FDA Adverse Event Injury Summary report: N

STAPLER ECHELON 45 POWER

MDR report key: 23980003 · Received January 6, 2026

Report

Report Number
MW5181865
Event Type
Injury
Date Received
January 6, 2026
Date of Event
October 21, 2025
Report Date
December 30, 2025
Manufacturer
ETHICON ENDO-SURGERY, INC.
Product Code
GAG
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
NC, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Description of Event or Problem · 0

WHILE USING THE LAPAROSCOPIC ETHICON POWERED STAPLER FOR THE LAPAROSCOPIC APPENDECTOMY, STAPLER WAS STOCKED UP WITH THE PATIENT'S APPENDIX. STAPLER DESCRIPTION: STAPLER ECHELON 45 POWER LOT # A98E64 EXP.DATE: 2028-06-30; REF# (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
47842 STAPLER ECHELON 45 POWER STAPLER, SURGICAL GAG ETHICON ENDO-SURGERY, INC. A98E64

Patients

Seq Age Sex Outcome Treatment
1 36 YR Female Required Intervention