UNIQUE CHALLENGES DEMAND MEANINGFUL INNOVATIONS. Specialty stapling and advanced energy solutions for thoracic surgeons

Transcription

1 UNIQUE CHALLENGES DEMAND MEANINGFUL INNOVATIONS. Specialty stapling and advanced energy solutions for thoracic surgeons

2 OUR JOB IS TO MAKE YOURS EASIER. TO HELP YOU SAVE MORE LIVES. Having the right tools for the job makes all the difference. Especially for thoracic surgeons, given the unique challenges of operating in the chest cavity. That s where we come in. Our tools are designed to improve access, visibility and maneuverability. 1 We help you manage tissue variability and surgical challenges with greater confidence and ease. Innovations in our specialty stapling and advanced energy technologies are inspired by your surgical challenges. They re designed to make you more effective when working with vital anatomy in tight spaces to treat serious conditions like lung cancer and esophageal disease.

3 VARIABLE, HARD-TO-REACH, HIGH-RISK TISSUES? WE VE GOT YOU COVERED. The Medtronic specialty stapling portfolio features our proprietary Tri-Staple technology. Tri-Staple technology sets new standards for performance in variable tissue and staple line formation with its unique design elements like the stepped cartridge face and staggered staple heights. It delivers graduated compression that provides outstanding performance in variable tissue thickness, reduced stress on tissue during clamping and compression 2 and greater perfusion into the staple line. 3 MANAGE FRAGILE TISSUE AND AIR LEAKS The Endo GIA reinforced reload Is the only stapler with preloaded tissue reinforcement to provide improved efficiency and reduced waste in the OR. 4 Adds strength at the staple line. 5 HANDLE EXTRA-THICK TISSUE The Endo GIA black reload Is the only reload designed specifically for use in extra-thick tissue applications. Offers the tallest staple height on the market to accommodate the thickest indicated tissue range. 4 Provides superior staple formation compared to the Echelon Flex * black reload in thick tissue applications. 5 Buttressed reloads have been shown to prevent prolonged air leaks when used after pulmonary wedge resection. 6

4 MANEUVER THROUGH SMALL, NARROW AND TIGHT SPACES The Endo GIA 30 mm reload Is designed specifically for use in procedures where space is limited. Provides outstanding access and maneuverability in cavities that can t accommodate larger sized reloads. 1 Available in two curved tip options (gray and tan) to provide added benefit ACCESS HARD-TO-REACH TISSUES AND VESSELS The Endo GIA curved tip reload Is the first reload with a curved tip on the distal end of the anvil. May improve visualization of the dissection plane and enhances ability to encircle vascular structures, allowing for blunt dissection and mobilization compared to straight anvils with traditional stapling devices 7 Provides better time savings during thoracoscopic lung resection procedures compared to the straight anvils with traditional stapling devices. 7 The Endo GIA radial reload Has a unique design and 360-degree rotation that allows for multiple access angles. May allow for enhanced access in the chest cavity compared to linear reloads. 8 Is designed for use in open and VATS procedures including pulmonary wedge resection and blebectomy. 2

5 ONE HANDLE FOR ALL YOUR APPLICATIONS Each reload in our specialty stapling portfolio is fully compatible with the Endo GIA Ultra universal staplers as well as the idrive Ultra powered stapling system. So you can be sure you have the right reload for every firing, all with a single handle no matter what tissue challenge comes your way. This unprecedented versatility improves the experience for surgeons and also presents significant inventory efficiencies. 9

6 ENERGY THAT POWERS YOUR SURGICAL EFFICIENCY. Reliability you expect in dividing and sealing lymphatics and small vessels with our advanced energy solutions PRECISE ENERGY DELIVERY Valleylab FT10 Energy Platform LigaSure vessel sealing is up to 50% faster on the Valleylab FT10 energy platform than on the ForceTriad energy platform. 10 The Valleylab FT10 energy platform utilizes TissueFect sensing technology actively monitoring changes in tissue impedance 434,000 times per second and provides realtime adjustment control of energy output as compared to the ForceTriad energy platform. 11 The Valleylab FT10 allows for a more useful combination of devices in procedures, as compared to the ForceTriad energy platforms % of surgeons surveyed agree that increased clip detection speed instills more confidence in the system as compared to the ForceTriad energy platform % of surgeons surveyed agree that the Valleylab FT10 energy platform provides an improved surgical experience as compared to the ForceTriad energy platform. 12

7 MANAGE EFFECTIVELY LigaSure Maryland Jaw Sealer/ Divider The functionality of a Maryland dissector, atraumatic grasper, cold scissors and the reliability of LigaSure technology all in one device. That s the LigaSure Maryland jaw tool. Designed for vessels up to and including 7 mm, lymphatics and tissue bundles, the LigaSure Maryland jaw device is associated with shorter durations of lymphadenectomy and chest tube drainage during mediastinal nodal dissection. 13 Additionally, the Maryland jaw device offers: Lower max jaw temperature with single and multiple activations than the Enseal * G2, Harmonic ACE+ * and Thunderbeat *. 14 Statistically shorter cool down time than the Enseal * G2, Harmonic ACE+ * and Thunderbeat * in single activations. 14,15 Statistically higher levels of efficiency and speed within the surgical field compared to Gyrus PK *, Harmonic ACE * and ENSEAL * % probability of getting a burst pressure greater than 360 mmhg compared to the Thunderbeat * (89.3%) and Enseal * G2 (78.4%). 15 Statistically less lateral thermal spread than the Thunderbeat * and Enseal * G2. 17

8 For more information, go to medtronic.com/covidien or contact your Medtronic sales representative. References 1. Internal engineering report No. WBS Rivadeneira DE, Verdeja JC, Sonoda T. Improved Access and Visibility During Stapling of the Ultralow Rectum: A Comparative Human Cadaver Study Between Two Curved Staplers. Ann Surg Innov and Res. 2012; 6:1. 2. Based on internal engineering report #PCG-007. Rev 1 "Perfusion Into Clamped Media." when compared to Echelon Flex * green reloads as part of an analysis comparing different stapler designs and their performance and impact on tissues under compression using twodimensional finite element analysis. Sept. 2, Based on internal engineering report # PCR-007, When compared to Ethicon Echelon Flex * green reloads as part of a bench study conducted that measured fluid perfusion into clamped media among different stapler designs. Aug , Based on an internally sponsored study by ORC International, Survey of tissue reinforcement users to determine waste and time loss attributed to separately loaded buttress materials in the OR An online U.S. national sample of 125 surgeons and 125 OR nurses. Nov. 9, Based on internal engineering report #PCG-019, When compared to Echelon Flex * powered Endopath * stapler with Echelon black reload with gripping surface technology in an ex vivo porcine stomach model (p <0.015). 6. Vaughn C, Wolner E, Dahan M, et al. Prevention of Air Leaks After Pulmonary Wedge Resection. Ann Thorac Surg. 1997;63(3): Demmy T, Mayfield W. Anvil extension technology in thoracic surgery. Ann Thorac Surg. 2012;93(4): Internal Engineering Report No. WBS-1895; data on file. Pelvic depth, access, and rectal transection comparative human cadaver study comparing the performance of the Endo GIA Radial Reload with Tri-Staple technology to the Ethicon Contour * Curved Cutter Stapler. Statistically significant results in both coronal and sagittal planes. May Average 61% reduction in reload tip travel during firing when compared to Ethicon Endo-Surgery Echelon Flex * in indicated media, n=10 surgeons, 172 total trials, p< Based on Internal memo: "LigaSure device Data Sources for VLFT10 White Papers". September 2015 RE Rev A. Report page Based on the Valleylab FT10 service manual (part number ). January Based on internal product verification test report #RE , Autobipolar evaluation - Valleylab FT10. February Based on internal report #RE , Product validation of Valleylab FT10 surgeon & nurse evaluation in simulated use. January-February Martucci N, Tracey M, La Rocca A, La Manna C, De Luca G, Rocco G. A pilot prospective randomized, controlled trial comparing LigaSure tissue fusion technology with the ForceTriad energy platform to the electrosurgical pencil on rates of atrial fibrillation after pulmonary lobectomy and mediastinal lymphadenectomy. Eur J Cardiothorac Surg. 2015;47(1): Based on Internal bench testing report: Thermal Profile Study of Various Competitor Devices versus Sonicision, LigaSure LF1637, and LigaSure LF1737 Devices." Dec. 12, 2013; R Rev A. 15. Based on Internal bench testing report: Thermal Profile Study of Various Competitor Devices versus Sonicision, LigaSure LF1637, and LigaSure LF1737 Devices." December 12, 2013; R Rev A 16. Internal Testing: "Maryland Validation Report, R " Page 3. Sept Print. 17. Based on Internal acute porcine study report: "Comparison of Various Competitor Devices versus Sonicision, LigaSure LF1637, and LigaSure LF1737 Devices in an Acute Porcine Study." Nov. 11, 2013; Nov. 18, 2013; Dec. 9, 2013; R _A. For more information, please visit medtronic.eu/product-catalog IMPORTANT: Please refer to the package insert for complete instructions, contraindications, warnings and precautions. Use scan app to read 2016 Medtronic. All rights reserved. Medtronic, Medtronic logo and Further, Together are trademarks of Medtronic. * Third party brands are trademarks of their respective owners. All other brands are trademarks of a Medtronic company. 16-thoracic-solutions-brochure-en