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In an ongoing commitment to assist surgeons in reducing patient complications and gaining efficiencies in the OR, J&J MedTech have released a buttress which is compatible with both the ECHELON™ and SureForm™ stapling platforms. One of the key goals we had in mind was to make the buttress easy and simple to use. Compared with the 12 steps involved in the work flow of applying Gore, ECHELON™ Staple Line Reinforcement, otherwise known as SLR only has 4 steps.*1,2 The easy click and go applicator means ECHELON™ SLR can be loaded in less than 20 seconds.3 In fact, 97% of nurses surveyed agree that ECHELON ENDOPATH™ Staple Line Reinforcement is easier to use.3 You mentioned reducing patient complications such as bleeding and leaks is important to you. ECHELON™ SLR is made from the same trusted materials used in VICRYL™ and PDS™ sutures and has been shown to reduce PALs to 3.8% in a prospective multi-centre clinical study in the US4 compared with a reported incident rate of 5-19%.5 This benefit was replicated in a study conducted in Japan where air leaks reduced to 6.3% in patients where ECHELON™ SLR was used compared with 28.5% where no buttress was used.6 In addition, ECHELON™ SLR exhibited the same hemostasis as GORE® SEAMGUARD® Staple Line Reinforcement with 45% less material left behind.†,7,8 It also has greater strength retention during the critical wound healing period.9 Would you be willing to trial using ECHELON™ SLR in your next 10 cases so that you can see the results for yourself and get feedback on ease of use from your team?

Key Messages

  • SLR has 4 steps compared with 8. *1
  • SLR takes 18 seconds to apply compared with 81 seconds for GORE® SEAMGUARD®† 2
  • Easy click and go applicator
  • Same trusted materials used in VICRYL and PDS sutures.
  • Clinical evidence to support it reduces PALS to 3.8%.4,5
  • Ask for a 10 case trial so that their the surgeon and OR team can experience the ease of use and outcomes for themselves.

References

*Based on loading steps per IFUs prior to tissue manipulation
† ECHELON ENDOPATH™ Staple Line Reinforcement vs. GORE® SEAMGUARD® Staple Line Reinforcement. Hemostasis: evaluated via gross observations of firings requiring intervention in 1.38mm to 2.32mm thick porcine ileum and jejunum tissues, evaluated via a 5-point Likert scale resulting in statistically no difference in Likert scores. Material: based on average total surface area measurements (26.79cm2 vs. 49.21cm2)
1. Ethicon. ECHELON ENDOPATH™ Staple Line Reinforcement Instructions for Use
2. GORE, Seamguard Bioabsorbable Staple Line Reinforcement Instruction for Use
3. Ricketts C, Pollack E. Evaluation of setup by nurses of a novel click and go staple line reinforcement system. Global Surgery. 2020. 
4. Kesler KA, Zeltsman D, Martin LW, et al. Safety and usability of an endo staple line reinforcement device for pulmonary resections. J Thorac Dis. 2023;15(11):6151-6159.
5. Zheng Q, Ge L, Zhou J, et al. Risk factors for prolonged air leak after pulmonary surgery: A systematic review and meta-analysis. Asian Journal of Surgery. 2022; 45:2159-2167.
6. Mitsui S, Tanaka Y, Nishikubo M et. al. Safety and efficacy of new staple-line reinforcement in lung resection:a prospective study of 48 patients. Surgery Today. 14 Aug 2023.
7. Ethicon, Dimensional Measurements of Gore(R) Seamguard Compared to Echelon Endopath(TM) Staple Line Reinforcement. 7.29.2019. Windchill Document #SCN066699
8. Ethicon, Evaluation of Hemostasis Following Use of the EB3 Zeppelin Echelon Reinforcement Material Device in Swine? Acute. 7.8.2020. Windchill Document #PSB004768
9. Ethicon, Staple Pull Evaluation for Zeppelin and Competitive Product. 12.02.2019. Windchill #PRC091255

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