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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ETHICON ENDO-SURGERY, LLC. PROXIMATE*CUTTER RELOAD UNIT; STAPLE, IMPLANTABLE

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ETHICON ENDO-SURGERY, LLC. PROXIMATE*CUTTER RELOAD UNIT; STAPLE, IMPLANTABLE Back to Search Results
Catalog Number TCR75
Medical Device Problem Code Failure to Fire (2610)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 12/27/2025
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
(b)(4).Date sent: 2/26/2026.D4: batch #589d68.Investigation summary: the product was returned to ees for evaluation.Visual inspection was conducted on the returned reload.Visual analysis of the returned sample determined that the tcr75 reload was received with the proximal 6 drivers up without staples, the remaining drivers down with staples present, and the swing tab in the locked position.Upon visual inspection, the reload deck was noted damaged in the proximal end.No functional test was performed due to the condition of the reload.The damage to the reload is consistent with the device being clamped over a hard object.To mitigate the potential for staples getting into the reload and interfering with the knife during device firing, prior to reloading the device, clean in sterile solution and then wipe the anvil and reload channel to clean any formed but unused staples from the device.Additionally, proper care should be taken when placing the device on the tissue to be stapled, to ensure that no hard obstruction such as a clip is included with the tissue inside the jaws.The event reported was confirmed and is related to improper use of the device.The cartridge reload is designed to lockout, as a safety feature, if any staples have been fired from the cartridge reload.Failure to complete the stroke may result in incomplete staple line.Please reference the instruction for use for more information.As part of ees quality process all devices are manufactured, inspected, and released to approved specifications.A manufacturing record evaluation was performed for the finished device batch number 589d68, and no non-conformances were identified.
 
Event or Problem Description
It was reported that during the surgery, could not fire.Changed to a new one to complete surgery.There was no patient consequence reported.No additional information can be provided.
 
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Common Device Name
STAPLE, IMPLANTABLE
Manufacturer (Section D)
ETHICON ENDO-SURGERY, LLC.
475 calle c
guaynabo 00969
*  00969
Manufacturer (Section G)
ETHICON ENDO-SURGERY, LLC.
475 calle c
guaynabo 00969
*   00969
Manufacturer Contact
orla o'mahony
475 calle c
guaynabo 
*  
3035526892
MDR Report Key24455821
Report Number3005075853-2026-01615
Device Sequence Number10007143
Product Code GDW
UDI-Device Identifier10705036013136
UDI-Public(01)10705036013136(17)300430(10)326D53
Combination Product (Y/N)N
Initial Reporter CountryCH
PMA/510(K) Number
K020779
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
Report Date (Section B) 02/26/2026
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 NumberTCR75
Device Lot Number326D53
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer01/26/2026
Type of Report(Section G)Initial
Initial Date Received by Manufacturer 01/29/2026
Initial Report FDA Received Date02/26/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured05/27/2025
Is the Device Labeled for Single Use? (Y/N) Yes
Usage of Device Initial
Patient Sequence Number1
Patient SexUnknown
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