Echelon Flex Now experience the least tissue slippage during firing PART OF THE ^©tmWWwjjofotUOH FAMILY OF COMPANIES

A better stapling solution for outsmarting movement Tissue thickness and density presents unique challenges when stapling laparoscopically. Endocutters are designed to mitigate the forces placed on them during firing in order to provide consistent staple formation and transect intended tissues. However, as tissue thickness increases, so do the forces placed on the device during firing. This can lead to unintentional movement during firing of not only the device, but the tissue itself. Tissue movement or slippage during firing can result in poorly formed and spaced staples that may call into question...

Experience the next evolution in stapling Only the ECHELON FLEX™ GST System* with the combination of the new ECHELON FLEX Powered Plus Stapler used with proprietary Reloads with GST gives you the following results: • 4x less tissue slippage during firing compared to Endo GIA™ Reloads with Tri-Staple™ Technology for unsurpassed staple performance.‡ • May eliminate 1 reload per procedure due to less tissue slippage during firing. The Least The Least Tissue Slippage During Firing During Firing AFTER FIRING BEFORE FIRING Endo GIA™ Reloads with Tri-Staple™ Technology • Delivers a more targeted tissue...

Transect the tissue you intended Less Tissue Milking* Less Tissue Slippage† Across a Range of Tissue Thicknesses Across a Range of Tissue Thicknesses The unique gripping surface technology on each reload provides a superior tissue grip** without additional trauma during firing.¶ This means you can transect more tissue§—especially in very thick tissue with each firing. The increased transection efficiency may eliminate 1 reload per procedure.† TISSUE SLIPPAGE (mm per firing) TISSUE SLIPPAGE (mm per firing) Endo GIA™ Reloads with Tri-Staple™ Technology By reducing the amount and impact of tissue...

A complete stapling solution for the least tissue slippage during firing† The ECHELON FLEX GST System gives you the next evolution in laparoscopic stapling. Built on the stability of the ECHELON FLEX™ Powered Stapler, this system delivers exceptional tissue handling during firing for the range of tissues faced in bariatric, colorectal and thoracic procedures. Contact your ETHICON Sales Professional or visit www.ethicon.com/gst to learn more about the performance of the ECHELON FLEX™ Powered Plus Stapler and ENDOPATH ECHELON™ Reloads with Gripping Surface Technology (GST). ECHELON FLEX™ GST System...

* System components include ECHELON FLEX™ Powered Plus Stapler and ENDOPATH ECHELON™ Reloads with Gripping Surface Technology † 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 1.5, 2.5, 3.3 and 4.0mm tissue thicknesses (1.5mm; GST60B 1.067mm vs EGIA60AMT 2.452mm p<0.001; 2.5mm: GST60G 1.148mm vs EGIA60AMT 3.261mm p<0.001; 3.3mm: GST60T 0.642mm vs EGIA60AMT 4.806mm p<0.001;...