Johnson & Johnson MedTech has recently introduced the DUALTO Energy System, a new-generation surgical power platform that integrates monopolar, ultrasonic, and advanced bipolar technologies into one, unified, connected platform to support both open and advanced minimally invasive procedures.
Designed to reduce complexity in the operating room and streamline energy workflows, DUALTO Energy System is engineered with an intuitive interface, digital connectivity, and the ability to operate with key advanced energy devices, including HARMONIC™ and ENSEAL™ instruments. The U.S. Food & Drug Administration granted 510(k) clearance to the system, which was presented at the AORN Global Surgical Conference & Expo in Boston.
The launch is part of the current effort of Johnson & Johnson MedTech to streamline surgery and improve efficiency in the OR with coordinated digital and hardware technologies.
With more than five million surgical procedures in the U.S. utilizing energy-based tools annually, operating rooms have grown increasingly crowded with device-specific generators. The DUALTO Energy System eliminates the need by offering a consolidated solution that can power a variety of instruments across different energy modalities from a single unit.
The outcome: a modular system that minimizes OR equipment footprint by up to 46% when compared to conventional configurations.
DUALTO is also the first and only surgical energy system available in a double configuration, allowing two surgeons to work simultaneously using a single electrosurgical generator. This dual-user capability supports complex, multi-quadrant procedures where collaboration and efficiency are critical.
At the core of DUALTO Energy System is Johnson & Johnson’s Adaptive Tissue Technology system that intelligently varies energy delivery in real time. By sensing tissue conditions and regulating temperature, it supports precise energy application, while delivering tone changes and visual cues to guide the user.
Utilizing DUALTO Energy System, HARMONIC 700, and HARMONIC FOCUS + showed even better results, making 18% and 25% faster cuts in thick tissue, respectively. Such performance can improve the speed of the procedures, without impairing control or safety.
DUALTO Energy System is purpose-built with usability in mind. The system features a touchscreen interface that provides guided setup, clear audio-visual cues, and on-screen prompts to streamline troubleshooting.
Surgeon profiles can also be accessed on the platform so that an entire team can pre-program energy settings according to their needs or preferences, which saves time in high-volume OR settings.
“The user-friendly touchscreen of the energy system simplifies setup, and it allows my team to configure the system to fit my preferences and the specific procedure,” said Maie St. John, MD, PhD, Professor and Chair, Department of Head and Neck Surgery in Los Angeles.
“The design not only helps to reduce setup time and save space in the OR, but it also streamlines troubleshooting with on-screen prompts and ultimately can improve our surgical energy workflows.”
DUALTO Energy System is designed to integrate with Polyphonic™ Fleet, Johnson & Johnson’s new software solution for device management and OR optimization.
Polyphonic Fleet enables hospitals to remotely monitor generator status, schedule maintenance, and push software upgrades, without disrupting surgical schedules. This offers significant value to biomedical teams, helping reduce downtime and improving asset visibility across large hospital networks.
“Johnson & Johnson MedTech’s Polyphonic ecosystem will enable new experiences across our portfolio of medical devices, robotics, and software solutions,” said Shan Jegatheeswaran, Vice President, Digital, Johnson & Johnson MedTech.
“DUALTO combines advanced energy technology with Polyphonic Fleet’s ecosystem to provide remote support. We are excited to empower healthcare teams with capabilities for more connected OR devices.”
Beyond its immediate utility, DUALTO Energy System has been designed with future surgical needs in mind. It will be compatible with the company’s OTTAVA™ Robotic Surgical System, which is currently under development. This signals Johnson & Johnson MedTech’s long-term vision: a digitally connected surgical environment where energy systems, instruments, and robotics work seamlessly together.
The company will present live demonstrations, panels, and hands-on training for DUALTO at the AORN Global Surgical Conference, alongside its broader portfolio of surgical and digital solutions.
DUALTO Energy System and Polyphonic Fleet will be rolled out to select hospital sites in priority markets, marking the first step in what could become a new standard in integrated surgical energy systems.
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