InstinctRecalls & reported problems across all models

We found 5 models of Instinct by Cook Incorporated in the FDA's device registry (GUDID). Together they are named in 1,289 adverse event reports in the FDA's MAUDE database, received between Feb 19, 2016 and Sep 30, 2026 — classified as 48 injuries, 1,241 malfunctions.

The most frequently reported specific device problem is “Material Separation” (529 reports).

1 FDA recall record name at least one of these models by its device identifier, 1 still open.

Reports come from manufacturers, hospitals and patients and are not verified by the FDA. A report does not prove the device caused the event. Widely used products collect more reports, so totals can't be used to compare products or estimate failure rates. Only reports that name a model's exact device identifier are counted. What reports can and can't tell you · How this data works

Instinct recalls

FDA recall records that name at least one of these models by its device identifier, newest first. Each recall usually covers specific models or lots, so check the details.

1. Mar 3, 2026Open, Classified

   Due to increased in complaints their is the potential for endoscopic clipping device to malfunction.

   Z-1812-2026 · Root cause: Process control · Recall details · FDA record ↗

Most reported Instinct problems

Instinct models

5 models, most reported first. Each model has its own page with its reports, recalls and device details.

• Instinct G58010

  Hemostatic metal clip for the GI tract
  1 recall1,017 reports
• Instinct G18343

  Hemostatic metal clip for the GI tract
  244 reports
• Instinct G18344

  Hemostatic metal clip for the GI tract
  21 reports
• Instinct G24653

  Hemostatic metal clip for the GI tract
  4 reports
• Instinct G57302

  Unit, electrosurgical, endoscopic (with or without accessories)
  3 reports

Recent Instinct adverse event reports

The 15 most recent reports across all models, in the reporter's own words as published by the FDA.

• MalfunctionSep 30, 2026Failure to Fire

  During endoscopic procedure to clip on ulcer, the physician used a Cook Instinct Plus Endoscopic Clipping Device. It was reported that the clip would not release from the catheter but was able to reopen from tissue.A section of the device did not remain inside the patient¿s body. The patient did not require any additional procedures due to this occurrence. According to the initial reporter, the patient did not experience any adverse effects due to this occurrence.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50947275 ↗
• MalfunctionSep 30, 2026Failure to Fire

  During an endoscopic clipping procedure, the physician used two Cook Instinct Plus Endoscopic Clipping Devices. It was reported that the clips failed to deploy and were able to be reopened from tissue.A section of the device did not remain inside the patient¿s body. The patient did not require any additional procedures due to this occurrence. According to the initial reporter, the patient did not experience any adverse effects due to this occurrence.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50946848 ↗
• MalfunctionSep 30, 2026Failure to Fire

  During clipping in the sigmoid post polyp removal, the physician used a Cook Instinct Plus Endoscopic Clipping Device. It was reported that the clip closed perfectly but once "[the user]" crunched, the clip did not deploy, (heard the deployment) but the clip was still on the catheter.Another clip was used and deployed perfect as it should.A section of the device did not remain inside the patient¿s body. The patient did not require any additional procedures due to this occurrence. According to the initial reporter, the patient did not experience any adverse effects due to this occurrence.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50946716 ↗
• MalfunctionSep 28, 2026Activation, Positioning or Separation Problem

  Clip would not deploy.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50913184 ↗
• MalfunctionSep 25, 2026Separation Failure; Failure to Fire

  During clipping to stop bleeding post polypectomy in the colon, the physician used a Cook Instinct Plus Endoscopic Clipping Device. It was reported that the forceps "[jaws]" open and close, but the clip does not release, despite attempts to reposition the clip and the forceps "[jaws]", and efforts by the surgeon and nursing staff.A section of the device did not remain inside the patient¿s body. The patient did not require any additional procedures due to this occurrence. According to the initial reporter, the patient did not experience any adverse effects due to this occurrence.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50898572 ↗
• MalfunctionSep 25, 2026Failure to Fire

  During an endoscopic clipping procedure, the physician used multiple Cook Instinct Plus Endoscopic Clipping Devices. It was initially reported that the clip was not opening. There was no reportable information at that time. Additional information received on 28 Aug 2026 indicated that the clip was unable to deploy but able to open from tissue "[subject of report]".A section of the device did not remain inside the patient¿s body. The patient did not require any additional procedures due to this occurrence. According to the initial reporter, the patient did not experience any adverse effects due to this occurrence.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50896370 ↗
• MalfunctionSep 24, 2026Failure to Fire

  During an endoscopic clipping procedure, the physician used a Cook Instinct Plus Endoscopic Clipping Device. It was reported that the clip did not deploy but could be reopened. Another clip was used to finish the procedure. A section of the device did not remain inside the patient¿s body. The patient did not require any additional procedures due to this occurrence. According to the initial reporter, the patient did not experience any adverse effects due to this occurrence.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50886245 ↗
• MalfunctionSep 24, 2026Material Separation; Difficult to Open or Close

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50884335 ↗
• MalfunctionSep 24, 2026Separation Failure; Failure to Fire

  During an endoscopic clipping procedure, the physician used a Cook Instinct Plus Endoscopic Clipping Device. It was reported that while the clip was being inserted through the scope, the staff member was holding the red part of the handle, the clip could not be deployed.A section of the device did not remain inside the patient¿s body. The patient did not require any additional procedures due to this occurrence. According to the initial reporter, the patient did not experience any adverse effects due to this occurrence.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50883693 ↗
• MalfunctionSep 22, 2026Failure to Fire

  During an endoscopic clipping procedure, the physician used two Cook Instinct Plus Endoscopic Clipping Devices. It was reported that the clips did not deploy. They get on tissue and they will not fire but they were able to reopen the clips to remove them from tissue. Another clip was grabbed to complete the procedure.A section of the device did not remain inside the patient¿s body. The patient did not require any additional procedures due to this occurrence. According to the initial reporter, the patient did not experience any adverse effects due to this occurrence.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50852526 ↗
• MalfunctionSep 21, 2026Failure to Fire

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50844970 ↗
• MalfunctionSep 21, 2026Failure to Fire

  During an endoscopic clipping procedure, the physician used two Cook Instinct Plus Endoscopic Clipping Devices. It was reported that the clips did not deploy. They get on tissue and they will not fire but they were able to reopen the clips to remove them from tissue. Another clip was grabbed to complete the procedure.A section of the device did not remain inside the patient¿s body. The patient did not require any additional procedures due to this occurrence. According to the initial reporter, the patient did not experience any adverse effects due to this occurrence.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50842532 ↗
• MalfunctionSep 21, 2026Failure to Fire

  During a gastroscopy, the physician used a Cook Instinct Plus Endoscopic Clipping Device. It was reported that the clip was not able to deploy when activated and it still didn't work when out of scope.A section of the device did not remain inside the patient¿s body. The patient did not require any additional procedures due to this occurrence. According to the initial reporter, the patient did not experience any adverse effects due to this occurrence.

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50842421 ↗
• MalfunctionSep 21, 2026Separation Failure; Failure to Fire

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50841989 ↗
• MalfunctionSep 19, 2026Failure to Fire

  Patient problems: No Clinical Signs, Symptoms or Conditions

  MAUDE report 50832569 ↗

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