Reported Reactions

Devices › Clip, implantable

Device brand name · Clip implantable

Ligamax-5mm Endo Clip Applier: medical device reports filed with FDA

6,836 reports name it, 2006–2026. Manufacturer given most often on reports: Ethicon Endo-Surgery. Product code FZP.

6,836
device reports naming the brand
0% of all MAUDE reports · about 339 a year
234
reports, 12 months to August 2026
457 in the 12 months before
96.9%
classified as malfunction
90.6% across the product code
0%
classified as death, as reported
3 reports · not verified by FDA

6,836 medical device reports received by FDA name the brand "Ligamax-5mm Endo Clip Applier" (clip implantable); the manufacturer given most often on reports is Ethicon Endo-Surgery; received from May 2006 to March 2026. Brand names are as the reporter or manufacturer wrote them, so one product can appear under several spellings.

234 reports arrived in the 12 months to August 2026, down 49% from 457 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 (96.9%) and injury (3%); across all clip, implantable reports (product code FZP) death is recorded in 0.3% and malfunction in 90.6%. Event type is the reporter's classification of the report, not a verified outcome.

The device problems coded most often are failure to form staple (43.5%), failure to fire (15.8%) and replace (12.3%). The patient problems coded most often are failure to anastomose, hemorrhage/blood loss/bleeding and tissue damage. 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

02958Sep 2021: 42Oct 2021: 20Nov 2021: 42Dec 2021: 392022Jan 2022: 42Feb 2022: 26Mar 2022: 30Apr 2022: 30May 2022: 20Jun 2022: 41Jul 2022: 20Aug 2022: 41Sep 2022: 28Oct 2022: 23Nov 2022: 26Dec 2022: 422023Jan 2023: 23Feb 2023: 24Mar 2023: 23Apr 2023: 41May 2023: 21Jun 2023: 36Jul 2023: 41Aug 2023: 43Sep 2023: 28Oct 2023: 41Nov 2023: 39Dec 2023: 442024Jan 2024: 35Feb 2024: 51Mar 2024: 40Apr 2024: 56May 2024: 55Jun 2024: 19Jul 2024: 38Aug 2024: 52Sep 2024: 42Oct 2024: 42Nov 2024: 31Dec 2024: 472025Jan 2025: 38Feb 2025: 31Mar 2025: 37Apr 2025: 30May 2025: 54Jun 2025: 36Jul 2025: 33Aug 2025: 36Sep 2025: 32Oct 2025: 50Nov 2025: 5Dec 2025: 582026Jan 2026: 42Feb 2026: 27Mar 2026: 20Apr 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

03797572006: 13720062007: 5622008: 42220082009: 7572010: 69020102011: 572012: 24720122013: 2732017: 10020172018: 5622019: 41120192020: 3772021: 43120212022: 3692023: 40420232024: 5082025: 44020252026: 89

Event type and report source

Event type, as classified on the report

Death0%3
Injury3%202
Malfunction96.9%6,625
Other0%0
Not given0.1%6

Who filed the report

Manufacturer report99.7%6,815
Voluntary report0%0
User facility report0%0
Distributor report0%0
Not given0.3%21

Grey bar: all 42,395 reports carrying product code FZP. 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 form staple2,97443.5%27.7%
Failure to fire1,07815.8%8%
Replace84312.3%6.3%
Mechanical jam6529.5%6.4%
Difficult to open or close6068.9%8.1%
Sticking5648.3%2.7%
Mechanical problema mechanical problem3114.5%5.9%
Misfire2313.4%5.7%
Difficult to removethe device was hard to remove2253.3%1.3%
Device operates differently than expectedthe device behaved unexpectedly2012.9%4.6%
Insufficient device problem information1382%1.4%
Firing problem1362%0.8%
Failure to advance1151.7%1.3%
Breakthe device broke1141.7%4.2%
Component falling1031.5%3.8%
Positioning failure991.4%3.5%
Clips, scissored821.2%1%
Material deformation630.9%2.1%
Device issuea problem with the device620.9%0.7%
Device inoperablethe device could not be used600.9%0.6%

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 anastomose2403.5%
Hemorrhage/blood loss/bleeding681%
Tissue damage530.8%
Bleeding390.6%
Dural tear340.5%
Foreign body, removal of280.4%
Other (for use when an appropriate patient code cannot be identified)210.3%
Therapy/non-surgical treatment, additional190.3%
Laceration(s)180.3%
Surgery, prolonged150.2%
Surgical incision, enlargement of150.2%
No patient involvement100.1%
Blood loss90.1%
Painpain, site not specified70.1%
Surgical procedure, additional70.1%

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

In context

MeasureLigamax-5mm Endo Clip ApplierProduct code FZPAll MAUDE reports
Reports6,83642,39526,136,888
Share of that pool—16.1%0%
Classified as death, per 1,000 reports039
Classified as injury3%8%36.2%
Classified as malfunction96.9%90.6%62.3%
Filed by the manufacturer99.7%96.6%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 FZP

BrandReportsLatest 12 monthsClassified as death
Auto Endo5 Ml2,069220%
Rotating Multiple Clip Applier1,79800.2%
Ligaclip Endo Rotating Mca2,2091090%
Ligaclip Clip Applier1,78700%
Endo Clip1,308850.1%
Ligaclip Endoscopic Clip Applier1,27800%
Ligamax-5mm1,22200.1%
Ca500 Epix Universal Clip Applier 3/Bx1,15400.1%
Ca090 Direct Drive Lca 3/Bx1,14300.2%
Ligaclip1,4253080%
Ligamax1,0293080%
Epix Universal Clip Applier8662320%
Ligaclip Endoscopic Rotating Multiple Clip Applier 20 Large Titanium Ligating Cl85900%
Lapra-Ty Absorbable X6 Suture Clip8281180%
Ligamax Clip Applier73600.1%

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 Ligamax-5mm Endo Clip Applier reports

How many FDA reports name Ligamax-5mm Endo Clip Applier?

6,836 medical device reports in the openFDA MAUDE release of 28 Sep 2026, covering reports received through August 2026; 234 in the latest 12 months.

What kinds of events are reported?

malfunction (96.9%) and injury (3%). "Event type" is how the report was classified when filed: death, injury, malfunction or other.

What device problems are coded?

failure to form staple (43.5%), failure to fire (15.8%), replace (12.3%), mechanical jam (9.5%) and difficult to open or close (8.9%). These are FDA's device problem codes as entered on the report.

Who files these reports?

manufacturer reports (99.7%). Manufacturers and user facilities are required to report; voluntary reports come from health professionals and the public.

Do these reports show that Ligamax-5mm Endo Clip Applier 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.