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LIGACLIP ER420Recalls & reported problems

Ethicon Endo-Surgery, LLC · Ligaclip 12 mm Endoscopic Rotating Multiple Clip Applier (Large) · Class 2 · Implant

Data updated Oct 13, 2026 from official FDA records · Editorial policy

Quick summary

This Ethicon Ligaclip endoscopic clip applier places surgical clips during procedures. Its 656 reports mostly describe clips that do not form properly, with some describing jaws that fail to load clips and handles breaking during surgery. The reports include 21 injuries and no deaths. No recalls name this device.

AI-generated from the FDA records on this page and checked automatically against the numbers below. Read the details before relying on it.

Adverse event reports
653
Deaths reported
0
Injuries reported
21
Recalls naming it
0

Summary

The FDA's MAUDE database contains 653 adverse event reports that list this exact device (DI 10705036012597), received between Feb 19, 2014 and Aug 27, 2026 — classified as 21 injuries, 632 malfunctions.

The most frequently reported specific device problem is “Failure to Form Staple” (536 reports).

Reports come from manufacturers, hospitals and patients and are not verified by the FDA. A report does not prove the device caused the event, and counts can't be used to compare devices or estimate failure rates. How this data works · Data updated Oct 13, 2026.

Reports received per month

Nov 2023: 18 reportsDec 2023: 20 reportsJan 2024: 12 reportsFeb 2024: 15 reportsMar 2024: 13 reportsApr 2024: 14 reportsMay 2024: 7 reportsJun 2024: 12 reportsJul 2024: 9 reportsAug 2024: 4 reportsSep 2024: 10 reportsOct 2024: 14 reportsNov 2024: 5 reportsDec 2024: 4 reportsJan 2025: 5 reportsFeb 2025: 2 reportsMar 2025: 16 reportsApr 2025: 7 reportsMay 2025: 7 reportsJun 2025: 5 reportsJul 2025: 7 reportsAug 2025: 12 reportsSep 2025: 1 reportsOct 2025: 8 reportsNov 2025: 0 reportsDec 2025: 12 reportsJan 2026: 10 reportsFeb 2026: 6 reportsMar 2026: 4 reportsApr 2026: 4 reportsMay 2026: 1 reportsJun 2026: 3 reportsJul 2026: 2 reportsAug 2026: 5 reportsSep 2026: 0 reportsOct 2026: 0 reports20242025202620
Last 36 months. The most recent month may be incomplete.

Most reported problems

Device problems

  • Failure to Form Staple536
  • Failure to Fire42
  • No Apparent Adverse Event33
  • Mechanical Problem26
  • Difficult to Open or Close17
  • Mechanics Altered16
  • Insufficient Device Problem Information15
  • Firing Problem14

Patient problems

  • No Clinical Signs, Symptoms or Conditions471
  • No Consequences Or Impact To Patient156
  • Hemorrhage/Blood Loss/Bleeding27
  • Failure to Anastomose7
  • Unspecified Tissue Injury7
  • No Code Available5
  • Not Applicable3
  • Blood Loss2

Recent adverse event reports

The 25 most recent of 653 reports, in the reporter's own words as published by the FDA.

  • MalfunctionAug 27, 2026Failure to Form Staple; Mechanical Jam

    It was reported that during an Unknown procedure that the clip applier was inserted into the patient and clips were deployed onto the target tissue as intended. After several clips had been deployed, the device jaws did not load the subsequent clip and the device was closed without a clip. Being mindful to fully depress and let the jaws open, we tried to load and fire a clip multiple times without success. There were still clips in the chamber, but they weren't loading in the jaws. Delay of case, but no patient harm. New clip applier was pulled to finish the case. There was 5mins of surgical delay was reported.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50475141 ↗
  • MalfunctionAug 27, 2026Failure to Form Staple; Mechanical Jam

    It was reported that during an Unknown procedure that the clip applier was inserted into the patient and clips were deployed onto the target tissue as intended. After several clips had been deployed, the device jaws did not load the subsequent clip and the device was closed without a clip. Being mindful to fully depress and let the jaws open, we tried to load and fire a clip multiple times without success. There were still clips in the chamber, but they weren't loading in the jaws. Delay of case, but no patient harm. New clip applier was pulled to finish the case. There was 5mins of surgical delay was reported.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50475138 ↗
  • MalfunctionAug 27, 2026Failure to Form Staple; Mechanical Jam

    It was reported that during an Unknown procedure that the clip applier was inserted into the patient and clips were deployed onto the target tissue as intended. After several clips had been deployed, the device jaws did not load the subsequent clip and the device was closed without a clip. Being mindful to fully depress and let the jaws open, we tried to load and fire a clip multiple times without success. There were still clips in the chamber, but they weren't loading in the jaws. Delay of case, but no patient harm. New clip applier was pulled to finish the case. There was 5mins of surgical delay was reported.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50475125 ↗
  • MalfunctionAug 25, 2026Mechanical Problem; Failure to Fire

    It was reported that during an Unknown procedure the 2 jaws of the staples intersect during installation when tightening the handle making stapling impossible. Device change with another lab. No consequences.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50428907 ↗
  • MalfunctionAug 11, 2026Failure to Form Staple

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50212397 ↗
  • MalfunctionJul 21, 2026Failure to Form Staple

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 25894253 ↗
  • MalfunctionJul 8, 2026Failure to Form Staple

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 25748268 ↗
  • MalfunctionJun 23, 2026Failure to Form Staple

    IT WAS REPORTED THAT DURING AN UNK PROCEDURE, THE CLIPS WERE FOLDING OVER ONE ANOTHER, NOT STAYING ON STAPLE LINE, HAVING ISSUES RELOADING ONTO TRACK. THERE WAS NO PATIENT CONSEQUENCE REPORTED.

    Patient problems: Hemorrhage/Blood Loss/Bleeding; No Clinical Signs, Symptoms or Conditions

    MAUDE report 25598239 ↗
  • MalfunctionJun 16, 2026Failure to Form Staple

    IT WAS REPORTED THAT DURING UNKNOWN PROCEDURE THE DEVICE MISFIRED, AND THE CLIPS THAT WERE DEPLOYED WERE FOUND TO BE UNCLAMPED PRIOR TO ACTIVATION OF THE CLIPPER. NO PATIENT CONSEQUENCES.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 25521131 ↗
  • MalfunctionJun 4, 2026Failure to Form Staple

    IT WAS REPORTED THAT, DURING LAPAROSCOPIC CHOLECYSTECTOMY, WHEN A CLIP WAS APPLIED, IT WAS NOT PROPERLY DEPLOYED, AND SCISSORING OCCURRED AT THE TIP. ANOTHER DEVICE WAS USED TO COMPLETE THE CASE. THERE WERE NO ADVERSE CONSEQUENCES TO THE PATIENT. NO FURTHER INFORMATION IS AVAILABLE.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 25400088 ↗
  • MalfunctionMay 5, 2026Failure to Form Staple

    IT WAS REPORTED THAT DURING AN UNK PROCEDURE, THE DOCTOR INDICATES THAT WHEN USING THE ER420 DEVICE, THE METAL CLIPS DID NOT FORM CORRECTLY. ON THE CONTRARY, THE CLIPS CRISSCROSSED WITH THE CONSEQUENT DANGER OF BEING ABLE TO TEAR THE ELEMENTS TO BE CLAMPED. THE EVENT OCCURS IN THE OPERATING ROOM WITH A PATIENT. NO PATIENT CONSEQUENCES WERE REPORTED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 25087546 ↗
  • MalfunctionApr 24, 2026Failure to Form Staple

    IT WAS REPORTED THAT DURING AN UNK PROCEDURE, WHILE LOADING THE DEVICE, THE CLIP DETACHED AFTER COMING INTO CONTACT WITH TISSUE, AND THEREFORE THE PRODUCT COULD NOT BE USED. NO PATIENT CONSEQUENCES WERE REPORTED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 24984156 ↗
  • MalfunctionApr 21, 2026Failure to Form Staple

    IT WAS REPORTED THAT DURING AN UNK PROCEDURE, THE REFERENCE PRODUCT ER420 DID NOT WORK PROPERLY. THE PAPERCLIPS DID NOT FINISH FORMING CORRECTLY AND WERE PARTIALLY OPEN. NO PATIENT CONSEQUENCE'S WERE REPORTED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 24945169 ↗
  • MalfunctionApr 3, 2026Insufficient Device Problem Information

    IT WAS REPORTED THAT DURING AN UNK PROCEDURE, THE CLIPS SCISSORED WHEN FIRED. NO PATIENT CONSEQUENCES WERE REPORTED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 24782206 ↗
  • MalfunctionApr 3, 2026Insufficient Device Problem Information

    IT WAS REPORTED THAT DURING AN UNK PROCEDURE, THE CLIPS SCISSORED WHEN FIRED. NO PATIENT CONSEQUENCES WERE REPORTED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 24782145 ↗
  • MalfunctionMar 31, 2026Failure to Form Staple

    IT WAS REPORTED THAT, DURING AN UNKNOWN LAPAROSCOPIC SURGERY, THE CLIP WAS UNFORMED AND POORLY ALIGNED SEVERAL TIMES DURING CLIPPING. THE USE WAS STOPPED. ANOTHER DEVICE WAS USED TO COMPLETE THE CASE. THERE WERE NO ADVERSE CONSEQUENCES TO THE PATIENT. NO FURTHER INFORMATION IS AVAILABLE.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 24747965 ↗
  • MalfunctionMar 30, 2026Failure to Form Staple; No Apparent Adverse Event

    IT WAS REPORTED THAT DURING THE LAPAROSCOPIC SIGMOIDECTOMY OPERATION, BLEEDING OCCURRED WHICH WAS TO BE STOPPED USING A CLIP APPLICATOR. HOWEVER, SOME CLIPS FAILED TO CLOSE PROPERLY DURING APPLICATION, NECESSITATING THE USE OF A NEW INSTRUMENT TO FINISH THE PROCEDURE. NO PATIENT CONSEQUENCES WERE REPORTED.

    Patient problems: Hemorrhage/Blood Loss/Bleeding; No Clinical Signs, Symptoms or Conditions

    MAUDE report 24736778 ↗
  • MalfunctionMar 3, 2026Mechanical Problem; Failure to Form Staple; No Apparent Adverse Event

    IT WAS REPORTED THAT DURING AN UNK PROCEDURE, THE CLIP APPLIER WAS OVERLAPPING CAUSING BLEEDING ON THE STAPLE LINE AND NOT PERFORMING PROPERLY. THE PROCEDURE WAS DELAYED BY 3 MINUTES AND NO PATIENT CONSEQUENCES WERE REPORTED.

    Patient problems: Hemorrhage/Blood Loss/Bleeding; No Clinical Signs, Symptoms or Conditions

    MAUDE report 24501140 ↗
  • MalfunctionMar 2, 2026Mechanical Problem; Failure to Form Staple

    IT WAS REPORTED THAT, DURING AN UNKNOWN PROCEDURE, THE JAWS WERE MISALIGNED, AND THE CLIP WAS UNFORMED. ANOTHER DEVICE WAS USED TO COMPLETE THE CASE. THERE WERE NO ADVERSE CONSEQUENCES TO THE PATIENT. NO FURTHER INFORMATION IS AVAILABLE.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 24484557 ↗
  • MalfunctionFeb 27, 2026Failure to Form Staple

    IT WAS REPORTED THAT DURING AN UNK PROCEDURE, 2 CLIPS SCISSORED WHEN FIRED. NO FURTHER DETAILS WERE PROVIDED. NO PATIENT CONSEQUENCES REPORTED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 24474498 ↗
  • MalfunctionFeb 27, 2026Failure to Form Staple

    IT WAS REPORTED THAT DURING AN UNK PROCEDURE, 2 CLIPS SCISSORED WHEN FIRED. NO FURTHER DETAILS WERE PROVIDED. NO PATIENT CONSEQUENCES REPORTED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 24474322 ↗
  • MalfunctionFeb 24, 2026Failure to Form Staple

    IT WAS REPORTED THAT DURING A SLEEVE GASTRECTOMY THE CLIP HAD PROBLEM WITH THE ALIGNMENT, IT IS OVERLAPPING AND NOT WELL FORMED. WAS SURGERY DELAYED DUE TO THE REPORTED EVENT? YES, IF YES, NUMBER OF MINUTES: 3-4 MINUTES, ACTION TAKEN WHEN EVENT OCCURRED? OPEN A NEW ONE, WAS PROCEDURE SUCCESSFULLY COMPLETED? YES, PATIENT STATUS/ OUTCOME / CONSEQUENCES NO PATIENT INVOLVEMENT.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 24429995 ↗
  • MalfunctionFeb 24, 2026Failure to Form Staple

    IT WAS REPORTED THAT DURING A SLEEVE GASTRECTOMY THE CLIP HAD PROBLEM WITH THE ALIGNMENT, IT IS OVERLAPPING AND NOT WELL FORMED. WAS SURGERY DELAYED DUE TO THE REPORTED EVENT? --> YES, IF YES, NUMBER OF MINUTES: --> 3-4 MINUTES, ACTION TAKEN WHEN EVENT OCCURRED? --> OPEN A NEW ONE , WAS PROCEDURE SUCCESSFULLY COMPLETED? --> YES, PATIENT STATUS/ OUTCOME / CONSEQUENCES --> NO PATIENT INVOLVEMENT.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 24429987 ↗
  • MalfunctionFeb 24, 2026Failure to Form Staple

    IT WAS REPORTED THAT DURING AN LAP GASTRIC BYPASS THE APPLIER WAS NOT DELIVERING ANY CLIPS CORRECTLY. NO PATIENT CONSEQUENCES.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 24429475 ↗
  • MalfunctionFeb 23, 2026Failure to Form Staple

    IT WAS REPORTED THAT DURING AN UNKNOWN PROCEDURE, THE CLIPS ARE MISALIGNED AND DO NOT CLOSE PROPERLY. PROCEDURE WAS COMPLETED SUCCESSFULLY WITHOUT DELAY. NO PATIENT CONSEQUENCE.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 24422547 ↗

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Sources and updates

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