Instrument, ligature passing and knot tying: medical device reports filed with FDA

642 reports carry this product code, 1995–2026; 1 brands with a page.

Read first · FDA's statement on these data

Adverse event reports submitted to FDA do not undergo extensive validation or verification. Therefore, a causal relationship cannot be established between product and reactions listed in a report. While a suspected relationship may exist, it is not medically validated and should not be the sole source of information for clinical decision making or other assumptions about the safety or efficacy of a product. Additionally, it is important to remember that adverse event reports represent a small percentage of total usage numbers of a product. Common products may have a higher number of adverse events due to the higher total number of people using the product. openFDA, FDA

FDA adds: "Although MDRs are a valuable source of information, this passive surveillance system has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data. In addition, the incidence or prevalence of an event cannot be determined from this reporting system alone due to potential under-reporting of events and lack of information about frequency of device use." And: "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices."

Do not rely on openFDA to make decisions regarding medical care. While we make every effort to ensure that data is accurate, you should assume all results are unvalidated.

Not medical advice. This site counts what was reported to FDA. Questions about a medicine or device belong with a pharmacist or clinician.

642
reports with this product code: 0% of all MAUDE reports; 101
reports, 12 months to August 2026: 99 in the 12 months before; 86.8%
classified as malfunction: 62.3% across all reports; 0.9%
classified as death, as reported: 0.9% across all reports

Product code HCF is FDA's classification for "Instrument, ligature passing and knot tying" (general, Plastic Surgery panel), a class 1 device. 642 medical device reports carry this product code, 0% of the MAUDE database, from July 1995 to August 2026.

101 reports arrived in the 12 months to August 2026, close to the 99 of the 12 months before. FDA releases MAUDE data monthly; reports can arrive months after an event, so the newest months grow in later releases. The event types recorded are malfunction (86.8%), injury (11.1%) and other (1.1%). 1 brand name with a page on this site carry this code; the brands table is ordered by report count for navigation only. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data."

Brands with this product code

Brand	Reports	Latest 12 months	Classified as death	Classified as malfunction
LigaSure	1	879	0.2%	93.9%

Ordered by report count for navigation only. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data."

Manufacturers named

Manufacturer (as written on reports)	Reports	Share
Depuy Mitek US	184	28.7%
Apollo Endosurgery	10	1.6%
Depuy Mitek	9	1.4%
Atricure	8	1.2%
Johnson & Johnson Medical Suzhou	1	0.2%
Perclose	1	0.2%
W L Gore & Associates	1	0.2%

Reports by month, five years

FDA releases MAUDE data monthly; reports can arrive months after an event, so the newest months grow in later releases.

Event type and report source

Event type

Death0.9%6

Injury11.1%71

Malfunction86.8%557

Other1.1%7

Not given0.2%1

Who filed

Manufacturer report70.4%452

Voluntary report5.9%38

User facility report0%0

Distributor report0.6%4

Not given23.1%148

Grey bar: all 26,136,888 MAUDE reports.

Device problems coded

Device problem (FDA code)	Reports	Share
Breakthe device broke	211	32.9%
Material deformation	76	11.8%
Device-device incompatibility	21	3.3%
Detachment of device or device componentpart of the device came off	20	3.1%
Misfire	19	3%
Difficult to advance	16	2.5%
Failure to cut	16	2.5%
Insufficient device problem information	13	2%
Unintended movement	12	1.9%
Device operates differently than expectedthe device behaved unexpectedly	11	1.7%
Failure to fire	11	1.7%
Tip breakage	11	1.7%
Mechanical problema mechanical problem	9	1.4%
Material twisted/bent	8	1.2%
Difficult to open or close	7	1.1%
Crackthe device cracked	5	0.8%
Defective devicethe device was defective	5	0.8%
Entrapment of device	5	0.8%
Activation, positioning or separation problem	4	0.6%
Detachment of device component	4	0.6%

Questions about instrument, ligature passing and knot tying reports

What is product code HCF?

FDA's classification code for "Instrument, ligature passing and knot tying", class 1, reviewed by the general, Plastic Surgery panel. Every device report carries the product code of the device involved.

How many reports carry this code?

642 reports through August 2026, 101 of them in the latest 12 months.

Which brands appear most often?

LigaSure (1). Widely used products collect more reports because more people use them.

Can the brands table be used to rank the devices?

No. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data." Brands differ in how many are in use, how long they have been sold and how reports are collected.

Where this comes from. Counts are built from the openFDA Device Adverse Event (MAUDE) bulk export released 28 Sep 2026, which holds reports FDA received through 31 Aug 2026. Brand, generic and manufacturer names are as written on the reports; product code names come from FDA's device classification. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.