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U.S. Department of Health and Human Services

TPLC - Total Product Life Cycle

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Device stapler, surgical
Definition A surgical stapler for internal use is a specialized prescription device used to deliver compatible staples to internal tissues during surgery for resection, transection, and creating anastomoses.
Product CodeGAG
Regulation Number 878.4740
Device Class 2


Premarket Reviews
ManufacturerDecision
COVIDIEN
  SUBSTANTIALLY EQUIVALENT 4
ETHICON ENDO-SURGERY, LLC
  SUBSTANTIALLY EQUIVALENT 2
LEXINGTON MEDICAL, INC.
  SUBSTANTIALLY EQUIVALENT 1

MDR Year MDR Reports MDR Events
2019 70 70
2020 47 47
2021 53 53
2022 48 48
2023 115 115
2024 811 811

Device Problems MDRs with this Device Problem Events in those MDRs
Failure to Fire 269 269
Failure to Form Staple 218 218
Adverse Event Without Identified Device or Use Problem 142 142
Detachment of Device or Device Component 112 112
Misfire 103 103
Break 65 65
Difficult to Remove 59 59
Mechanics Altered 58 58
Failure to Align 35 35
Loss of or Failure to Bond 29 29
Firing Problem 25 25
Human-Device Interface Problem 24 24
Failure to Cut 19 19
Mechanical Problem 18 18
Material Twisted/Bent 18 18
Expulsion 17 17
Insufficient Information 17 17
Entrapment of Device 16 16
Mechanical Jam 16 16
Difficult to Open or Close 16 16
Noise, Audible 14 14
Device Slipped 12 12
Retraction Problem 11 11
Physical Resistance/Sticking 9 9
Protective Measures Problem 9 9
Product Quality Problem 9 9
Therapeutic or Diagnostic Output Failure 8 8
Defective Device 7 7
Patient Device Interaction Problem 7 7
Fail-Safe Problem 7 7
Device Appears to Trigger Rejection 5 5
Component or Accessory Incompatibility 4 4
Activation, Positioning or Separation Problem 4 4
Incomplete or Inadequate Connection 4 4
Appropriate Term/Code Not Available 4 4
Component Missing 4 4
Misassembly by Users 4 4
No Device Output 3 3
Use of Device Problem 3 3
Output Problem 3 3
Leak/Splash 3 3
Material Separation 2 2
Tear, Rip or Hole in Device Packaging 2 2
Device Dislodged or Dislocated 2 2
Nonstandard Device 2 2
Patient-Device Incompatibility 2 2
Activation Problem 2 2
Loose or Intermittent Connection 2 2
Improper or Incorrect Procedure or Method 2 2
Structural Problem 1 1

Patient Problems MDRs with this Patient Problem Events in those MDRs
No Clinical Signs, Symptoms or Conditions 536 536
Failure to Anastomose 231 231
Tissue Breakdown 229 229
Insufficient Information 112 112
Hemorrhage/Bleeding 50 50
Wound Dehiscence 34 34
Unspecified Tissue Injury 34 34
No Known Impact Or Consequence To Patient 33 33
Laceration(s) 24 24
Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available 20 20
Abscess 14 14
Unspecified Infection 13 13
Pain 13 13
Inflammation 13 13
Adhesion(s) 12 12
Ascites 11 11
No Consequences Or Impact To Patient 10 10
Fistula 9 9
Hematoma 9 9
Sepsis 9 9
Fever 8 8
Fluid Discharge 8 8
Nausea 8 8
Impaired Healing 8 8
No Code Available 7 7
No Information 6 6
Abdominal Distention 6 6
Hernia 6 6
Purulent Discharge 6 6
Post Operative Wound Infection 6 6
Rectal Anastomotic Leakage 5 5
Stenosis 5 5
Perforation 5 5
Vomiting 5 5
Obstruction/Occlusion 5 5
Unintended Radiation Exposure 5 5
Bowel Perforation 4 4
Emotional Changes 4 4
Blood Loss 4 4
Death 4 4
Peritonitis 4 4
Electrolyte Imbalance 4 4
Swelling/ Edema 3 3
Tissue Damage 3 3
Scar Tissue 3 3
Low Blood Pressure/ Hypotension 3 3
Distress 3 3
Foreign Body In Patient 3 3
Abdominal Pain 3 3
Hypersensitivity/Allergic reaction 3 3

Recalls
Manufacturer Recall Class Date Posted
1 Covidien, LP II Jul-01-2022
2 Intuitive Surgical, Inc. II May-05-2020
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