Circular staplers

EEA™ circular stapler with Tri-Staple™ technology

<p>The EEA™ circular stapler with Tri-Staple™ technology is designed to support anastomosis during surgical procedures.</p>

Features

A study evaluating the performance of circular staplers

Read how the EEA™ circular stapler with Tri-Staple™ technology outperformed the Ethicon Echelon Circular™* powered stapler — with 140% greater perfusion into the staple line.

See how Tri-Staple™ technology stacks up to two-row circular staplers

Our EEA™ circular stapler delivers three rows of varied height staples for consistency across a broad range of tissue thicknesses.◊,¶,3−5 Together with a sloped cartridge face, Tri-Staple™ technology also delivers:

  • 60% reduction in firing force versus Ethicon™* manual CDH circular staplers¶,††,7

  • The same inner/outer lumen diameters as DST Series™ technology¶,3

Designed for your colorectal surgical procedures

Our EEA™ circular stapler with Tri-Staple™ technology was designed to support anastomosis with:

  • A sloped cartridge face, that puts less stress on tissue during compression and clamping¶,††,‡‡,6

  • Louder audible feedback during unclamping compared to Ethicon™* manual CDH¶,‡‡,7

  • A Tilt-top™ anvil to facilitate removal

We developed features like those because procedures — and tissue thicknesses — vary.

Ordering information

Item number Description Lumen size (mm) Color Staple heights (mm) Tissue type Units per box
TRIEEA21MT EEA™ circular stapler with Tri-staple™ technology  21 Purple 3.0 / 3.5 / 4.0 Medium/thick 3
TRIEEA21XT EEA™ circular stapler with Tri-staple™ technology 21 Black 4.0 / 4.5 / 5.0 Extra thick 3
TRIEEAXL21MT EEA™ circular stapler with Tri-staple™ technology 21 Purple 3.0 / 3.5 / 4.0 Medium/thick XL 3
TRIEEAXL21XT EEA™ circular stapler with Tri-staple™ technology 21 Black 4.0 / 4.5 / 5.0 Extra thick XL 3
TRIEEA25MT EEA™ circular stapler with Tri-staple™ technology 25 Purple 3.0 / 3.5 / 4.0 Medium/thick 3
TRIEEA25XT EEA™ circular stapler with Tri-staple™ technology 25 Black 4.0 / 4.5 / 5.0 Extra thick 3
TRIEEAXL25MT EEA™ circular stapler with Tri-staple™ technology 25 Purple 3.0 / 3.5 / 4.0 Medium/thick XL 3
TRIEEAXL25XT EEA™ circular stapler with Tri-staple™ technology 25 Black 4.0 / 4.5 / 5.0 Extra thick XL 3
TRIEEA28MT EEA™ circular stapler with Tri-staple™ technology 28 Purple 3.0 / 3.5 / 4.0 Medium/thick 3
TRIEEA28XT EEA™ circular stapler with Tri-staple™ technology 28 Black 4.0 / 4.5 / 5.0 Extra thick 3
TRIEEAXL28MT  EEA™ circular stapler with Tri-staple™ technology 28 Purple 3.0 / 3.5 / 4.0 Medium/thick XL 3
TRIEEAXL28XT EEA™ circular stapler with Tri-staple™ technology 28 Black 4.0 / 4.5 / 5.0 Extra thick XL 3
TRIEEA31MT EEA™ circular stapler with Tri-staple™ technology 31 Purple 3.0 / 3.5 / 4.0 Medium/thick 3
TRIEEA31XT EEA™ circular stapler with Tri-staple™ technology 31 Black 4.0 / 4.5 / 5.0 Extra thick 3
TRIEEAXL31MT EEA™ circular stapler with Tri-staple™ technology  31 Purple 3.0 / 3.5 / 4.0 Medium/thick XL 3
TRIEEAXL31XT EEA™ circular stapler with Tri-staple™ technology 31 Black 4.0 / 4.5 / 5.0 Extra thick XL 3
TRIEEA33MT EEA™ circular stapler with Tri-staple™ technology 33 Purple 3.0 / 3.5 / 4.0 Medium/thick 3
TRIEEA33XT EEA™ circular stapler with Tri-staple™ technology 33 Black 4.0 / 4.5 / 5.0 Extra thick 3
TRIEEAXL33MT EEA™ circular stapler with Tri-staple™ technology 33 Purple 3.0 / 3.5 / 4.0 Medium/thick 3
TRIEEAXL33XT EEA™ circular stapler with Tri-staple™ technology 33 Black 4.0 / 4.5 / 5.0 Extra thick 3

TM* Third-party brands are trademarks of their respective owners.

† Preclinical results may not correlate with clinical performance in humans.

‡ Based on leak testing in an in vivo canine model comparing TRIEEA25XT to Ethicon™* CDH25P (n=9; P=0.002), where 50 mmHg represented a maximum expected colonic pressure.

§ Compared to the Ethicon Circular™* powered stapler. Based on staple-line vascularity analysis using MicroCT in an in vivo canine model (CDH31P: n=13; TRIEEA31XT: n=15. P=0.007).

◊ Compared to EEA™ circular staplers with DST Series™ technology.

¶ Bench test results may not necessarily be indicative of clinical performance.

# Based on leak testing in an in vivo canine model comparing TRIEEA25XT to Ethicon™* CDH25P (n=9; P=0.023), where 50 mmHg represented a maximum expected colonic pressure.

∆ Finite element analysis (FEA) was used to determine the strain profiles of three circular staplers during clamp-up. The EEA™ circular stapler with Tri-Staple™ technology demonstrated a graduated compression profile upon clamping.

∞ Compared to Ethicon™* CDH circular staplers and EEA™ circular staplers with DST Series™ technology.

†† Based on comparison of TRIEEA28MT (n=15) and CDH29A (n=14) when firing into foam. P<0.001.

‡‡ Based on measurement of sound intensity when unclamping TRIEEA28XT, TRIEEA33XT, EEA28, and EEA33 from foam (n=15; p<0.001). Ethicon™* CDH circular staplers do not provide audible feedback during unclamping.

  1. Based on internal report RE00365456, Comparative in vivo leak testing for EEA™ circular staplers with Tri-Staple™ technology (TRIEEA25XT) and Ethicon Echelon Circular™* powered stapler (CDH25P). December 21, 2021.
  2. Based on internal report RE00330708 rev 1, Perfusion analysis for circular staplers, comparing EEA™ circular stapler with Tri-Staple™ technology. May 13, 2021.
  3. Based on internal test report RE00069039, EEA™ circular stapler with Tri-Staple™ technology design verification. December 2, 2014.
  4. Based on internal test report RE00008030, Tulip benchmark test. March 18, 2016.
  5. Based on internal test report 2128-053, Ethicon™* benchmark testing ― Signia™ circular reload. June 17, 2014.
  6. Based on internal test report #RE00200393 rev 2, Comparison of circular staplers: tissue compression profiles as determined by 2-D static axisymmetric finite element analysis (FEA). June 17, 2021.

  1. Based on internal report RE00395726, Firing force and audible feedback analysis for EEA™ circular stapler with Tri-Staple™ technology, EEA™ circular stapler with DST Series™ technology, and Ethicon manual CDH staplers. April 2022.