Reported Reactions

Devices › Staple, implantable

Device brand name · Staple implantable

Ets Flex Articng Lnr Cutr 45mm: medical device reports filed with FDA

2,512 reports name it, 2008–2026. Manufacturer given most often on reports: Ethicon Endo-Surgery. Product code GDW.

2,512
device reports naming the brand
0% of all MAUDE reports · about 137 a year
79
reports, 12 months to August 2026
182 in the 12 months before
91.5%
classified as malfunction
80.3% across the product code
0.3%
classified as death, as reported
7 reports · not verified by FDA

2,512 medical device reports received by FDA name the brand "Ets Flex Articng Lnr Cutr 45mm" (staple implantable); the manufacturer given most often on reports is Ethicon Endo-Surgery; received from March 2008 to March 2026. Brand names are as the reporter or manufacturer wrote them, so one product can appear under several spellings.

79 reports arrived in the 12 months to August 2026, down 57% from 182 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 (91.5%), injury (8.2%) and death (0.3%); 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 (41.6%), difficult to open or close (15.4%) and failure to form staple (15.1%). 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

01529Sep 2021: 23Oct 2021: 24Nov 2021: 14Dec 2021: 192022Jan 2022: 14Feb 2022: 20Mar 2022: 17Apr 2022: 11May 2022: 16Jun 2022: 11Jul 2022: 7Aug 2022: 11Sep 2022: 15Oct 2022: 15Nov 2022: 12Dec 2022: 142023Jan 2023: 12Feb 2023: 11Mar 2023: 16Apr 2023: 10May 2023: 17Jun 2023: 21Jul 2023: 15Aug 2023: 13Sep 2023: 12Oct 2023: 22Nov 2023: 25Dec 2023: 132024Jan 2024: 16Feb 2024: 29Mar 2024: 17Apr 2024: 16May 2024: 11Jun 2024: 12Jul 2024: 16Aug 2024: 8Sep 2024: 28Oct 2024: 16Nov 2024: 14Dec 2024: 192025Jan 2025: 9Feb 2025: 13Mar 2025: 9Apr 2025: 12May 2025: 20Jun 2025: 9Jul 2025: 18Aug 2025: 15Sep 2025: 13Oct 2025: 15Nov 2025: 17Dec 2025: 122026Jan 2026: 6Feb 2026: 10Mar 2026: 6Apr 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

02094172008: 12920082009: 2062010: 3820102011: 82012: 520122013: 52014: 3120142015: 102017: 10520172018: 3182019: 41720192020: 2532021: 25120212022: 1632023: 18720232024: 2022025: 16220252026: 22

Event type and report source

Event type, as classified on the report

Death0.3%7
Injury8.2%207
Malfunction91.5%2,298
Other0%0
Not given0%0

Who filed the report

Manufacturer report99.4%2,497
Voluntary report0%0
User facility report0%0
Distributor report0%0
Not given0.6%15

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 fire1,04641.6%30%
Difficult to open or close38715.4%9.7%
Failure to form staple38015.1%20.5%
Failure to cut1526.1%2.4%
Mechanical jam1315.2%2.3%
Firing problem1234.9%1.6%
Misfire1164.6%9.1%
Replace1094.3%2.2%
Insufficient device problem information1024.1%2.9%
Mechanical problema mechanical problem783.1%1.1%
Sticking642.5%1.2%
Noise, audible622.5%2.3%
Breakthe device broke582.3%4.9%
Device operates differently than expectedthe device behaved unexpectedly461.8%2.3%
Component falling351.4%0.5%
Detachment of device component311.2%1.2%
Activation, positioning or separation problem271.1%0.2%
Material integrity problema problem with the device material271.1%0.7%
Difficult to removethe device was hard to remove261%1.7%
Device inoperablethe device could not be used251%0.5%

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/bleeding451.8%
Blood loss331.3%
Failure to anastomose331.3%
Therapy/non-surgical treatment, additional170.7%
Bleeding160.6%
Surgical procedure160.6%
Laparotomy140.6%
Surgical procedure, additional130.5%
Foreign body, removal of120.5%
Surgical incision, enlargement of120.5%
Obstruction/occlusion90.4%
Adhesion(s)70.3%
Surgery, prolonged60.2%
Transfusion of blood products60.2%
Deaththe patient died; cause not stated by this term50.2%

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

In context

MeasureEts Flex Articng Lnr Cutr 45mmProduct code GDWAll MAUDE reports
Reports2,512170,75226,136,888
Share of that pool—1.5%0%
Classified as death, per 1,000 reports369
Classified as injury8.2%18.7%36.2%
Classified as malfunction91.5%80.3%62.3%
Filed by the manufacturer99.4%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%
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%
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 Ets Flex Articng Lnr Cutr 45mm reports

How many FDA reports name Ets Flex Articng Lnr Cutr 45mm?

2,512 medical device reports in the openFDA MAUDE release of 28 Sep 2026, covering reports received through August 2026; 79 in the latest 12 months.

What kinds of events are reported?

malfunction (91.5%), injury (8.2%) and death (0.3%). "Event type" is how the report was classified when filed: death, injury, malfunction or other.

What device problems are coded?

failure to fire (41.6%), difficult to open or close (15.4%), failure to form staple (15.1%), failure to cut (6.1%) and mechanical jam (5.2%). These are FDA's device problem codes as entered on the report.

Who files these reports?

manufacturer reports (99.4%). Manufacturers and user facilities are required to report; voluntary reports come from health professionals and the public.

Do these reports show that Ets Flex Articng Lnr Cutr 45mm 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.