Ethicon Open StaplingA solution for every staple line

Ethicon Colorectal Solutions

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 PROXIMATE Linear Cutter

3. Close the enterotomy using the PROXIMATE® Reloadable Linear Stapler

Open Left Colectomy / Sigmoidectomy

1. Transect the left or sigmoid colon using the PROXIMATE Linear Cutter

2. Create a side-to-side anastomosis with the PROXIMATE Linear Cutter

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 PROXIMATE Linear Cutter

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

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=0.012 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=0.012. 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. 3.8mm (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 Circular StaplersThe most chosen Circular Stapler for colorectal anastomoses1 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 closure2,3

• Fixed anvil design causes less tension on the anastomosis with less strain on the staple line during opening4,5

ECHELON CIRCULAR™ Powered Stapler*

• Delivers 61% fewer leaks at the staple line without compromising perfusion6

• 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 tissue8

*Compared to Medtronic DST Series™ EEA™ Stapler

CONTOUR® Curved Cutter StaplerCurved 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 Technology9

PROXIMATE® Linear CutterSuperior 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 StaplerConsistent staple formation

• Parallel jaw closure is designed to help compress tissue evenly within the jaws of the instrument for consistent staple formation

Ethicon Endoscopic Circular Stapler

Device code Diameter Cartridge Staple type # of staplesOpen 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 staplesOpen 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 Regular 4 40mm 51mm 6 3

CS40G Thick 4 40mm 51mm 6 3

Reload code Tissue Closed staple height Open staple height Wire diameter Qty/box

CR40B Regular 1.5mm 3.5mm 0.20mm 6

CR40G Thick 2.0mm 4.7mm 0.23mm 6

PROXIMATE® Linear Cutter

DescriptionDevice code Tissue

Staple rows

Cut line length

Staple line length # of staples Max firings Qty/box

Proximate Linear Cutter

55mm

TVC55

TLC55

TCT55

Vascular/Thin

Regular

Thick

4 53mm 57mm 56 8 3

Proximate Linear Cutter

75mm

TLC75

TCD75

TCT75

Regular

Regular/Thick

Thick

4 73mm 77mm 76 8 3

*1.0mm compressed tissue thickness provides 1.5mm closed staple height

DescriptionDevice code Tissue

Staple rows

Cut line length

Staple line length # of staples Max firings Qty/box

Proximate Linear Cutter

100mm

TLC10

TCT10

Regular

Thick4 98mm 102mm 100 8 3

Description Reload code Tissue Closed staple height Wire diameter Open staple height Qty/box

Proximate Linear Cutter

55mm Reload

TVR55

TCR55

TRT55

Vascular/Thin

Regular

Thick

1.0mm

1.5mm

2.0mm

0.20mm

0.20mm

0.23mm

2.6mm

3.8mm

4.5mm

12

Proximate Linear Cutter

75mm Reload

TCR75

TRD75

TRT75

Regular

Regular/Thick

Thick

1.5mm

1.8mm

2.0mm

0.20mm

0.20mm

0.23mm

3.8mm

4.2mm

4.5mm

12

Proximate Linear Cutter

100mm Reload

TCR10

TRT10

Regular

Thick

1.5mm

2.0mm

0.20mm

0.23mm

3.8mm

4.5mm12

PROXIMATE® Reloadable Staplers

Description Device code Tissue Staple rows Staple line length # of staples Max firings Qty/box

Proximate Linear Stapler 30mm

Stapler–VascularTX30V Vascular 3 30mm 23 8 3

Proximate Linear Stapler 30mmTX30B

TX30G

Regular

Thick2 30mm 11 8 3

Proximate Linear Stapler 60mmTX60B

TX60G

Regular

Thick2 60mm 21 8 3

Description Reload code Tissue Closed staple height (mm) Wire diameter Open staple height Qty/box

Proximate Linear Stapler

30mm Reload– VascularXR30V Vascular 1.0mm 0.20mm 2.4mm 12

Proximate Linear Stapler

30mm Reload

XR30B

XR30G

Regular

Thick

1.5mm

2.0mm

0.23mm

0.27mm

3.6mm

4.7mm12

Proximate Linear Stapler

60mm Reload

XR60B

XR60G

Regular

Thick

1.5mm

2.0mm

0.23mm

0.27mm

3.6mm

4.7mm12

For complete product information, including full steps for use, indications, contraindications, warnings and precautions, please see Instruction for Use.

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How to OrderAll 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/commerceFor questions about your order, visit the website or call 1-866-JNJ-GATE (565-4283).

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Electronic Data Interchange (EDI): JJHCS EDI Help Line: 1-800-262-2888

Nonelectronic/Manual Ordering OptionsCall JJHCS at 1-800-255-2500 between 8:30 a.m. and 9:00 p.m. Eastern Standard

Time or fax your order to 1-732-562-2212.

Customer SupportFor 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 sta� ed 24 hours a

day, 7 days a week by qualified nurses to

answer your product-related questions.