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 |