Talk track

Unintentional movement of the Gore buttress during placement and repositioning is a well-known occurrence and like you have explained causes frustration with many surgeons. That is why our engineers designed a buttress that stays in place even with tissue manipulation and repositioning.1 This buttress is compatible with both ECHELON™ and SureForm™ staplers. Twisting and bunching of the buttress can not only mean inadequate buttress coverage but can also lead to error messages during clamping and firing with SureForm™. The risk of this occurring can be higher in a wedge procedure due to the difficult angles and need to cross staple lines to make the wedge. The proprietary buttress attachment material (BAM) of ECHELON ENDOPATH™ Staple Line Reinforcement, otherwise known as SLR, delivers secure attachment for uninterrupted tissue manipulation via the proprietary buttress attachment material (BAM). The pattern of the BAM allows it to affix across the entire anvil and cartridge face instead of being anchored in just a few spots. This means ECHELON™ SLR stays securely attached to the staple reload yet still gently releases onto tissue.*2,3 ECHELON™ SLR loads in seconds and there are no strings that get in the way.4 Most importantly though, 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 minimize PALs in two clinical studies.5,6  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?

Key Messages

  • Wedge procedures can have a high risk of bunching, slipping and twisting of buttress materials due to challenging angles and crossed staple lines
  • ECHELON™ SLR has a proprietary buttress attachment material (BAM) which stays securely attached to the staple reload yet still gently releases onto tissue.2,3
  • SLR loads in seconds with no strings.4
  • Shown to reduce PALs in two clinical studies.5,6
  • 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
  • Ask for 10 case trial so the surgeon can see the results for themselves.

References

*Based on coverage after manipulation assessment with SureForm™ 60mm devices.
†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, Project Zeppelin Coverage after Manipulation Comparison Completion Report. 9.25.2020. Windchill Document #PRC086040
2. Ethicon, Zeppelin Re-Imagined Coverage After Manipulation Assessment with SureForm 60mm Devices Completion Report. 06.07.2022. Windchill Document #500856806
3. Ethicon, Zeppelin Re-Imagine SureForm Release Test Completion Report. 04.06.2022. Windchill Document #500908265
4. Ricketts C, Pollack E. Evaluation of setup by nurses of a novel click and go staple line reinforcement system. Global Surgery. 2020. 
5. 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.
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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