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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: Ethicon Endo-Surgery, LLC. ECHELON FLEX; STAPLE, IMPLANTABLE

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Ethicon Endo-Surgery, LLC. ECHELON FLEX; STAPLE, IMPLANTABLE Back to Search Results
Catalog Number PVE35A
Medical Device Problem Code Failure to Fire (2610)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 06/03/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that during an unknown procedure, the powered vascular stapler stopped firing after a few seconds.Reverse button used to remove from tissue.There was no patient consequence nor surgical delay reported.No additional information provided.
 
Additional Manufacturer Narrative
(b)(4).Date sent: 8/10/2026.D4: batch #911d44.Attempts are being made to obtain the following information.To date no response has been provided.If further details are received at a later date a supplemental medwatch will be sent: 1.Was the firing sequences started? if yes, was the firing sequence completed? 2.Did the device deliver any staples? 3.If yes, were the staples formed properly? 4.What was the appearance of the deployed staples (b-formed, malformed, goal post/legs straight)? 5.Were there staples missing from the staple line? 6.Did the device cut? 7.If yes, was the cut line complete? 8.If yes, was there any issue with the cut line? 9.Was there any difficulty opening the device jaws? 10.If yes, what steps were taken to open the jaws.11.If the jaws could not be opened, how was the device removed.12.Was there a patient consequence? if yes, how was the issue addressed? 13.Could you please clarify if there were any change in the post-operative care of the patient as a result of the event? investigation summary: the product was returned for evaluation.Visual inspection and functional testing were conducted on the returned device.Visual analysis of the returned sample determined that one pve35a device was returned with no apparent damage and with no reload present.The manual override door out of position and missing; the override lever was up which denotes that the knife was manually returned to home position.It should be noted after the manual override system is used the instrument is disabled and cannot be used for any subsequence firings.The bailout system was reset and then an attempt to fire the device was made, however, the device would not fire.Upon evaluation, the pcb board was noted to be non-functional.No conclusion could be reached as to what may have caused the pcb board to be damaged.As part of our quality process, the manufacturing records of this batch number were reviewed, and the manufacturing standards were met prior to the release of this batch as part of ethicon endo surgery¿s quality process, all devices are manufactured, inspected, and released to approved specifications.A manufacturing record evaluation was performed for the finished device batch number 911d44, and no non-conformances were identified.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.
 
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Brand Name
ECHELON FLEX
Common Device Name
STAPLE, IMPLANTABLE
Manufacturer (Section D)
Ethicon Endo-Surgery, LLC.
475 calle c
guaynabo 00969
PR  00969
Manufacturer (Section G)
Ethicon Endo-Surgery, LLC.
475 calle c
guaynabo 00969
PR   00969
Manufacturer Contact
orla o'mahony
475 calle c
guaynabo 00969
PR   00969
+1(303)552-6892
MDR Report Key50195004
Report Number3005075853-2026-06449
Device Sequence Number6122145
Product Code GDW
UDI-Device Identifier10705036014584
UDI-Public(01)10705036014584(17)290131(10)911D44
Combination Product (Y/N)N
Initial Reporter CountryCA
PMA/510(K) Number
K141952
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Foreign,Company Representative
Type of Report Initial
Report Date (Section B) 08/10/2026
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 NumberPVE35A
Device Lot Number911D44
Was Device Available for Evaluation? Yes
Date Returned to Manufacturer07/22/2026
Is the Reporter a Health Professional? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 08/09/2026
Initial Report FDA Received Date08/10/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured02/20/2026
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
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