, providing superior maneuverability around vascular structures

Commitment to thoracic specialtyWe are focused on bringing greater precision to every aspect of thoracic surgery—from providing training that helps OR teams work together most efficiently to funding research for new surgical techniques to delivering product innovations that enable better outcomes in thoracic surgery

• Education and training—providing best-in-class education for the entire surgical team, including OR staff and educational resources for the patient and referring physician

• Research and evidence—partnering with societies and thought leaders around the world to help advance surgical techniques and discover ways to drive better patient outcomes

To learn more about Ethicon’s thoracic solutions, contact your sales representative or visit ethicon.com/thoracic

ECHELON FLEX™ GST System

Mastering movement. Transect as you intend.For parenchyma, bronchus and fissures firings: The ECHELON FLEX™ GST System2 controls tissue movement to enable surgeons to transect as intended even on the most challenging thoracic tissue

• 4x less tissue slippage during firing for the most precise transection compared to Endo GIA™ Reloads with Tri-Staple™ Technology3

• Accommodates a broader range of lung parenchyma tissue thickness compared to Endo GIA Tri-Staple Reloads4

• Exclusive reloads with Gripping Surface Technology, offering a proprietary ridged surface to provide an atraumatic grip that holds tissue in place during firing5

HARMONIC® HD 1000i Shears

A step forward in the evolution of HARMONIC advanced energy devicesUnprecedented performance and usability in a single device:HARMONIC® HD 1000i—offers a seamless combination of unmatched precision, unparalleled strength and optimal efficiency for improved dissection, faster transection and more secure sealing

• Successfully sealed 100% of thoracic pulmonary vessels up to 7mm during first pass hemostasis6

• Displayed overall superior dissecting capabilities when performing dissection on the pulmonary artery, pulmonary vein, azygous vein and lymph nodes7

Product specifications and codes

www.ethicon.com/thoracic©2018 Ethicon US, LLC. All rights reserved. 037228-180809

The third-party trademarks used herein are trademarks of their respective owners.For complete product information, including full steps for use, indications,

contraindications, warnings and precautions, please see the Instructions for Use.

ECHELON FLEX™ Powered Vascular Stapler with Advanced Placement Tip

CODE DESCRIPTIONQUANTITY PER SALES UNIT

PVE35A 35mm Standard Articulating Endoscopic Linear Cutter,* 320mm 3

*Instrument does not contain a reload.

ENDOPATH ECHELON™ Vascular White Reload for Advanced Placement Tip (35mm, 4 row)

CODE COLOR DESCRIPTIONSTAPLE ROWS

OPEN STAPLE HEIGHT

CLOSED STAPLE HEIGHT

QUANTITY PER SALES UNIT

VASECR35 WhiteWhite reload intended for use in vascular/thin tissue

4 2.5mm 1.0mm 12

ECHELON FLEX™ GST System

CODE DESCRIPTION JAW LENGTHQUANTITY PER SALES UNIT

PCEE60APCEE45A

Compact Articulating Endoscopic Linear Cutter,* 280mm60mm45mm

3

PSEE60APSEE45A

Standard Articulating Endoscopic Linear Cutter,* 340mm60mm45mm

3

PLEE60APLEE45A

Long Articulating Endoscopic Linear Cutter,* 440mm60mm45mm

3

CODE COLOR DESCRIPTION

OPEN STAPLE HEIGHT

CLOSED STAPLE HEIGHT

QUANTITY PER SALES UNIT

GST45W, GST60W White White reload intended for use in vascular/thin tissue 2.6mm 1.0mm 12

GST45B, GST60B Blue Blue reload intended for use in regular tissue 3.6mm 1.5mm 12

GST45D, GST60D Gold Gold reload intended for use in regular/thick tissue 3.8mm 1.8mm 12

GST45G, GST60G Green Green reload intended for use in thick tissue 4.1mm 2.0mm 12

GST45T, GST60T Black Black reload intended for use in very thick tissue 4.2mm 2.3mm 12

HARMONIC® HD 1000i Shears

CODE DESCRIPTIONQUANTITY PER SALES UNIT

HARHD20 HARMONIC® HD 1000i Shears, 20cm Shaft Length 6

HARHD36 HARMONIC® HD 1000i Shears, 36cm Shaft Length 6

For more information, contact your local Ethicon Sales Professional or call 1-877-ETHICON (384-4266).References: 1. Based on articulation data from IFUs of each device. 2. System components include ECHELON FLEX™ Powered Plus Stapler and ENDOPATH ECHELON™ Reloads with Gripping Surface Technology. 3. Benchtop testing in porcine stomach tissue. Mean tissue movement from after clamping on tissue to after firing ECHELON FLEX™ Powered Plus Stapler (PSEE60A) and ECHELON Reload with GST vs ENDO GIA™ ULTRA Handle (EGIAUSTND) and Endo GIA™ Reload with Tri-Staple™ Technology at 3.3 and 4.0mm tissue thicknesses (3.3mm: GST60T 0.642mm vs EGIA60AMT 4.806mm p