Reported Reactions

Devices › Staple, implantable

Device brand name · Staple implantable

Proximate: medical device reports filed with FDA

386 reports name it, 1998–2026. Manufacturer given most often on reports: Ethicon Endo-Surgery. Product code GDW.

386
device reports naming the brand
0% of all MAUDE reports · about 14 a year
102
reports, 12 months to August 2026
9 in the 12 months before
86%
classified as malfunction
80.3% across the product code
1%
classified as death, as reported
4 reports · not verified by FDA

386 medical device reports received by FDA name the brand "Proximate" (staple implantable); the manufacturer given most often on reports is Ethicon Endo-Surgery; received from April 1998 to August 2026. Brand names are as the reporter or manufacturer wrote them, so one product can appear under several spellings.

102 reports arrived in the 12 months to August 2026, up 1033% from 9 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 (86%), injury (11.9%) and death (1%); 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 form staple (19.7%), failure to fire (16.1%) and misfire (13.5%). The patient problems coded most often are failure to anastomose, hemorrhage/blood loss/bleeding and surgical procedure, additional. 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

01223Sep 2021: 0Oct 2021: 0Nov 2021: 1Dec 2021: 02022Jan 2022: 1Feb 2022: 1Mar 2022: 1Apr 2022: 0May 2022: 3Jun 2022: 4Jul 2022: 2Aug 2022: 0Sep 2022: 3Oct 2022: 0Nov 2022: 0Dec 2022: 02023Jan 2023: 0Feb 2023: 0Mar 2023: 1Apr 2023: 1May 2023: 0Jun 2023: 0Jul 2023: 0Aug 2023: 0Sep 2023: 1Oct 2023: 0Nov 2023: 0Dec 2023: 02024Jan 2024: 1Feb 2024: 0Mar 2024: 1Apr 2024: 2May 2024: 1Jun 2024: 0Jul 2024: 1Aug 2024: 0Sep 2024: 1Oct 2024: 0Nov 2024: 0Dec 2024: 02025Jan 2025: 3Feb 2025: 0Mar 2025: 2Apr 2025: 1May 2025: 1Jun 2025: 0Jul 2025: 0Aug 2025: 1Sep 2025: 1Oct 2025: 1Nov 2025: 1Dec 2025: 32026Jan 2026: 3Feb 2026: 8Mar 2026: 23Apr 2026: 18May 2026: 10Jun 2026: 6Jul 2026: 16Aug 2026: 12

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

048961998: 319982000: 42003: 32006: 620062007: 52008: 42009: 2620092010: 282011: 332012: 1020122013: 132014: 212015: 920152016: 102017: 162018: 1220182019: 232020: 192021: 620212022: 152023: 32024: 720242025: 142026: 96

Event type and report source

Event type, as classified on the report

Death1%4
Injury11.9%46
Malfunction86%332
Other0%0
Not given1%4

Who filed the report

Manufacturer report32.4%125
Voluntary report1.6%6
User facility report0%0
Distributor report0%0
Not given66.1%255

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 form staple7619.7%20.5%
Failure to fire6216.1%30%
Misfire5213.5%9.1%
Firing problem174.4%1.6%
Mechanics altered164.1%1.4%
Mechanical jam133.4%2.3%
Insufficient device problem information123.1%2.9%
Device operates differently than expectedthe device behaved unexpectedly102.6%2.3%
Positioning failure102.6%1.1%
Failure to cut82.1%2.4%
Breakthe device broke51.3%4.9%
Delivered as unsterile product51.3%0.3%
Difficult to open or close51.3%9.7%
Mechanical problema mechanical problem51.3%1.1%
Activation, positioning or separation problem41%0.2%
Defective devicethe device was defective41%0.2%
Detachment of device component41%1.2%
Device inoperablethe device could not be used41%0.5%
Material integrity problema problem with the device material41%0.7%
Detachment of device or device componentpart of the device came off30.8%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
Failure to anastomose359.1%
Hemorrhage/blood loss/bleeding164.1%
Surgical procedure, additional61.6%
Hospitalization required51.3%
Deaththe patient died; cause not stated by this term41%
Tissue damage41%
Wound dehiscencea wound reopened30.8%
Abscessa collection of pus20.5%
Bleeding20.5%
Injurya physical injury20.5%
Laceration(s)20.5%
Perforation20.5%
Peritonitis20.5%
Sepsisa severe body-wide response to infection20.5%
Abdominal distention10.3%

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

In context

MeasureProximateProduct code GDWAll MAUDE reports
Reports386170,75226,136,888
Share of that pool—0.2%0%
Classified as death, per 1,000 reports1069
Classified as injury11.9%18.7%36.2%
Classified as malfunction86%80.3%62.3%
Filed by the manufacturer32.4%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%
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 Proximate reports

How many FDA reports name Proximate?

386 medical device reports in the openFDA MAUDE release of 28 Sep 2026, covering reports received through August 2026; 102 in the latest 12 months.

What kinds of events are reported?

malfunction (86%), injury (11.9%) and death (1%). "Event type" is how the report was classified when filed: death, injury, malfunction or other.

What device problems are coded?

failure to form staple (19.7%), failure to fire (16.1%), misfire (13.5%), firing problem (4.4%) and mechanics altered (4.1%). These are FDA's device problem codes as entered on the report.

Who files these reports?

manufacturer reports (32.4%) and voluntary reports (1.6%). Manufacturers and user facilities are required to report; voluntary reports come from health professionals and the public.

Do these reports show that Proximate 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.