Reported Reactions

Devices › Staple, implantable

Device brand name · Staple implantable

Powered Plus Standard 45: medical device reports filed with FDA

1,215 reports name it, 2018–2026. Manufacturer given most often on reports: Ethicon Endo-Surgery. Product code GDW.

1,215
device reports naming the brand
0% of all MAUDE reports · about 143 a year
87
reports, 12 months to August 2026
244 in the 12 months before
90.3%
classified as malfunction
80.3% across the product code
0.3%
classified as death, as reported
4 reports · not verified by FDA

1,215 medical device reports received by FDA name the brand "Powered Plus Standard 45" (staple implantable); the manufacturer given most often on reports is Ethicon Endo-Surgery; received from January 2018 to March 2026. Brand names are as the reporter or manufacturer wrote them, so one product can appear under several spellings.

87 reports arrived in the 12 months to August 2026, down 64% from 244 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 (90.3%), injury (9.4%) 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 (34.9%), difficult to open or close (34.6%) and failure to form staple (15%). 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

01530Sep 2021: 15Oct 2021: 10Nov 2021: 7Dec 2021: 172022Jan 2022: 5Feb 2022: 8Mar 2022: 11Apr 2022: 17May 2022: 7Jun 2022: 18Jul 2022: 14Aug 2022: 15Sep 2022: 11Oct 2022: 18Nov 2022: 23Dec 2022: 92023Jan 2023: 4Feb 2023: 7Mar 2023: 12Apr 2023: 12May 2023: 12Jun 2023: 16Jul 2023: 26Aug 2023: 17Sep 2023: 5Oct 2023: 29Nov 2023: 22Dec 2023: 162024Jan 2024: 18Feb 2024: 10Mar 2024: 15Apr 2024: 17May 2024: 13Jun 2024: 19Jul 2024: 17Aug 2024: 21Sep 2024: 27Oct 2024: 27Nov 2024: 26Dec 2024: 232025Jan 2025: 16Feb 2025: 20Mar 2025: 8Apr 2025: 17May 2025: 30Jun 2025: 13Jul 2025: 25Aug 2025: 12Sep 2025: 19Oct 2025: 13Nov 2025: 9Dec 2025: 132026Jan 2026: 12Feb 2026: 16Mar 2026: 5Apr 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

01172332018: 7620182019: 9720192020: 10320202021: 14420212022: 15620222023: 17820232024: 23320242025: 19520252026: 332026

Event type and report source

Event type, as classified on the report

Death0.3%4
Injury9.4%114
Malfunction90.3%1,097
Other0%0
Not given0%0

Who filed the report

Manufacturer report99.3%1,207
Voluntary report0%0
User facility report0%0
Distributor report0%0
Not given0.7%8

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 fire42434.9%30%
Difficult to open or close42034.6%9.7%
Failure to form staple18215%20.5%
Mechanical jam15412.7%2.3%
Activation failure1048.6%0.4%
Material integrity problema problem with the device material312.6%0.7%
Activation problem302.5%0.3%
Ejection problem262.1%0.8%
Insufficient device problem information262.1%2.9%
Firing problem211.7%1.6%
Unintended ejection211.7%0.3%
Delivered as unsterile product191.6%0.3%
Mechanical problema mechanical problem191.6%1.1%
Detachment of device or device componentpart of the device came off181.5%2.4%
Retraction problem181.5%1.2%
Failure to cut171.4%2.4%
Physical resistance/sticking100.8%0.3%
Patient device interaction problem90.7%0.7%
Separation problem90.7%0.2%
Noise, audible80.7%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/bleeding584.8%
Blood loss292.4%
Failure to anastomose231.9%
Painpain, site not specified90.7%
Inflammationinflammation40.3%
Tachycardiafast heart rate40.3%
Not applicable30.2%
Pneumothoraxa collapsed lung30.2%
Wound dehiscencea wound reopened30.2%
Abdominal distention20.2%
Abscessa collection of pus20.2%
Appropriate clinical signs, symptoms and conditions term/code not available20.2%
Fistula20.2%
High blood pressure/ hypertension20.2%
Obstruction/occlusion20.2%

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

In context

MeasurePowered Plus Standard 45Product code GDWAll MAUDE reports
Reports1,215170,75226,136,888
Share of that pool—0.7%0%
Classified as death, per 1,000 reports369
Classified as injury9.4%18.7%36.2%
Classified as malfunction90.3%80.3%62.3%
Filed by the manufacturer99.3%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 Powered Plus Standard 45 reports

How many FDA reports name Powered Plus Standard 45?

1,215 medical device reports in the openFDA MAUDE release of 28 Sep 2026, covering reports received through August 2026; 87 in the latest 12 months.

What kinds of events are reported?

malfunction (90.3%), injury (9.4%) 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 (34.9%), difficult to open or close (34.6%), failure to form staple (15%), mechanical jam (12.7%) and activation failure (8.6%). These are FDA's device problem codes as entered on the report.

Who files these reports?

manufacturer reports (99.3%). Manufacturers and user facilities are required to report; voluntary reports come from health professionals and the public.

Do these reports show that Powered Plus Standard 45 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.