MAUDE Adverse Event Report: ETHICON ENDO-SURGERY, LLC CONTOUR; STAPLE, IMPLANTABLE

Model Number	CS40G
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	02/23/2025
Type of Reportable Event	Malfunction
Event or Problem Description
Echelon curved cutter stapler would not work - "not firing." a new echelon stapler was brought into the room, and the next one would not work either.Dr switched to the ta 90 stapler.No injury to patient.The defective staplers will be returned to the manufacturer for inspection.

• Brand Name: CONTOUR
• Common Device Name: STAPLE, IMPLANTABLE
• Manufacturer (Section D): ETHICON ENDO-SURGERY, LLC; 475 calle c; guaynabo PR 00969
• MDR Report Key: 21546641
• Report Number: 21546641
• Device Sequence Number: 20845746
• Product Code: GDW
• UDI-Device Identifier: 10705036012405
• UDI-Public: 10705036012405
• Combination Product (Y/N): N
• Initial Reporter State: MN
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Reporter Type: User Facility
• Initial Reporter Occupation: Other Health Care Professional
• Type of Report: Initial
• Report Date (Section B): 02/25/2025
• Report Date (Section F): 02/25/2025

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Operator of Device: Health Professional
• Device Model Number: CS40G
• Device Catalogue Number: CS40G
• Device Lot Number: C9ET3E
• Was Device Available for Evaluation?: Yes
• Is the Reporter a Health Professional?: Yes
• Was the Report Sent to FDA?: Yes
• Event Location: Hospital
• Date Report to Manufacturer: 03/07/2025
• Initial Date Received by Manufacturer: Not provided
• Initial Report FDA Received Date: 03/07/2025
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Usage of Device: Unknown
• Patient Sequence Number: 1
• Patient Sex: Unknown
• Date Report Sent to FDA: 02/25/2025