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Medtronic / Covidien Products / Surgical Stapling / Tri-Staple™ Technology

Tri-Staple™ technology

Meet clinical
challenges with
confidence

Contact a rep
Colorectal surgery

Maximize blood flow,1,†
maximize confidence

For fewer leaks,2,‡,§ superior staple line strength,3,4,Ω,†† and less stress.5,6,†,‡‡

View colorectal surgery
Bariatric surgery

Tackle variable tissue
with confidence

For superior staple line strength3,4,Ω,†† when dealing with challenging tissue and anatomy.

See bariatric surgery
Thoracic surgery

Manage stress,
increase confidence

For superior strength,2,3,§,Ω greater access,6,7 and less stress4,5,††,‡‡ on tissue.

Explore thoracic surgery

The assurance you need to overcome surgical challenges

Whatever challenge you’re faced with in the OR, we’re with you every step of the way. We want to ensure you have the right products to enhance the patient experience, improve outcomes, and ultimately extend life. 

Tri-Staple™ technology has been at the forefront of surgical innovation for over a decade, providing reliable clinical support — whatever your specialty.
Enhance your procedures and optimize results

Tri-Staple™ technology’s innovative design offers greater perfusion,1,† provides superior performance in variable tissue thickness,3,6,8–10,‡,Ω,††,§§ and strives to avoid unnecessary damage to tissue by generating less stress.5,6,†,‡‡

To avoid the risk of complications such as bleeding, infection, and leaks, three things are key for a healthy staple line:

Greater perfusion1,†

Perfusion is essential for optimal healing of the anastomosis11

Performance in variable tissue

Using the right reload for variable tissue thicknesses for superior performance3,6,8–10,‡,Ω,††,§§

Less
stress5,6,†,‡‡

Applying just the right amount of compression to avoid unnecessary tissue damage5,6,†,‡‡

Used in

73+
countries 

 

24/7
is how often we make
Tri-Staple™ reloads 

Fired

>25M
times since 2010

Colorectal surgery

Maximize blood flow,1,† maximize confidence
For fewer leaks,2,‡,§ superior staple line strength,3,4,Ω,†† and less stress.5,6,†,‡‡

Discover the benefits

Bariatric surgery

Tackle variable tissue with confidence
For superior strength2,3,§,Ω when dealing with challenging tissue and anatomy.

See the benefits

Thoracic surgery

Manage stress, increase confidence
For superior staple line strength,3,4,Ω,†† greater access,7 and less stress5,6,†,‡‡ on tissue.

Explore the benefits
Meet clinical challenges with Tri-Staple™ technology
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†Compared to flat-faced cartridges with single-height staples.
‡Preclinical results may not correlate with clinical performance in humans.
§Based on leak testing in in vivo canine model comparing TRIEEA25XT to Ethicon™* CDH25P (n = 9; P = 0.002), where 50 mm Hg represented a maximum expected colonic pressure.
ΩBench test results may not necessarily be indicative of clinical performance.
††Staple line strength: Endo GIA™ tan reload vs. Echelon Flex™* white reload and Endo GIA™ purple reload vs. Echelon™* green, gold, and blue reloads. Leak resistance: In-vitro synthetic leak comparison: Endo GIA™ purple reload vs. Echelon™* blue and gold.
‡‡Compared to Echelon Flex™* green reloads analysis comparing different stapler designs, performance and impact on tissues under compression using 2-D finite element analysis.
§§Bench test results may not necessarily be indicative of clinical performance. Compared to Ethicon Echelon Flex™.

1. Based on internal test report #2128-002-2, Final analysis of staple-line vascularity using MicroCT. July 2015.
2. Based on internal report #RE00318260 rev 1, Comparative leak testing for EEA™ circular stapler with Tri-Staple™ technology and Ethicon™* CDH. April 2021.
3. Based on internal test report #PCG-001, Tyvek pull-apart test comparing Echelon™* and Tri-Staple™ technology. March 2011.
4. Based on internal test report #PCG-002, In-vitro leak comparison. March 08,2011.
5. Based on internal test report #PCG-007 rev 1, Perfusion into Clamped Media. Sept. 2, 2011.
6. Based on internal test report #PCG-018, 2-D FEA of linear staplers. November 2012.
7. Based on report #RE00142825, Image creation for Signia™ small diameter reload. March 26, 2019.
8. Based on internal test report #PCG-004, Undercrimp comparisons in increasing pads of foam between Echelon™* and Tri-Staple™ technology. January 2012.
9. Based on internal test report #PCG-006, Staple formation comparison between Medtronic EGIA60AXT and Ethicon ECR60G in an ex-vivo tissue model. January 2012.
10. Based on internal test report #PCG-019, Comparative test of Endo GIA™ stapler using black reloads with Tri-Staple™ technology and Ethicon Echelon Flex™* black reloads. June 2014.
11. Smallwood N, Mutch MG, Fleshman JW. The failed anastomosis. In: Complexities in Colorectal Surgery: Decision-Making and Management. New York, NY: Springer Science and Business Media; 2014:277-304.