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Shape matters.
Consistency matters.
Outcomes matter.

Discover the value the Titan SGS™ Stapler can deliver for you.

Just

Published

Just Published

New retrospective study in Obesity Surgery reports perioperative outcomes of the Titan SGS™ Stapler

Propensity matched retrospective review of 783 laparoscopic sleeve gastrectomies reports the perioperative outcomes of the Titan SGS™ Stapler as compared to multi-fire surgical staplers.  The study results link the Titan SGS™ Stapler to potentially enhanced outcomes. The study was conducted by surgeons at Corewell Health Hospital in Grand Rapids, MI.

Dr. Schram and Dr. Foote, two of the authors of the study, are paid consultants of Teleflex Incorporated. Fritz, G.D., Sharrak, A., Aubrey, J. et al. Perioperative Outcomes Using Single-Fire Stapler. OBES SURG (2024). https://doi.org/10.1007/s11695-024-07357-4 

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Results Overview
Clinical Outcomes
Credibility and confidence. Surgeons have completed more than 15,000 sleeve gastrectomy procedures using the Titan SGS™ Stapler.10
Minimized leak rate6 – 0.31% leak rate in a retrospective study of 2,885 primary sleeve gastrectomy procedures.
Lower bleed rate – Titan SGS™ Stapler showed a 0.35%6 post-operative bleed rate in a retrospective study of 2,885 procedures. The post-operative bleed rate of 0.35%6 is significantly lower than the published literature evaluating the MBSAQIP-reported incidence of post-operative bleeding in sleeve gastrectomies, shown to range from 0.6%11 to 1.1%12. †
†Based on an indirect comparison of post-operative bleeding rates in the cited published literature for bariatric surgeries performed between 2015-2019 using conventional laparoscopic, hand-assisted, and laparoscopic assisted surgical approaches.
Quality of Care
35% fewer readmissions – 2.2% readmission rate associated with the Titan SGS™ Stapler vs. 3.4%6 from other commercially available staplers and equipment sets6 which may have the potential to reduce the overall cost of care. On average, readmission costs are $15,200 a day for inpatient care nationally.7

Retrospective study shows potential improvement in GERD and nausea.4,8

Standard Sleeve™ Technique

Multiple-fire technique

Reduced risk of leaks with no crossing staple line.9

Economics & Efficiencies

Examine the economics behind the Titan SGS™ Stapler and Standard Sleeve™ Technique
The Titan SGS™ Stapler takes an anatomy-based approach to sleeve gastrectomy using the Standard Sleeve™ Technique for a more consistent, symmetrical sleeve pouch anatomy.1 The 23cm, single-fire stapler is designed to help you standardize operational efficiency and patient outcomes.
Helping make operational efficiency and patient outcomes standard
The Titan SGS™ Stapler offers unique strengths to align with the IHI Triple Aim Initiative and support your goals in cost savings, quality of care, and clinical outcomes. Take a look at the potential benefits for surgeons, hospital systems and patients, based on recent studies.
Cost Savings
The Titan SGS™ Stapler fires a single cartridge to complete stapling in approximately 55 seconds1 – 90% less time than the average stapler.2

27% reduction in OR time, from 63 to 46 minutes.*4

*Compared to other reviewed commercially available staplers and equipment sets.

43% reduction in average length of stay (LOS) for patients, from 1.53 to 0.87 days.4 A reduction in LOS may have the potential to reduce the overall cost of care. On average, hospital adjusted expenses are $2,883 per day for inpatients nationally.5
By taking less time to create the staple line than other staplers,*1,2 the Titan SGS™ Stapler can potentially improve procedure time and operational efficiencies.2,3
Fewer supplies needed for more efficient use of OR resources—80% fewer stapler cartridges in 90% less time than the average stapler†2
†Based on an indirect comparison of operative technique for gastric stapling in the cited published literature for sleeve gastrectomies performed utilizing Covidien and Ethicon Endo-Surgery staplers.

Check back often for the latest outcomes associated with the Titan SGS™ Stapler as you and your VAC make decisions about the most effective tools for sleeve gastrectomy.

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1. 510(k) No. K210278. The Titan SGS linear cutter is intended for longitudinal transection and resection of gastric tissue for sleeve gastrectomy pouch creation. 2021.
2. Varban, O. A., Niemann, A., Stricklen, A., Ross, R., Ghaferi, A. A., Finks, J. F., & Dimick, J. B. (2017, Aug.). Far from Standardized: Using Surgical Videos to Identify Variation in Technique for Laparoscopic Sleeve Gastrectomy. Journal of Laparoendoscopic & Advanced Surgical Techniques. Volume 27, Number 8.
3. Salyer, C. E., Thompson, J., Hoffman, A., Burstein, M. D., Enochs, P., Watkins, B. M., Kuethe, J., & Goodman, M. D. (2022). Multisite Study of Titan SGS Stapler in longitudinal gastric resection. Surgical Endoscopy. https://doi.org/10.1007/s00464-022-09051-x
4. Standard Bariatrics, Inc. Multisite comparison of Titan SGS™ Stapler to existing surgical staplers in sleeve gastrectomy. (Unpublished raw data). Qualitee 360 Report. 2022. Retrieved from Metabolic and Bariatric Surgery Accreditation and Quality Program database.
5. 1999–2021 American Hospital Association Annual Survey. Copyright 2021 by Health Forum, LLC, an affiliate of the American Hospital Association. Accessed 18 May 2023. Expenses and cost savings will vary by facility.
6. Standard Bariatrics, Inc. (October 2023) Multisite comparison of Titan SGS™ Stapler to existing surgical staplers in sleeve gastrectomy. (Unpublished raw data). Qualitee 360 Report. Retrieved from Metabolic and Bariatric Surgery Accreditation and Quality Program database.
7. Healthcare Cost and Utilization Project. (2021). Overview of Clinical Conditions With Frequent and Costly Hospital Readmissions by Payer, 2018. Statistical brief #278.Agency for Healthcare Research and Quality, Rockville, MD. https://hcup-us.ahrq.gov/reports/statbriefs/sb278-Conditions-Frequent-Readmissions-By-Payer-2018.jsp Accessed 3 October 2023. Expenses and cost savings will vary by facility.
8. Thompson, J., Dhar, V., Hanseman, D., Watkins, B., Morton, J., & Diwan, T. (2017). Anatomy-based laparoscopic sleeve gastrectomy reduces gastroesophageal reflux disease compared to laparoscopic sleeve gastrectomy with bougie. Surgery for Obesity and Related Diseases, 13(10). https://doi.org/10.1016/j.soard.2017.09.242
9. U.S. Food and Drug Administration Center. (2021, Oct. 8). Surgical Staplers and Staples for Internal Use – Labeling Recommendations. (Docket No. FDA-2019-D-1262). Retrieved from https://www.fda.gov/regulatory-information/search-fda-guidance-documents/surgical-staplers-and-staples-internal-use-labeling-recommendations
10. Data on file at Teleflex Incorporated.
11. Jung, J. J., Jackson, T., Gordon, L., & Hutter, M. M. (2022). Intraoperative leak test is associated with lower postoperative bleed rate in primary sleeve gastrectomy: A propensity matched analysis of primary and revision bariatric surgery using the MBSAQIP database. Surgical Endoscopy, 36, 753–763. https://pubmed.ncbi.nlm.nih.gov/33475846/
12. Purich, K., Mocanu, V., Joy, J., Verhoeff, K., Dang, J., Switzer, N. J., Birch, D. W., & Karmali, S. (2022). The impact of metabolic and bariatric surgeon status on outcomes after bariatric surgery: A retrospective cohort study using the MBSAQIP database. Obesity Surgery, 32(6), 1944–1953. https://pubmed.ncbi.nlm.nih.gov/35349044/

Rx only.
Teleflex, the Teleflex logo, Standard Bariatrics, Standard Sleeve, and Titan SGS are trademarks or registered trademarks of Teleflex Incorporated or its affiliates in the U.S. and/or other countries. Other names are trademarks of their respective owners. Information in this material is not a substitute for the product Instructions for Use. Not all products may be available in all countries. Please contact your local representative. Before using any medical device review all relevant package inserts with particular attention to the indications, contraindications, warnings and precautions, and steps for use of the device.

  • © 2025 Teleflex Incorporated. All Rights Reserved. MC-010007 Rev 1 10/24

NEW Study

Titan SGS™ Stapler linked to improved 1 year post-op GERD outcomes in new retrospective study. 

Ying L, Rutledge R, Butensky S, Farinas Lugo D, Morton JM, Ringold F. Does stapling platform influence robotic sleeve gastrectomy postoperative outcomes? Obes Surg. 2025;35(4). doi:10.1007/s11695-025-07855-z

 

Dr. Morton and Dr. Ringold, two of the authors of the study, are paid consultants of Teleflex Incorporated.

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New propensity matched retrospective study reports perioperative outcomes of the Titan SGSTM Stapler.

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*Titan SGS® is cleared for use by the U.S. Food and Drug Administration (FDA). It is currently only available for purchase and use in the United States of America (USA).