Signia SIGADAPTSHORTRecalls & reported problems

Summary

The FDA's MAUDE database contains 284 adverse event reports that list this exact device (DI 10884521543829), received between Feb 2, 2018 and Jul 29, 2026 — classified as 16 injuries, 268 malfunctions.

The most frequently reported specific device problem is “Misfire” (94 reports).

14 other recalls cover devices cleared under the same FDA submission (K160176, K201672); they may or may not involve this specific model.

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. What reports can and can't tell you · How this data works · Data updated Oct 16, 2026.

Most reported problems

Recent adverse event reports

The 25 most recent of 284 reports, in the reporter's own words as published by the FDA.

• MalfunctionJul 29, 2026Entrapment of Device; Retraction Problem; Misfire

  Patient problems: Tissue Breakdown

  MAUDE report 50065169 ↗
• MalfunctionJul 8, 2026Device Difficult to Setup or Prepare

  ACCORDING TO THE REPORTER, DURING THE LUNG RESECTION, WHILE SETTING UP, THE ADAPTER AND RELOAD WERE ATTACHED TO THE POWER HANDLE, HOWEVER, WHEN ATTEMPTED TO HAND THE DEVICE TO THE DOCTOR AFTER VERIFYING THE JAW'S OPENING AND CLOSING FUNCTION AND CLOSING THE JAW, THE ADAPTER DETACHED FROM THE HANDLE. THE ADAPTER AND RELOAD WERE BOTH REPLACED AND FIRING COULD BE DONE WITHOUT ANY ISSUES. THE DEVICE HAS NOT BEEN USED YET ON THE PATIENT.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 25753906 ↗
• MalfunctionJun 23, 2026Misfire

  ACCORDING TO THE REPORTER DURING A PARTIAL LOBECTOMY, THE CARTRIDGE DID NOT FIRE SMOOTHLY, IT GOT STUCK WHILE FIRING. THE ISSUE OCCURRED EVEN AFTER PROPERLY ASSEMBLING AND GIVING THE GREEN SIGNAL FROM THE POWERED STAPLER. A NEW RELOAD WAS USED TO RESOLVE THE ISSUE. THERE WAS NO PATIENT INJURY.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 25592195 ↗
• MalfunctionApr 27, 2026Misfire

  ACCORDING TO THE REPORTER, DURING ROBOT-ASSISTED LUNG SEGMENTECTOMY, AT THE TIME OF LOBECTOMY, THE SECOND FIRING STOPPED AFTER PROCEEDING ABOUT HALFWAY, AND FIRING COULD NOT BE DONE. THEREFORE, THE KNIFE WAS RETRACTED AND A NEW CARTRIDGE WAS USED WITHOUT ANY PROBLEMS. ADDITIONAL RESECTION WAS PERFORMED AND ADDITIONAL SUTURES WERE MADE WITH A STAPLER

  Patient problems: Tissue Breakdown

  MAUDE report 24998598 ↗
• MalfunctionApr 6, 2026Break; Insufficient Device Problem Information

  IT WAS REPORTED THAT DURING A LAPAROSCOPIC PROCEDURE, THE DEVICE PARTIALLY FIRED, BECAME LODGED ON THE SPECIMEN, AND BECAME STUCK, REQUIRING REMOVAL BY CUTTING IT OUT OF THE PATIENT¿S BODY. THESE COMPLICATIONS LED TO AN EXTENDED SURGICAL TIME. THE ISSUE WAS RESOLVED BY RESECTING AND RE-STAPLING USING A NEW RELOAD, MEDTRONIC'S INITIAL EVALUATION OF THE INCIDENT DEVICE FOUND THAT SEVERAL MILLIMETERS OF MATERIAL WERE FOUND TO BE SHEARED FROM THE DISTAL END OF THE FIRING ROD. PLI50: MEDTRONIC'S INITIAL EVALUATION OF THE INCIDENT DEVICE FOUND, THE INCOMPLETE RETRACTION COULD BE TRACED TO THE DAMAGE TO THE FIRING ROD OF RETURNED ADAPTER. PLI60: MEDTRONIC'S INITIAL EVALUATION OF THE INCIDENT DEVICE FOUND, THE INCOMPLETE RETRACTION COULD BE TRACED TO THE DAMAGE TO THE FIRING ROD OF RETURNED ADAPTER. PLI70: MEDTRONIC'S INITIAL EVALUATION OF THE INCIDENT DEVICE FOUND, THE INCOMPLETE RETRACTION COULD BE TRACED TO THE DAMAGE TO THE FIRING ROD OF RETURNED ADAPTER.

  Patient problems: Insufficient Information

  MAUDE report 24795910 ↗
• MalfunctionFeb 26, 2026Difficult to Remove; Unintended Movement

  IT WAS REPORTED THAT DURING A VIDEO-ASSISTED THORACIC SURGERY (VATS) LOBECTOMY, PRIOR TO FIRING, THE RELOAD WAS ARTICULATED AND CLOSED OVER THE TISSUE. BEFORE ACTIVATION BY THE SURGEON, THE POWERED HANDLE AUTOMATICALLY OPENED THE RELOAD AND CANCELED THE ARTICULATION. A NEW POWERED HANDLE AND SHELL WERE USED WITH THE SAME RELOAD AND ADAPTER TO RESOLVE THE ISSUE. NO PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 24453076 ↗
• MalfunctionFeb 18, 2026Misfire

  IT WAS REPORTED THAT DURING A THORACOSCOPIC LOBECTOMY PROCEDURE, IN RESECTION OF THE PULMONARY PARENCHYMA, THE STAPLING SOUND WAS HEARD. WHEN THE FIRING STOPPED, THE USER OPENED THE JAWS, ONLY TWO TO THREE CENTIMETERS OF STAPLING AND RESECTION HAD BEEN PERFORMED. THE JAWS COULD NOT BE DETACHED FROM THE TISSUE BECAUSE OF THE REINFORCEMENT SHEET. TO RESOLVE THE ISSUE, THE SHEET WAS CUT AND A NEW RELOAD OF THE SAME TYPE WAS USED. THERE WAS NO PATIENT INJURY.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 24381785 ↗
• MalfunctionFeb 3, 2026Device Difficult to Setup or Prepare

  ACCORDING TO THE REPORTER, DURING A PROCEDURE, WHEN THE BOLT WAS EJECTED AFTER FIRING, THE ADAPTER AND SHELL SEPARATED. THE DEVICE WAS REPLACED TO RESOLVE THE ISSUE. THERE WAS NO PATIENT INJURY.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 24255081 ↗
• MalfunctionJan 29, 2026Difficult to Open or Close; Unintended Movement

  ACCORDING TO THE REPORTER, PRE-OPERATIVELY, THE DEVICE FUNCTIONED NORMALLY UP TO THE LCD (LIQUID CRYSTAL DISPLAY) SCREEN GUIDING CARTRIDGE CONNECTION, BUT AFTER THE CARTRIDGE WAS CONNECTED, THE OPENING AND CLOSING OPERATION COULD NOT BE PERFORMED AND UPON RESTARTING, THE CARTRIDGE MOVED LEFT AND RIGHT AUTOMATICALLY AND THEN STOPPED, REMAINING UNABLE TO OPEN OR CLOSE. A NEW ADAPTER WAS USED TO RESOLVE THE ISSUE. THERE WAS NO PATIENT INVOLVED.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 24217876 ↗
• MalfunctionJan 29, 2026Misfire

  ACCORDING TO THE REPORTER, IN A VIDEO-ASSISTED THORACIC SURGERY (VATS) PROCEDURE, WHILE IN THE LUNG, THE POWERED STAPLER PARTIALLY FIRED. ANOTHER RELOAD WAS USED TO COMPLETE THE CASE. THERE WAS NO PATIENT INJURY.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 24215443 ↗
• MalfunctionJan 22, 2026Device Difficult to Setup or Prepare

  ACCORDING TO THE REPORTER, DURING A GASTRECTOMY, DURING SETUP, THE ADAPTER GO SEPARATED FROM THE SHELL PRIOR TO FIRING. A MANUAL STAPLER WITH THE SAME RELOAD WAS USED TO RESOLVE THE ISSUE. THERE WAS NO PATIENT INJURY.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 24153043 ↗
• MalfunctionJan 13, 2026Misfire

  ACCORDING TO THE REPORTER, DURING A VIDEO-ASSISTED THORACOSCOPIC LOBECTOMY ON THE PULMONARY PARENCHYMA, THE KNIFE STOPPED MIDWAY AND COULD NOT BE FIRED THROUGH THE END. THE KNIFE WAS RETRACTED, AND A NEW CARTRIDGE WAS USED TO RESOLVE THE ISSUE. THE PATIENT HAS A C ALCIFICATION, AND THE TISSUE HAS BECOME QUITE HARD DUE TO A COMPLICATION OF PNEUMONIA. THERE WAS NO PATIENT INJURY.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 24052792 ↗
• MalfunctionJan 2, 2026Device Difficult to Setup or Prepare; Device Displays Incorrect Message

  ACCORDING TO THE REPORTER, DURING LOBECTOMY VESSEL DISSECTION, WHEN ATTEMPTING TO OPEN THE JAWS AFTER DISSECTING A BLOOD VESSEL WITH THE RELOAD, THE ADAPTER SUDDENLY DETACHED. SINCE THE RELOAD COULD NOT BE REMOVED FROM THE TISSUE BEFORE THE JAWS OPENED, IT WAS RECONNECTED, AND AFTER PRESSING A BUTTON, THE JAWS OPENED AND IT COULD BE REMOVED FROM THE TISSUE. THE SCREEN SHOWED A YELLOW ADAPTER SWIMLANE. THERE WAS NO PATIENT INJURY.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 23952052 ↗
• MalfunctionDec 25, 2025Break; Human-Device Interface Problem; Break; Human-Device Interface Problem

  IT WAS REPORTED THAT DURING A LOW OPEN WHIPPLE, THE ADAPTER WAS UNABLE TO TAKE OUT THE RELOAD AND THE METAL OF THE RELOAD CAME OUT AND COULD NOT BE CENTRALIZED. SUTURING WAS PERFORMED AS A STAPLE LINE REPLACEMENT TO ADDRESS THE STAPLE LINE ISSUE RESULTING IN AN EXTENDED SURGICAL TIME OF THIRTY MINUTES. NO PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT. PLI10: MEDTRONIC'S INITIAL EVALUATION OF THE INCIDENT DEVICE FOUND THAT THERE WAS A DAMAGE TO THE ADAPTER FIRING ROD. PLI20: MEDTRONIC'S INITIAL EVALUATION OF THE INCIDENT DEVICE FOUND THAT THE LAMINATES WERE FOUND TO BE HERNIATED.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 23892557 ↗
• MalfunctionDec 25, 2025Break; Calibration Problem; Component or Accessory Incompatibility; Break; Calibration Problem; Component or Accessory Incompatibility

  IT WAS REPORTED THAT DURING A LUNG LOBECTOMY, THE INSTRUMENT BROKE, THE ADAPTER DID NOT CALIBRATE AND WAS DIFFICULT TO LOAD. A NEW ADAPTER WAS USED TO RESOLVE THE ISSUE. NO PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 23892436 ↗
• MalfunctionDec 18, 2025Misfire; Device Displays Incorrect Message; Misfire; Device Displays Incorrect Message

  ACCORDING TO THE REPORTER, IN A THORACOSCOPIC RIGHT S6 SEGMENTECTOMY, IN BETWEEN THE S6 SEGMENT OF THE RIGHT UPPER LUNG, DURING THE INTERSEGMENTAL RESECTION, THE FIRING STOPPED IN THE MIDDLE. THERE WAS AN EXCESSIVE FORCE MESSAGE AT THE TIME OF FIRING. ANOTHER DEVICE WAS USED TO COMPLETE THE CASE. THERE WAS NO PATIENT INJURY.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 23836113 ↗
• MalfunctionDec 10, 2025Break; Human-Device Interface Problem; Material Twisted/Bent; Physical Resistance/Sticking; Break; Human-Device Interface Problem; Material Twisted/Bent; Physical Resistance/Sticking

  ACCORDING TO THE REPORTER, DURING A GASTRECTOMY PROCEDURE, WHEN AT THE STOMACH, AFTER FIRING, THE CARTRIDGE COULD NO LONGER BE DISCONNECTED. UPON INSPECTION, A WIRE-LIKE METAL WAS EXPOSED FROM THE BENDING PART OF THE CARTRIDGE. EVEN WHEN TRYING TO OPERATE IT WITH THE POWER HANDLE, IT DID NOT MOVE. IT WAS RESTARTED, BUT IT DID NOT OPERATE. EVEN AFTER REMOVING AND RECONNECTING THE ADAPTER, IT DID NOT OPERATE. IN THE END, BY USING THE MANUAL ADAPTER TOOL, THE ARTICULATION IN THE MIDDLE AREA WAS ABLE TO BE RESTORED, BUT THE CONNECTION PART BETWEEN THE CARTRIDGE AND THE ADAPTER WAS ALSO BENT, AND THE CARTRIDGE COULD NOT BE REMOVED. TO RESOLVE THE ISSUE, MANUAL SUTURING WAS PERFORMED, AND THE SURGICAL TIME WAS EXTENDED. IT TOOK FROM SEVERAL TENS OF MINUTES TO SEVERAL HOURS. MEDTRONIC'S INITIAL EVALUATION OF THE INCIDENT FOUND THAT THERE WAS A DAMAGE TO THE TIP OF THE FIRING ROD.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 23770187 ↗
• MalfunctionDec 8, 2025Difficult to Open or Close; Difficult to Open or Close

  ACCORDING TO THE REPORTER DURING AN OPEN DISTAL PANCREATECTOMY, WHEN THE CARTRIDGE WAS ARTICULATED TO THE RIGHT, THE TWO CARTRIDGES DID NOT CLOSE MORE THAN USUAL. THE PHYSICIAN WAS AWARE THAT IT CLOSED A LITTLE. IT USUALLY CLOSES BY 1 TO 2 MM, BUT THE JAWS CLOSED BY NEARLY 1 CM. IT WAS ALSO NOTED THAT THE REINFORCEMENT MATERIAL DETACHED OR SLIPPED OFF. THE PRODUCT WAS REPLACED FROM REINFORCED BLACK 60 TO REINFORCED PURPLE 60 AND ANOTHER SHORT ADAPTER TO RESOLVE THE ISSUE. THERE WAS NO PATIENT INJURY.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 23741716 ↗
• MalfunctionDec 3, 2025Break; Break

  ACCORDING TO THE REPORTER, INTRA-OPERATIVELY, AT THE TIME OF REPLACING THE RELOAD, THE LOADING HUB OF THE ADAPTER WAS DAMAGED. ANOTHER ADAPTER WAS USED TO COMPLETE THE CASE. THERE WAS NO PATIENT INJURY.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 23703418 ↗
• MalfunctionDec 2, 2025Difficult to Open or Close; Human-Device Interface Problem; Difficult to Open or Close; Human-Device Interface Problem

  ACCORDING TO THE REPORTER, DURING A LECTURE ON THE USE OF THE POWER MANUAL RETRACT TOOL, THE TOOL BECAME DAMAGED, RESULTING IN THE CARTRIDGE AND ADAPTER BECOMING IRREVERSIBLY STUCK AND UNABLE TO BE DETACHED, AND THE JAWS WERE UNABLE TO OPEN. IT WAS NOTED THAT THE HANDLE USED WAS A POWERED HANDLE HOWEVER, THE MANUAL ADAPTER TOOL CANNOT BE USED WHILE THE POWER HANDLE IS CONNECTED AND REQUIRES DISCONNECTION PRIOR TO USE. AS A RESULT, IT WAS DETERMINED THAT THE POWER HANDLE WAS NOT RELATED TO THE EVENT AND WAS NOT INVOLVED. THERE WAS NO PATIENT WAS INVOLVEMENT.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 23698979 ↗
• MalfunctionNov 26, 2025Device Difficult to Setup or Prepare; Device Difficult to Setup or Prepare

  ACCORDING TO THE REPORTER, PRIOR TO USE, AFTER ASSEMBLING THE POWERED HANDLE, SHELL, AND ADAPTER, A LOOSENESS WAS OBSERVED BETWEEN THE SHELL AND THE ADAPTER, RESULTING IN THEIR UNINTENDED SEPARATION. A NEW SET OF POWERED HANDLE, SHELL, AND ADAPTER WAS USED TO RESOLVE THE ISSUE. THERE WAS NO PATIENT INVOLVED.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 23657101 ↗
• MalfunctionOct 17, 2025Entrapment of Device; Retraction Problem; Human-Device Interface Problem; Entrapment of Device; Retraction Problem; Human-Device Interface Problem

  ACCORDING TO THE REPORTER, DURING A VIDEO-ASSISTED THORACOSCOPIC SURGERY, AFTER STAPLING THE PARENCHYMAL TISSUE, THE JAWS OF THE RELOAD COULD NO LONGER BE OPENED, AND THE KNIFE COULD NOT BE RETRACTED. THE ADAPTER WAS REMOVED FROM THE POWERED HANDLE, AND AN ATTEMPT WAS MADE TO MANUALLY OPEN THE RELOAD WITH A RETRACTING TOOL, BUT WITHOUT SUCCESS. THE RELOAD COULD NOT BE DISCONNECTED FROM THE ADAPTER. A NEW ADAPTER AND A NEW RELOAD WERE USED TO EXCISE THE DEFECTIVE RELOAD. THERE WAS NO PATIENT INJURY.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 23321072 ↗
• MalfunctionSep 19, 2025Break; Detachment of Device or Device Component; Break; Detachment of Device or Device Component

  IT WAS REPORTED THAT DURING A VIDEO-ASSISTED THORACIC SURGERY (VATS) LOBECTOMY PROCEDURE, THE SHAFT OF THE ADAPTER BROKE DURING USE. THE RELOAD THEN DISENGAGED FROM THE ADAPTER, BUT NO PIECES FELL INTO THE PATIENT CAVITY. ANOTHER ADAPTER AND RELOAD OF THE SAME TYPE WERE USED TO COMPLETE THE PROCEDURE. NO PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 23100703 ↗
• MalfunctionAug 29, 2025Device Difficult to Setup or Prepare; Detachment of Device or Device Component; Device Difficult to Setup or Prepare; Detachment of Device or Device Component

  ACCORDING TO THE REPORTER, DURING AN UPPER LEFT LOBE RESECTION, BEFORE USING THE POWER STAPLER ON THE PATIENT, THE SHELL AND ADAPTER DETACHED BEFORE FIRING. THE USER RE-CONNECTED THE SHELL AND ADAPTER AND THE FIRING WAS ABLE TO BE PERFORMED. THERE WAS NO PATIENT INJURY

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 22927720 ↗
• MalfunctionAug 29, 2025Device Difficult to Setup or Prepare; Component or Accessory Incompatibility; Detachment of Device or Device Component; Device Difficult to Setup or Prepare; Component or Accessory Incompatibility; Detachment of Device or Device Component

  ACCORDING TO THE REPORTER, DURING A LOBECTOMY PROCEDURE INVOLVING THE PULMONARY ARTERY, THE SHELL AND ADAPTER DETACHED IN THE MIDDLE OF THE SECOND FIRING. THE SCRUB NURSE CONFIRMED THAT THE COMPONENTS HAD BEEN PROPERLY ATTACHED AND CHECKED PRIOR TO USE, THOUGH IT WAS UNCLEAR IF THEY WERE FULLY ENGAGED UNTIL THE CLICK SOUND. WHEN RELOADING, THE KNIFE RETURNED. AN ULTRA HANDLE AND RELOAD WERE USED AND FIRED WITHOUT FURTHER ISSUES, ALLOWING THE OPERATION TO BE COMPLETED SUCCESSFULLY. THE HANDLE¿S FUNCTION WAS LATER CONFIRMED TO BE NORMAL, THOUGH ENGAGEMENT BETWEEN THE SHELL AND ADAPTER SEEMED TO REQUIRE EXTRA FORCE. THERE WAS NO PATIENT INJURY.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 22927216 ↗

Recalls under the same FDA submission

These recalls involve devices cleared under K160176, K201672. One submission often covers many models, so check the product and lot details in each record.

• Z-1228-2023 · Jan 25, 2023 · Open, Classified
  Tri-Staple 2.0 Black Intelligent Reload, Product Number SIG60AXT
• Z-1833-2019 · May 17, 2019 · Open, Classified
  SIGNIA TRI-STAPLE 2.0 BLACK 45MM EXTRA THICK RELOA, SIG45AXT
• Z-1827-2019 · May 17, 2019 · Open, Classified
  EGIA 45 ARTICULATING XTRA THICK SULU, Item Code EGIA45AXT
• Z-1832-2019 · May 17, 2019 · Open, Classified
  SIGNIA TRI-STAPLE 2.0 30MM MEDIUM/ THICK RELOAD , SIG30AMT
• Z-1826-2019 · May 17, 2019 · Open, Classified
  EGIA 45 ARTICULATING MED THICK SULU, Item Code EGIA45AMT
• Z-1825-2019 · May 17, 2019 · Open, Classified
  EGIA 30 ARTICULATING MED THICK SULU, Item Code EGIA30AMT
• Z-1836-2019 · May 17, 2019 · Open, Classified
  SIGNIA TRI-STAPLE 2.0 CURVED TIP 60MM MEDIUM/ THIC , SIG60CTAMT
• Z-1834-2019 · May 17, 2019 · Open, Classified
  SIGNIA TRI-STAPLE 2.0 BLACK 60MM EXTRA THICK RELOA, SIG60AXT
• Z-1829-2019 · May 17, 2019 · Open, Classified
  EGIA 60 ARTICULATING MED THICK SULU , EGIA60AMT
• Z-1830-2019 · May 17, 2019 · Open, Classified
  EGIA 60 CURVED TIP ART MED THICK SULU, EGIA60CTAMT
• Z-1831-2019 · May 17, 2019 · Open, Classified
  EGIA45 CT AR MD THK REL, EGIA45CTAMT
• Z-1835-2019 · May 17, 2019 · Open, Classified
  SIGNIA TRI-STAPLE 2.0 CURVED TIP 45MM MEDIUM/ THIC , SIG45CTAMT
• Z-1828-2019 · May 17, 2019 · Open, Classified
  EGIA 60 ARTICULATING EXTRA THICK SULU, Item code EGIA60AXT
• Z-1237-2018 · Dec 13, 2017 · Terminated
  Signia" Power Handle (SIGPHANDLE, SIGNVAL1 and SIGVAL20 - Kits) The Signia" Power Handle, when used with Endo GIA" single-use reloads and Endo GIA" single-use reloads with Tri-Sta