Ethicon Echelon Flex GST60T System 60 mm Reload, Black, 60mm x 4.2mm, 6 rows, Box of 12ECHELON ENDOPATH Staple Line Reinforcement is the first and only buttress designed specifically for use with ECHELON staplers. It can be used with any ECHELON Gripping Surface Technology (GST) 60mm Reload and is indicated for use in surgical procedures in which soft tissue transection or resection with staple line reinforcement is needed. Stapler Reload, 60 mm Size, 4. 2 Open x 2. 3 mm Closed Height, Black, GST+B Form Staple Type, Very Thick Tissue