Reported Reactions

Devices › Staple, implantable

Device brand name · Staple implantable

Echelon Circular: medical device reports filed with FDA

337 reports name it, 2020–2026. Manufacturer given most often on reports: Ethicon Endo-Surgery. Product code GDW.

337
device reports naming the brand
0% of all MAUDE reports · about 53 a year
302
reports, 12 months to August 2026
6 in the 12 months before
72.4%
classified as malfunction
80.3% across the product code
0%
classified as death, as reported
0 reports · not verified by FDA

FDA's MAUDE database holds 337 reports that name the brand "Echelon Circular" (staple implantable), received between March 2020 and August 2026; the manufacturer given most often on reports is Ethicon Endo-Surgery. Spellings of one product vary from report to report.

302 reports arrived in the 12 months to August 2026, up 4933% from 6 in 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 (72.4%) and injury (27.6%); across all staple, implantable reports (product code GDW) death is recorded in 0.6% and malfunction in 80.3%. Event type is the reporter's classification of the report, not a verified outcome.

The device problems coded most often are failure to fire (35.6%), ejection problem (18.4%) and failure to form staple (8%). The patient problems coded most often are failure to anastomose, hemorrhage/blood loss/bleeding and foreign body in patient. 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."

Reports by month, five years

03672Sep 2021: 0Oct 2021: 3Nov 2021: 1Dec 2021: 02022Jan 2022: 0Feb 2022: 0Mar 2022: 4Apr 2022: 2May 2022: 2Jun 2022: 0Jul 2022: 0Aug 2022: 1Sep 2022: 0Oct 2022: 0Nov 2022: 0Dec 2022: 22023Jan 2023: 1Feb 2023: 0Mar 2023: 0Apr 2023: 0May 2023: 0Jun 2023: 0Jul 2023: 1Aug 2023: 0Sep 2023: 0Oct 2023: 2Nov 2023: 0Dec 2023: 02024Jan 2024: 0Feb 2024: 0Mar 2024: 0Apr 2024: 1May 2024: 0Jun 2024: 0Jul 2024: 0Aug 2024: 0Sep 2024: 0Oct 2024: 0Nov 2024: 2Dec 2024: 02025Jan 2025: 0Feb 2025: 0Mar 2025: 0Apr 2025: 1May 2025: 0Jun 2025: 0Jul 2025: 1Aug 2025: 2Sep 2025: 1Oct 2025: 1Nov 2025: 0Dec 2025: 12026Jan 2026: 6Feb 2026: 18Mar 2026: 27Apr 2026: 42May 2026: 32Jun 2026: 34Jul 2026: 68Aug 2026: 72

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

By year received

01502992020: 520202021: 820212022: 1120222023: 420232024: 320242025: 720252026: 2992026

Event type and report source

Event type, as classified on the report

Death0%0
Injury27.6%93
Malfunction72.4%244
Other0%0
Not given0%0

Who filed the report

Manufacturer report88.4%298
Voluntary report0.3%1
User facility report0%0
Distributor report0%0
Not given11.3%38

Grey bar: all 170,752 reports carrying product code GDW. Event type is the filer's classification and is not verified by FDA.

Device problems coded

Device problem (FDA code)ReportsShareShare across product code
Failure to fire12035.6%30%
Ejection problem6218.4%0.8%
Failure to form staple278%20.5%
Mechanical jam103%2.3%
Self-activation or keying103%0.2%
Breakthe device broke82.4%4.9%
Delivered as unsterile product82.4%0.3%
Difficult to open or close82.4%9.7%
Failure to cut72.1%2.4%
Failure to read input signal72.1%0.2%
Patient device interaction problem72.1%0.7%
Failure to eject61.8%0.1%
Noise, audible51.5%2.3%
Insufficient device problem information20.6%2.9%
Material integrity problema problem with the device material20.6%0.7%
Mechanical problema mechanical problem20.6%1.1%
Product quality problem20.6%0.1%
Tear, rip or hole in device packaging20.6%0.2%

FDA's device problem codes as entered on the report; one report can carry several. Generic codes such as "no apparent adverse event" are left out.

Patient problems coded

Patient problem (FDA code)ReportsShare
Failure to anastomose5115.1%
Hemorrhage/blood loss/bleeding164.7%
Foreign body in patientpart of a device left in the patient51.5%
Obstruction/occlusion41.2%
Wound dehiscencea wound reopened41.2%
Fever30.9%
Inflammationinflammation30.9%
Painpain, site not specified30.9%
Post operative wound infection20.6%
Abdominal painstomach or belly pain10.3%
Adhesion(s)10.3%
Hypoxialow oxygen10.3%
Ischemia10.3%

Patient problem codes are present mainly in reports filed since 2019 and are often blank.

In context

MeasureEchelon CircularProduct code GDWAll MAUDE reports
Reports337170,75226,136,888
Share of that pool—0.2%0%
Classified as death, per 1,000 reports069
Classified as injury27.6%18.7%36.2%
Classified as malfunction72.4%80.3%62.3%
Filed by the manufacturer88.4%97%94.9%

Shares are of reports, not of devices in use. 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."

Other brands with product code GDW

BrandReportsLatest 12 monthsClassified as death
Endo GIA30,6192,0860.3%
Endo GIA Ultra17,2811,1160.1%
Signia9,4341,1300.1%
Tri-Staple 2.05,2676610.3%
Gia4,8994040.9%
Eea4,9225420.8%
Powered 60 Echelon + 340mm Shaft3,2372240.4%
Ets Flex Articng Lnr Cutr 45mm2,512790.3%
Unknown Endo GIA SULU2,4082051.9%
SureForm2,9276541.2%
Contour Curved Cutter Stapler1,961110.3%
Ils 29mm Curved1,945480.9%
Powered 60 Echelon + 440mm Shaft1,775490.4%
Echelon Flex Powered Vascular Stapler With Advanced Placement Tip1,7701801.6%
75mm Selectable New Tlc1,603571.1%

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." FDA also states that "common products may have a higher number of adverse events due to the higher total number of people using the product."

Questions about Echelon Circular reports

How many FDA reports name Echelon Circular?

337 medical device reports in the openFDA MAUDE release of 28 Sep 2026, covering reports received through August 2026; 302 in the latest 12 months.

What kinds of events are reported?

malfunction (72.4%) and injury (27.6%). "Event type" is how the report was classified when filed: death, injury, malfunction or other.

What device problems are coded?

failure to fire (35.6%), ejection problem (18.4%), failure to form staple (8%), mechanical jam (3%) and self-activation or keying (3%). These are FDA's device problem codes as entered on the report.

Who files these reports?

manufacturer reports (88.4%) and voluntary reports (0.3%). Manufacturers and user facilities are required to report; voluntary reports come from health professionals and the public.

Do these reports show that Echelon Circular was at fault?

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." FDA adds that "a causal relationship cannot be established between product and reactions listed in a report."

How do I report a problem with a medical device?

Through FDA MedWatch (Form FDA 3500 for health professionals and consumers), or to the manufacturer. See the guide on how to report.

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. A report counts here when any device it lists carries this brand name after punctuation and capitalisation are normalised. 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.