Reported Reactions

Devices › Staple, implantable

Device brand name · Staple implantable

Echelon Flex Powered Vascular Stapler With Advanced Placement Tip: medical device reports filed with FDA

1,770 reports name it, 2017–2026. Manufacturer given most often on reports: Ethicon Endo-Surgery. Product code GDW.

1,770
device reports naming the brand
0% of all MAUDE reports · about 202 a year
180
reports, 12 months to August 2026
410 in the 12 months before
84.2%
classified as malfunction
80.3% across the product code
1.6%
classified as death, as reported
29 reports · not verified by FDA

1,770 medical device reports received by FDA name the brand "Echelon Flex Powered Vascular Stapler With Advanced Placement Tip" (staple implantable); the manufacturer given most often on reports is Ethicon Endo-Surgery; received from October 2017 to March 2026. Brand names are as the reporter or manufacturer wrote them, so one product can appear under several spellings.

180 reports arrived in the 12 months to August 2026, down 56% from 410 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 (84.2%), injury (14.2%) and death (1.6%); 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 (39.1%), difficult to open or close (30.1%) and failure to form staple (21%). The patient problems coded most often are hemorrhage/blood loss/bleeding, blood loss and failure to anastomose. 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

03467Sep 2021: 8Oct 2021: 15Nov 2021: 12Dec 2021: 132022Jan 2022: 14Feb 2022: 26Mar 2022: 2Apr 2022: 14May 2022: 13Jun 2022: 17Jul 2022: 11Aug 2022: 21Sep 2022: 19Oct 2022: 13Nov 2022: 17Dec 2022: 102023Jan 2023: 6Feb 2023: 11Mar 2023: 18Apr 2023: 16May 2023: 14Jun 2023: 12Jul 2023: 20Aug 2023: 11Sep 2023: 15Oct 2023: 23Nov 2023: 24Dec 2023: 222024Jan 2024: 17Feb 2024: 20Mar 2024: 15Apr 2024: 13May 2024: 13Jun 2024: 12Jul 2024: 11Aug 2024: 22Sep 2024: 25Oct 2024: 23Nov 2024: 30Dec 2024: 312025Jan 2025: 42Feb 2025: 40Mar 2025: 27Apr 2025: 13May 2025: 67Jun 2025: 37Jul 2025: 42Aug 2025: 33Sep 2025: 30Oct 2025: 30Nov 2025: 28Dec 2025: 242026Jan 2026: 31Feb 2026: 13Mar 2026: 24Apr 2026: 0May 2026: 0Jun 2026: 0Jul 2026: 0Aug 2026: 0

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

02074132017: 1720172018: 13520182019: 17920192020: 15820202021: 19920212022: 17720222023: 19220232024: 23220242025: 41320252026: 682026

Event type and report source

Event type, as classified on the report

Death1.6%29
Injury14.2%251
Malfunction84.2%1,490
Other0%0
Not given0%0

Who filed the report

Manufacturer report99.6%1,763
Voluntary report0%0
User facility report0%0
Distributor report0%0
Not given0.4%7

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 fire69239.1%30%
Difficult to open or close53230.1%9.7%
Failure to form staple37221%20.5%
Mechanical jam19210.8%2.3%
Activation failure985.5%0.4%
Activation problem502.8%0.3%
Failure to cut352%2.4%
Retraction problem311.8%1.2%
Insufficient device problem information291.6%2.9%
Mechanical problema mechanical problem291.6%1.1%
Firing problem241.4%1.6%
Misfire191.1%9.1%
Noise, audible171%2.3%
Delivered as unsterile product150.8%0.3%
Material integrity problema problem with the device material150.8%0.7%
Patient device interaction problem130.7%0.7%
Device operates differently than expectedthe device behaved unexpectedly100.6%2.3%
Activation, positioning or separation problem80.5%0.2%
Positioning failure80.5%1.1%
Detachment of device or device componentpart of the device came off70.4%2.4%

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
Hemorrhage/blood loss/bleeding25914.6%
Blood loss804.5%
Failure to anastomose160.9%
Cardiac arrestthe heart stopped120.7%
Deaththe patient died; cause not stated by this term100.6%
Hematomaa collection of blood under the skin or in tissue60.3%
Low blood pressure/ hypotension40.2%
Painpain, site not specified40.2%
Not applicable30.2%
Pneumonialung infection30.2%
Pneumothoraxa collapsed lung30.2%
Adhesion(s)20.1%
Exsanguination20.1%
High blood pressure/ hypertension20.1%
Pulmonary embolisma blood clot in the lung20.1%

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

In context

MeasureEchelon Flex Powered Vascular Stapler With Advanced Placement TipProduct code GDWAll MAUDE reports
Reports1,770170,75226,136,888
Share of that pool—1%0%
Classified as death, per 1,000 reports1669
Classified as injury14.2%18.7%36.2%
Classified as malfunction84.2%80.3%62.3%
Filed by the manufacturer99.6%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%
75mm Selectable New Tlc1,603571.1%
Unknown Endo GIA Instrument1,512330.5%

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 Flex Powered Vascular Stapler With Advanced Placement Tip reports

How many FDA reports name Echelon Flex Powered Vascular Stapler With Advanced Placement Tip?

1,770 medical device reports in the openFDA MAUDE release of 28 Sep 2026, covering reports received through August 2026; 180 in the latest 12 months.

What kinds of events are reported?

malfunction (84.2%), injury (14.2%) and death (1.6%). "Event type" is how the report was classified when filed: death, injury, malfunction or other.

What device problems are coded?

failure to fire (39.1%), difficult to open or close (30.1%), failure to form staple (21%), mechanical jam (10.8%) and activation failure (5.5%). These are FDA's device problem codes as entered on the report.

Who files these reports?

manufacturer reports (99.6%). Manufacturers and user facilities are required to report; voluntary reports come from health professionals and the public.

Do these reports show that Echelon Flex Powered Vascular Stapler With Advanced Placement Tip 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.