• Decrease font size
  • Return font size to normal
  • Increase font size
U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ETHICON ENDO-SURGERY, LLC. GST BLACK RELOAD 60MM 6 ROW; STAPLE, IMPLANTABLE

  • Print
  • Share
  • E-mail
-
Super Search Devices@FDA
510(k) | DeNovo | Registration & Listing | Adverse Events | Recalls | PMA | HDE | Classification | Standards
CFR Title 21 | Radiation-Emitting Products | X-Ray Assembler | Medsun Reports | CLIA | TPLC
 

ETHICON ENDO-SURGERY, LLC. GST BLACK RELOAD 60MM 6 ROW; STAPLE, IMPLANTABLE Back to Search Results
Catalog Number GST60T
Medical Device Problem Codes Difficult to Open or Close (2921); Activation Failure (3270)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 01/01/2025
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
(b)(4).Date sent: 12/23/2025.B3: unknown.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.H4: the device manufacture date is currently not available.Attempts have been made to retrieve the device.To date the device has not been returned.If the device or further details are received at a later date a supplemental medwatch will be sent.No lot or batch number was provided; therefore, a device history could not be done.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.
 
Event or Problem Description
It was reported that during an unknown procedure, it was observed that the jaw on the device could not be opened after firing.There was no patient consequence nor surgical delay reported.No additional information provided.
 
Additional Manufacturer Narrative
(b)(4).Date sent 2/3/2026.Investigation summary: the product was returned for evaluation.Visual inspection and functional testing were conducted on the returned reload.Visual analysis of the returned sample determined that one gst60t reload was received partially fired.The returned reload was reset and loaded into a test device.The returned reload was tested for functionality with a test device in the straight position and achieved its complete firing sequence without any difficulties.The staple line and cut line were complete and the remaining staples meet the staple form release criteria.It is possible that the combination of tissue and/or buttressing material compressed between the device jaws may have been beyond indicated thickness.This may have prevented the top of the knife blade assembly from entering into the anvil.Please reference the instruction for use for more information.No conclusion could be reach on the cause of the reported event of would not open and would not reverse button force since the device was not received.As part of ethicon endo surgery¿s quality process, all devices are manufactured, inspected, and released to approved specifications.Manufacturing record evaluation is not required as the reported event is not associated with the manufacturing process and/or the potential cause of the defect cannot be associated to manufacturing.
 
Additional Manufacturer Narrative
(b)(4).Date sent: 1/15/2026.D4: batch #unk.Corrected data: h6 (medical device problem code).Additional information was requested, and the following was obtained: what troubleshooting steps were attempted to open the device (e.G.Squeezing the closing trigger while simultaneously depressing the anvil release button, knife reverse switch, manual override)? anvil release button.Did the jaws eventually open? no.Place the reload, close the jaw and inserted through trocar into the chest, then the jaws was unable to open.Was the device locked on tissue with the jaws closed? no.If yes, how was the device removed? no.The device upon which this medwatch is based has been received, however, the evaluation is not yet complete.Any further information derived from the evaluation will be submitted in a supplemental 3500a form.
 
Search Alerts/Recalls

  New Search  |  Submit an Adverse Event Report

Brand Name
GST BLACK RELOAD 60MM 6 ROW
Common Device Name
STAPLE, IMPLANTABLE
Manufacturer (Section D)
ETHICON ENDO-SURGERY, LLC.
475 calle c
guaynabo 00969
Manufacturer (Section G)
ETHICON ENDO-SURGERY, LLC.
475 calle c
guaynabo 00969
Manufacturer Contact
orla o'mahony
475 calle c
guaynabo 00969
3035526892
MDR Report Key23881455
Report Number3005075853-2025-09760
Device Sequence Number20026673
Product Code GDW
UDI-Device Identifier10705036014720
UDI-Public10705036014720
Combination Product (Y/N)N
Initial Reporter CountryTW
PMA/510(K) Number
K110385
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Foreign,Company Representative
Initial Reporter Occupation Other
Type of Report Initial,Followup,Followup
Report Date (Section B) 02/03/2026
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 Catalogue NumberGST60T
Was Device Available for Evaluation? Device Returned to Manufacturer
Is the Reporter a Health Professional? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 12/08/2025
Supplement Date Received by Manufacturer01/06/2026
02/02/2026
Initial Report FDA Received Date12/23/2025
Supplement Report FDA Received Date01/15/2026
02/03/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Is the Device Labeled for Single Use? (Y/N) Yes
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Initial
Patient Sequence Number1
Patient SexUnknown
-
-