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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: COVIDIEN GIA; STAPLER, SURGICAL

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COVIDIEN GIA; STAPLER, SURGICAL Back to Search Results
Model Number GIA8038L
Medical Device Problem Code Sharp Edges (4013)
Health Effect - Clinical Code Unspecified Tissue Injury (4559)
Date of Event 02/12/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that intraoperatively, when loading the next cartridge, the staples actually came up and punctured the nurse's skin.Then after successfully firing two reloads, some staples were protruding from the cartridge and pricked the nurse's hand.No intervention was done.
 
Additional Manufacturer Narrative
D10 concomitant product: gia8038s, gia8038s gia 80-3.8sgl use reload stap (lot#p5f1143); gia8038l, gia8038l gia 80-3.8sgl use loadingunit (lot#p5e1179) medtronic submits this report to comply with fda regulations 21 cfr parts 4 and 803.Medtronic has made reasonable efforts to provide as much relevant information as is available to the company as of the submission date of this report.This report does not constitute an admission or a conclusion by fda, medtronic, or its employees that the device, medtronic, or its employee caused or contributed to the event described in the report.Any required fields that are unpopulated are blank because the information is currently unknown or unavailable.Medtronic will submit a supplemental report if additional relevant information becomes known.
 
Additional Manufacturer Narrative
Additional information: d9, g3, h3, h6 h3 evaluation summary: medtronic conducted an investigation based upon all information received.The device was available for evaluation.For functional te sting, the firing knob advanced and retracted without difficulty.The knife cut completely and cleanly.The remaining staples deployed and formed properly.It was reported that intraoperatively, when loading the next cartridge, the staples actually came up and pun ctured the nurse's skin.The reported issue was confirmed.The product analysis noted evidence that the device was not used as intended.This issue may occur if the firing stroke is not complete and the firing knob is not fully retracted after firing or if the instrument is applied against an excessive amount of tissue during the clinical application.The manufacturing records for each device are thoroughly reviewed prior to release to ensure that it meets all medtronic quality specifications.The instructions included with this device provide the following guidance: the instrument should not be used on tissue such as liver or spleen where compressibility is such that closure of the instrument would be destructive.Tissue thickness should be carefully evaluated before firing any stapler.If the tissue can not comfortably compress to the specified minimum requirement, or compresses to less than this requirement, the tissue may be too thick or too thin for the selected staple size.Do not rotate the firing knob during firing.Rotating the knob during firing may cause damage and possible instrument malfunction.Medtronic submits this report to comply with fda regulations 21 cfr parts 4 and 803.Medtronic has made reasonable efforts to provide as much relevant information as is available to the company as of the submission date of this report.This report does not constitute an admission or a conclusion by fda, medtronic, or its employees that the device, medtronic, or its employee caused or contributed to the event described in the report.Any required fields that are unpopulated are blank because the information is currently unknown or unavailable.Medtronic will submit a supplemental report if additional relevant information becomes known.
 
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Brand Name
GIA
Common Device Name
STAPLER, SURGICAL
Manufacturer (Section D)
COVIDIEN
sabanetas industrial park
ponce PR 00716 4401
Manufacturer (Section G)
COVIDIEN
sabanetas industrial park
ponce PR 00716 4401
Manufacturer Contact
mike bocchino
8200 coral sea st ne
mounds view, MN 55112-4391
8006464633
MDR Report Key24626458
Report Number2647580-2026-00714
Device Sequence Number15720213
Product Code GAG
UDI-Device Identifier10884523007251
UDI-Public(01)10884523007251(17)300430(10)P5E1179(20)04
Combination Product (Y/N)N
Initial Reporter CountryCA
PMA/510(K) Number
K221013
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2026
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Foreign,Health Professional,Company Representative
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date (Section B) 05/31/2026
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 Model NumberGIA8038L
Device Catalogue NumberGIA8038L
Device Lot NumberP5E1179
Was Device Available for Evaluation? Device Returned to Manufacturer
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 02/24/2026
Supplement Date Received by Manufacturer05/28/2026
Initial Report FDA Received Date03/18/2026
Supplement Report FDA Received Date05/31/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured05/28/2025
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
Concomitant Medical Products
and Therapy/Usage Dates
PLEASE SEE NOTE ON H11.
Patient SexUnknown
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