FDA Adverse Event Injury Summary report: N

PWRD 23MM CURVED CIRCULAR, 18CM SHAFT

MDR report key: 24137086 · Received January 21, 2026

Report

Report Number
3005075853-2026-00639
Event Type
Injury
Date Received
January 21, 2026
Date of Event
December 22, 2025
Report Date
March 23, 2026
Manufacturer
ETHICON ENDO-SURGERY, LLC.
Product Code
GDW
UDI-DI
10705036015369
PMA / PMN Number
K163523
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

(B)(4) DATE SENT: 1/21/2026 D4: BATCH # UNK D4: UDI: AS THE LOT NUMBER FOR THE DEVICE INVOLVED IN THE EVENT WAS NOT PROVIDED, THE FULL UDI IS CURRENTLY NOT AVAILABLE. D4: UDI: THE EXPIRATION DATE IS CURRENTLY NOT AVAILABLE. THEREFORE, THE FULL UDI IS CURRENTLY NOT AVAILABLE. AN ANALYSIS OF THE PRODUCT COULD NOT BE PERFORMED SINCE A PHYSICAL SAMPLE WAS NOT RECEIVED FOR EVALUATION. AN EVALUATION OF THE MANUFACTURING RECORD COULD NOT BE PERFORMED AS THE REQUIRED PRODUCT IDENTIFICATION NUMBER WAS NOT PROVIDED TO COMPLETE THE EVALUATION. THIS REPORT IS BEING SUBMITTED PURSUANT TO THE PROVISIONS OF 21 CFR, PART 803. THIS REPORT MAY BE BASED ON INFORMATION WHICH HAS NOT BEEN INVESTIGATED OR VERIFIED PRIOR TO THE REQUIRED REPORTING DATE. THIS REPORT DOES NOT REFLECT A CONCLUSION BY ETHICON, OR ITS EMPLOYEES THAT THE REPORT CONSTITUTES AN ADMISSION THAT THE PRODUCT, ETHICON, OR ITS EMPLOYEES CAUSED OR CONTRIBUTED TO THE POTENTIAL EVENT DESCRIBED IN THIS REPORT. IF INFORMATION IS OBTAINED THAT WAS NOT AVAILABLE FOR THE INITIAL REPORT, A FOLLOW-UP REPORT WILL BE FILED AS APPROPRIATE.

Additional Manufacturer Narrative · 0

(B)(4). DATE SENT: 3/23/2026. CORRECTED DATA: H6 HEALTH EFFECT - CLINICAL CODE.

Description of Event or Problem · 0

THIS COMPLAINT IS FROM A LITERATURE SOURCE. THE FOLLOWING LITERATURE CITE HAS BEEN REVIEWED: SAITO A, OTSUKA K, GOTO S, ARIYOSHI T, YAMASHITA T, MOTEGI K, KOMOTO M, KISHIMOTO Y, MURAKAMI M, AOKI T. COMPARISON OF ANASTOMOTIC STRICTURE RATES BETWEEN 23- AND 25-MM POWERED CIRCULAR STAPLERS IN CERVICAL ESOPHAGOGASTRIC ANASTOMOSIS: A PROPENSITY-MATCHED STUDY. ESOPHAGUS. 2025 DEC 22. DOI: 10.1007/S10388-025-01171-2. EPUB AHEAD OF PRINT. THIS STUDY AIMED TO COMPARE STENOSIS RATES BETWEEN NEWLY INTRODUCED 23- AND 25-MM POWERED CIRCULAR STAPLER (CSS) IN CERVICAL ESOPHAGOGASTRIC ANASTOMOSIS. FROM MAY 2022 TO FEBRUARY 2024, 126 PATIENTS WHO UNDERWENT THORACOSCOPIC MCKEOWN ESOPHAGECTOMY WITH RETROSTERNAL GASTRIC CONDUIT RECONSTRUCTION WERE RETROSPECTIVELY ANALYZED. THEY WERE CATEGORIZED INTO THE 23 MM (N = 52) AND 25-MM (N = 74) CS GROUPS. REPORTED COMPLICATIONS INCLUDE THE INCIDENCE OF ANASTOMOTIC STRICTURE WAS 18.0% (7 CASES) AND 12.8% (5 CASES) IN THE 23- AND 25-MM CS GROUPS, RESPECTIVELY. THE INCIDENCE OF ANASTOMOTIC LEAKAGE AND THE LEAKAGE LOCATION REVEALED NO SIGNIFICANT DIFFERENCES BETWEEN THE TWO GROUPS. IN CONCLUSION, 23- AND 25-MM POWERED CSS ACHIEVED COMPARABLE ANASTOMOTIC STRICTURE RATES IN CERVICAL ESOPHAGOGASTRIC ANASTOMOSIS DURING MCKEOWN ESOPHAGECTOMY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
197217 PWRD 23MM CURVED CIRCULAR, 18CM SHAFT STAPLE, IMPLANTABLE GDW ETHICON ENDO-SURGERY, LLC. 10705036015369

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Other