ECHELON ECH45CRecalls & reported problems
Ethicon Endo-Surgery, LLC · ECHELON 3000 45MM COMPACT · Class 2
Quick summary
This Ethicon Echelon is a surgical stapler. Many of the 136 reports describe the stapler failing to fire, being hard to open or close, or staples not forming, and a few mention bleeding or tissue injury. There are no deaths and 5 injuries. 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
- 138
- Deaths reported
- 0
- Injuries reported
- 5
- Recalls naming it
- 0
Summary
The FDA's MAUDE database contains 138 adverse event reports that list this exact device (DI 10705036034995), received between Jun 22, 2023 and Sep 28, 2026 — classified as 5 injuries, 133 malfunctions.
The most frequently reported specific device problem is “Failure to Fire” (69 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
Most reported problems
Device problems
- Failure to Fire69
- Difficult to Open or Close44
- Failure to Form Staple11
- Material Integrity Problem11
- No Apparent Adverse Event10
- Positioning Failure10
- Mechanical Jam8
- Ejection Problem7
Patient problems
- No Clinical Signs, Symptoms or Conditions132
- Hemorrhage/Blood Loss/Bleeding6
- Failure to Anastomose4
- Unspecified Tissue Injury4
- Low Blood Pressure/ Hypotension2
- Pneumothorax2
- Anemia1
- Fistula1
Recent adverse event reports
The 25 most recent of 138 reports, in the reporter's own words as published by the FDA.
MalfunctionSep 28, 2026Failure to Fire
It was reported that, during an unknown respiratory surgery, the device did not activate due to battery discharge or a poor connection. 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 50917407 ↗MalfunctionSep 21, 2026Failure to Form Staple; Failure to Cut; Appropriate Device Problem Term/Code Not Available
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 50845453 ↗MalfunctionSep 21, 2026Ejection Problem; Firing Problem
It was reported that during an unknown procedure, when the black nail (GST45T) was applied to the electric gun (ECH45S), it could not fire smoothly. However, when removing the nail, the black nail also disintegrated. The nurse explained that this was the correct way to remove the nail. After removing the black nail, they tried installing another green nail, which (GST45G), but found that the electric gun was also unusable. There was no patient consequence nor surgical delay reported. No additional information provided.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 50840215 ↗MalfunctionSep 18, 2026Firing Problem
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 50820332 ↗MalfunctionSep 17, 2026Positioning Failure
It was reported that during an unspecified surgical procedure, it was observed that the device did not articulate. There was no patient consequence nor surgical delay reported. No additional information provided.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 50804162 ↗MalfunctionSep 15, 2026Positioning Failure
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 50778295 ↗MalfunctionAug 28, 2026Failure to Fire; Difficult to Open or Close; Material Integrity Problem
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 50502310 ↗MalfunctionAug 20, 2026Device Remains Activated; Difficult to Open or Close
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 50347239 ↗MalfunctionAug 14, 2026Failure to Fire
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 50255380 ↗MalfunctionAug 14, 2026Insufficient Device Problem Information
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 50252937 ↗MalfunctionAug 7, 2026Positioning Failure
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 50176675 ↗MalfunctionAug 6, 2026Difficult to Open or Close
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 50160210 ↗MalfunctionJul 9, 2026Failure to Form Staple; Difficult to Open or Close
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 25762669 ↗MalfunctionJun 18, 2026Material Integrity Problem
IT WAS REPORTED THAT DURING AN UNKNOWN LAPAROSCOPIC PROCEDURE, THE JAWS INADVERTENTLY CLAMPED A LUNG GRASPING FORCEPS, AND THE DEFORMATION OF THE JAWS AND THE CARTRIDGE WAS NOTED DURING FIRING FOR WEDGE RESECTION. THE CARTRIDGE COLOR WAS GOLD. ANOTHER DEVICE WAS USED TO COMPLETE THE CASE. THERE WERE NO ADVERSE CONSEQUENCES TO THE PATIENT. NO ADDITIONAL INFORMATION WAS PROVIDED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 25551572 ↗MalfunctionJun 2, 2026Ejection Problem
IT WAS REPORTED THAT DURING AN UNKNOWN PROCEDURE, DURING CARTRIDGE LOADING, THE CARTRIDGE COULD NOT BE LOADED INTO THE JAW PROPERLY. ANOTHER NEW ECHELON COULD LOAD THE SAME CARTRIDGE WITH NO PROBLEM, AND THE DEVICE COULD BE USED. 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 25363507 ↗MalfunctionApr 29, 2026Failure to Form Staple; Failure to Fire; No Apparent Adverse Event
IT WAS REPORTED THAT DURING AN UNSPECIFIED SURGICAL PROCEDURE, THE SAME ECHELON 3000 WAS FIRED WITH TWO RELOADS WITHOUT ANY DIFFICULTY. HOWEVER, FOR FOLLOWING FIRING, THE STAPLE DID NOT COME OUT AND TISSUE WAS NOT CUT. THE THIRD RELOAD WAS GST45D, THE FOURTH RELOAD WAS GST45D, AND THE FIFTH RELOAD WAS GST45G. THERE WAS NO PATIENT CONSEQUENCE NOR SURGICAL DELAY REPORTED. NO ADDITIONAL INFORMATION PROVIDED.
Patient problems: Hemorrhage/Blood Loss/Bleeding; No Clinical Signs, Symptoms or Conditions
MAUDE report 25028388 ↗MalfunctionApr 28, 2026Difficult to Open or Close; Insufficient Device Problem Information; Noise, Audible
IT WAS REPORTED THAT DURING A THORACOSCOPY PROCEDURE, IT WAS OBSERVED THAT THE DEVICE PRESENTED SQUEAKING NOISE WHILE STAPLING. IT WAS FURTHER REPORTED THAT THE DEVICE LOCKED DESPITE REVERSE AND FORWARD MOTION. CHANGED TO A NEW ONE TO COMPLETE THE PROCEDURE. THERE WAS NO PATIENT CONSEQUENCE NOR SURGICAL DELAY REPORTED. NO ADDITIONAL INFORMATION PROVIDED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 25020173 ↗MalfunctionApr 17, 2026Failure to Fire
IT WAS REPORTED THAT DURING AN UNSPECIFIED SURGICAL PROCEDURE, IT WAS OBSERVED THAT THEY WERE UNABLE TO FIRE THE STAPLER, AND IT WAS STUCK WHEN THEY OPENED THE JAWS AFTER PRESSING THE RETURN BUTTON. THERE WAS NO PATIENT CONSEQUENCE NOR SURGICAL DELAY REPORTED. NO ADDITIONAL INFORMATION PROVIDED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 24912169 ↗MalfunctionApr 13, 2026Failure to Form Staple; No Apparent Adverse Event; Firing Problem
IT WAS REPORTED THAT DURING AN UNKNOWN PROCEDURE, IT WAS OBSERVED THAT THE KNIFE MOVED FORWARD FOR A MOMENT, BUT THEN REPEATEDLY STOPPED AND MOVED FORWARD, AND THE KNIFE DID NOT MOVE FORWARD EASILY AT THE FIRST FIRING AFTER OPENING THE PACKAGE AND WHILE TRANSECTING THE BRONCHUS. WHEN REACHING THE TIP OF THE JAW AND RETURNING, THE KNIFE RETURNED THE SAME MOVEMENT, WITH REPEATEDLY STOPPED AND MOVED FORWARD. AFTER OPENING THE JAW AND CHECKING THE STAPLES, THE STAPLES WERE MALFORMED. THE CARTRIDGE COLOR WAS WHITE. ANOTHER DEVICE WAS USED TO COMPLETE THE CASE. THERE WERE NO ADVERSE CONSEQUENCES TO THE PATIENT. NO ADDITIONAL INFORMATION PROVIDED.
Patient problems: No Clinical Signs, Symptoms or Conditions; Pneumothorax
MAUDE report 24865027 ↗MalfunctionApr 13, 2026Failure to Fire
IT WAS REPORTED THAT DURING AN UNKNOWN PROCEDURE, THE DOCTOR ATTEMPTED TO CLAMP THE TISSUE AND FIRE BUT THE KNIFE DID NOT MOVE FORWARD. THE CARTRIDGE COLOR WAS GREEN. ANOTHER DEVICE WAS USED TO COMPLETE THE CASE. THERE WERE NO ADVERSE CONSEQUENCES TO THE PATIENT. NO ADDITIONAL INFORMATION WAS PROVIDED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 24858942 ↗MalfunctionApr 11, 2026Failure to Fire
IT WAS REPORTED THAT DURING A SINGLE-PORT PARTIAL LUNG RESECTION PROCEDURE, IT WAS OBSERVED THAT STAPLES WERE NOT DEPLOYED ON ONE SIDE AT THE SECOND FIRING. THE CARTRIDGE COLOR WAS GOLD. ANOTHER DEVICE WAS USED TO COMPLETE THE CASE. THERE WERE NO ADVERSE CONSEQUENCES TO THE PATIENT. NO ADDITIONAL INFORMATION WAS PROVIDED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 24847367 ↗MalfunctionApr 10, 2026Failure to Fire
IT WAS REPORTED THAT DURING AN UNKNOWN RESPIRATORY PROCEDURE, IT WAS OBSERVED THAT THE DEVICE COULD NOT BE FIRED. THE CARTRIDGE COLOR WAS GOLD. ANOTHER DEVICE WAS USED TO COMPLETE THE CASE. THERE WERE NO ADVERSE CONSEQUENCES TO THE PATIENT. NO ADDITIONAL INFORMATION WAS PROVIDED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 24841020 ↗MalfunctionMar 31, 2026Failure to Fire; Appropriate Device Problem Term/Code Not Available
IT WAS REPORTED THAT DURING AN UNKNOWN OPEN RESPIRATORY PROCEDURE, IT WAS OBSERVED THAT THE DEVICE WAS LOCKED OUT AT THE 2ND FIRING WHEN RESECTING THE LUNG. APPARENTLY, THERE WERE NO SLEDS ATTACHED. THE CARTRIDGE COLOR WAS BLUE. ANOTHER DEVICE WAS USED TO COMPLETE THE CASE. THERE WERE NO ADVERSE CONSEQUENCES TO THE PATIENT. NO ADDITIONAL INFORMATION WAS PROVIDED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 24746612 ↗MalfunctionMar 26, 2026Failure to Fire
IT WAS REPORTED THAT DURING AN UNKNOWN PROCEDURE, IT WAS OBSERVED THAT THE DEVICE STOPPED WORKING AFTER EIGHT FIRINGS. IT GOT STUCK. THE BATTERY WAS NO LONGER FUNCTIONING. THERE WAS NO PATIENT CONSEQUENCE NOR SURGICAL DELAY REPORTED. NO ADDITIONAL INFORMATION PROVIDED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 24703871 ↗MalfunctionMar 26, 2026Failure to Fire; Difficult to Open or Close
IT WAS REPORTED THAT DURING AN UNKNOWN PROCEDURE, IT WAS OBSERVED THAT THE DEVICE WOULD NOT FIRE PROPERLY. THERE WAS NO PATIENT CONSEQUENCE NOR SURGICAL DELAY REPORTED. NO ADDITIONAL INFORMATION PROVIDED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 24702304 ↗
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Sources: FDA GUDID, MAUDE and Medical Device Recalls via openFDA. openFDA data is not validated for clinical or regulatory use.