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Johnson & Johnson MedTech Launches the DUALTO™ Energy System

Johnson & Johnson MedTech has announced the launch of the DUALTO™ Energy System, a surgical solution that combines multiple energy modalities into an integrated platform for use across open and minimally invasive surgery. The system can be paired with Service Solutions to support uptime and is designed to work with the Polyphonic™ Fleet software application for device management. DUALTO has also been designed for future use with the company’s OTTAVA™ Robotic Surgical System. 

The company will showcase DUALTO alongside their comprehensive portfolio of surgical products and digital solutions at this year’s Association of periOperative Registered Nurses (AORN) Global Surgical Conference & Expo taking place in Boston, Massachusetts, April 5-8, 2025. 

Every year in the United States, clinicians use surgical energy instruments to cut tissue or control bleeding with precision and control in more than five million surgical procedures.2,3 DUALTO is developed to offer clinical teams the choice of powering monopolar, bipolar, ultrasonic, and advanced bipolar instruments, including HARMONIC™ and ENSEAL™ devices, from a single, consolidated system. The modular design and flexible architecture allow for up to 46% less footprint versus separate generators.4I DUALTO is also the first and only surgical energy system that will be available in a double configuration, allowing two surgeons to work in a complex procedure and activate simultaneous energy from one electrosurgical unit. 

“The DUALTO Energy System represents a significant advancement in human-centric design, delivering a fully connected solution that simplifies surgical energy and enhances efficiencies in the OR,” said Hani Abouhalka, Company Group Chairman, Surgery, Johnson & Johnson MedTech. “Johnson & Johnson MedTech has been a trusted partner in surgery for over a century, and we are leveraging clinical insights to tailor the design of our technologies to meet the needs of surgeons and clinical teams. DUALTO supports a more flexible and digitally connected OR ecosystem for the future of surgical care.” 

*Dr. Maie St. John is a paid consultant for Johnson & Johnson MedTech. 

I. In a R&D study measuring stacked volume of the DUALTO™ Energy System and current generator systems in the market. For any stacked generator measurements, the largest length and widths of one unit with the combined height of both units was measured. Measurements compare a Double DUALTO™ Energy System with two Energy Modules to four current systems stacked. A Single DUALTO™ Energy System with one energy module is up to 23% less footprint compared to two current systems stacked. Footprint defined as the volume of space, either potential floor or boom space, taken up by energy generators. 

II. Vs. HARMONIC ACE™ without Adaptive Tissue Technology. 

III. In a R&D study evaluating performance improvements of the HARMONIC™ 700 instrument family on the DUALTO™ Energy System compared to the GEN11 Generator on thick porcine mesentery (p <0.05). 

IV. In a R&D study evaluating performance improvements of the Harmonic Focus+ instrument family on the DUALTO™ Energy System compared to the GEN11 Generator on a thick tissue model (p <0.05), with 30 comparison transaction. 

V. In a pre-clinical summative usability study, with surgeons (n=33) that went through an end-to-end procedure and afterward responded to a series of statements regarding the DUALTO™ Energy System (32/33 agree). 

References 

  1. The ETHICON™ Total Energy System is now referred to as DUALTO™ Energy System, with no changes to its intended use, design, performance, or regulatory status under FDA 510(k) K243067. https://www.accessdata.fda.gov/cdrh_docs/pdf24/K243067.pdf   
  1. Meeuwsen FC, Guedon ACP, Arkenbout EA, et al. The Art of Electrosurgery: Trainees and Experts. Surg Innov. 2017 Apr 24;24(4):373–378. doi: 10.1177/1553350617705207. 
  1. Mattingly AS, Rose L, Eddington HS, et al. Trends in US Surgical Procedures and Health Care System Response to Policies Curtailing Elective Surgical Operations During the COVID-19 Pandemic. JAMA Netw Open. 2021 Dec 8;4(12):e2138038. doi: 10.1001/jamanetworkopen.2021.38038.  
  1. Ethicon, Mantle Space Claim Measurement Study. 10/17/2024. Windchill Document #502047373 
  1. Ethicon, HAR36 DV- ROIN 6175- Blade Heat. 10/30/2013. Windchill Document #PRC053965. Ethicon, HARMONIC ACE 5mm Diameter Shears + Adaptive Tissue Technology Instructions For Use 
  1. Ethicon, Mantle Harmonic Claims. 10/17/2024. Windchill Document #502071965 
  1. Ethicon, Mantle Harmonic Claims. 11/19/2024. Windchill Document #502071965 
  1. Ethicon, Emergo Mantle Marketing Claims Report. 05/08/2024. Windchill Document #501949635