Reported Reactions

Devices › Clip, implantable

Device brand name · Clip implantable

Ligamax: medical device reports filed with FDA

1,029 reports name it, 2006–2026. Manufacturer given most often on reports: Ethicon Endo-Surgery. Product code FZP.

1,029
device reports naming the brand
0% of all MAUDE reports · about 51 a year
308
reports, 12 months to August 2026
3 in the 12 months before
98.3%
classified as malfunction
90.6% across the product code
0%
classified as death, as reported
0 reports · not verified by FDA

1,029 medical device reports received by FDA name the brand "Ligamax" (clip implantable); the manufacturer given most often on reports is Ethicon Endo-Surgery; received from June 2006 to August 2026. Brand names are as the reporter or manufacturer wrote them, so one product can appear under several spellings.

308 reports arrived in the 12 months to August 2026, up 10167% from 3 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 (98.3%) and injury (1.4%); 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 (36.2%), failure to fire (17%) and difficult to open or close (9.3%). The patient problems coded most often are hemorrhage/blood loss/bleeding, bleeding and perforation of vessels. 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: 1Oct 2021: 0Nov 2021: 1Dec 2021: 02022Jan 2022: 1Feb 2022: 1Mar 2022: 1Apr 2022: 1May 2022: 0Jun 2022: 1Jul 2022: 1Aug 2022: 0Sep 2022: 0Oct 2022: 0Nov 2022: 0Dec 2022: 32023Jan 2023: 0Feb 2023: 1Mar 2023: 1Apr 2023: 1May 2023: 0Jun 2023: 0Jul 2023: 1Aug 2023: 0Sep 2023: 0Oct 2023: 1Nov 2023: 0Dec 2023: 02024Jan 2024: 1Feb 2024: 0Mar 2024: 0Apr 2024: 0May 2024: 0Jun 2024: 0Jul 2024: 1Aug 2024: 0Sep 2024: 1Oct 2024: 0Nov 2024: 0Dec 2024: 02025Jan 2025: 1Feb 2025: 0Mar 2025: 0Apr 2025: 0May 2025: 0Jun 2025: 0Jul 2025: 1Aug 2025: 0Sep 2025: 0Oct 2025: 1Nov 2025: 0Dec 2025: 12026Jan 2026: 4Feb 2026: 6Mar 2026: 31Apr 2026: 61May 2026: 43Jun 2026: 30Jul 2026: 67Aug 2026: 64

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

01533062006: 320062007: 42008: 72009: 4220092010: 582011: 32012: 520122013: 1972014: 1132015: 3420152016: 192017: 1682018: 2820182019: 92020: 72021: 520212022: 92023: 52024: 320242025: 42026: 306

Event type and report source

Event type, as classified on the report

Death0%0
Injury1.4%14
Malfunction98.3%1,011
Other0%0
Not given0.4%4

Who filed the report

Manufacturer report81.7%841
Voluntary report1.1%11
User facility report0%0
Distributor report0%0
Not given17.2%177

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 staple37336.2%27.7%
Failure to fire17517%8%
Difficult to open or close969.3%8.1%
Mechanical jam969.3%6.4%
Device operates differently than expectedthe device behaved unexpectedly595.7%4.6%
Misfire595.7%5.7%
Mechanical problema mechanical problem383.7%5.9%
Sticking282.7%2.7%
Positioning failure232.2%3.5%
Component falling212%3.8%
Difficult to removethe device was hard to remove201.9%1.3%
Breakthe device broke181.7%4.2%
Device inoperablethe device could not be used171.7%0.6%
Insufficient device problem information161.6%1.4%
Failure to advance151.5%1.3%
Material deformation151.5%2.1%
Mechanics altered131.3%9.4%
Detachment of device component101%1.6%
Device dislodged or dislocated101%0.8%
Activation, positioning or separation problem90.9%2.3%

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/bleeding141.4%
Bleeding50.5%
Perforation of vessels50.5%
Dural tear40.4%
Failure to anastomose40.4%
Not applicable40.4%
Tissue damage30.3%
Foreign body, removal of20.2%
No patient involvement20.2%
Other (for use when an appropriate patient code cannot be identified)20.2%
Abdominal painstomach or belly pain10.1%
Blood loss10.1%
Foreign body in patientpart of a device left in the patient10.1%
Laceration(s)10.1%
Sepsisa severe body-wide response to infection10.1%

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

In context

MeasureLigamaxProduct code FZPAll MAUDE reports
Reports1,02942,39526,136,888
Share of that pool—2.4%0%
Classified as death, per 1,000 reports039
Classified as injury1.4%8%36.2%
Classified as malfunction98.3%90.6%62.3%
Filed by the manufacturer81.7%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
Ligamax-5mm Endo Clip Applier6,8362340%
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%
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 reports

How many FDA reports name Ligamax?

1,029 medical device reports in the openFDA MAUDE release of 28 Sep 2026, covering reports received through August 2026; 308 in the latest 12 months.

What kinds of events are reported?

malfunction (98.3%) and injury (1.4%). "Event type" is how the report was classified when filed: death, injury, malfunction or other.

What device problems are coded?

failure to form staple (36.2%), failure to fire (17%), difficult to open or close (9.3%), mechanical jam (9.3%) and device operates differently than expected (5.7%). These are FDA's device problem codes as entered on the report.

Who files these reports?

manufacturer reports (81.7%) and voluntary reports (1.1%). Manufacturers and user facilities are required to report; voluntary reports come from health professionals and the public.

Do these reports show that Ligamax 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.