Ethicon ATS45 Endopath ETS-Flex 45 Articulating Endoscopic Linear Cutter

Ethicon Endopath ETS-Flex 45 Articulating Cutter | ATS45

The Ethicon ATS45 is a high-performance endoscopic linear cutter designed for the simultaneous transection and stapling of tissues. As part of the ETS-Flex series, this instrument is distinguished by its ability to articulate, giving surgeons the lateral reach necessary to navigate around complex vascular structures and organ attachments during minimally invasive procedures.

With a 340mm shaft length and a 45mm staple line, the ATS45 is a staple in 2026 laparoscopic workflows, providing a reliable mechanical closure that minimizes the risk of leaks and hemostatic complications.

Key Specifications

• Manufacturer: Ethicon (Johnson & Johnson)

• Model / REF: ATS45

• Staple Line Length: 45 mm

• Shaft Length: 340 mm

• Design: Articulating Endoscopic Linear Cutter

• Reload Compatibility: Compatible with all Endopath ETS45 reloads (e.g., TR45W, TR45B, TR45G)

• Configuration: Instrument only (No reload included)

Technical & Clinical Advantages

• Superior Articulation Maneuverability: The ETS-Flex technology allows the jaw to articulate laterally, providing access to "off-angle" tissue planes that rigid cutters cannot reach. This is particularly critical in low-pelvic or high-thoracic procedures where trocar placement is limited.

• Precision Staple Formation: Engineered to work in tandem with Ethicon reloads, the ATS45 ensures consistent "B-shape" staple formation across the entire 45mm line. This provides superior hemostasis and reduces the potential for tissue necrosis.

• Ergonomic One-Handed Operation: The handle is designed for intuitive control of firing, articulation, and rotation. This reduces surgeon hand fatigue and allows the secondary hand to remain focused on retraction or camera stability.

• Tissue Gap Control: The device is built with high-grade materials that maintain parallel jaw closure, ensuring that even at the distal end of the 45mm cut, the staple height remains consistent with the chosen reload color.

• Streamlined 340mm Shaft: The 340mm length is the industry standard for standard laparoscopic access, providing enough reach for most abdominal and thoracic applications while maintaining a stable, low-profile footprint.

Ideal Applications

• Bariatric Surgery: Gastric bypass and sleeve gastrectomy transections.

• General Surgery: Appendectomies, bowel resections, and splenectomies.

• Thoracic Surgery: Wedge resections and lobectomies.

• Gynecologic Surgery: Advanced laparoscopic hysterectomies and oophorectomies.

Condition & Quality Assurance

• Status: NEW — Factory Sealed.

• Integrity: The device is securely housed in its original manufacturer's packaging. Both the inner sterile blister and the outer box are intact and undamaged, ensuring the sterile barrier is 100% maintained for clinical use.

• Note on Reloads: This listing is for the ATS45 instrument handle only. To operate, the device must be paired with the appropriate ETS45 reload (White, Blue, or Green) based on the target tissue thickness.

• Authenticity: Genuine Ethicon (Johnson & Johnson) surgical-grade inventory.

Shipping & Handling

• Secure Logistics: Shipped in a reinforced outer carton to prevent bending of the 340mm shaft or damage to the articulation mechanism.

• Fast Dispatch: Ships within 1 business day.