Ethicon Endo-Surgery Circular Stapler Recall Issued Due to Complications

More than 157,000 Ethicon surgical staplers have been recalled, due to problems with incomplete firing strokes that may cause faulty staple formation, potentially resulting in painful and severe internal complications for the patient. 

An Ethicon surgical stapler recall was first announced in August, after reports surfaced where surgeons experienced problems that required them to abandon use of the device during surgery due to difficulty firing it.

On October 26, the FDA indicated that the action was categorized as a Class I recall for the Ethicon Endo-Surgery circular staplers, due to the potential risk it may pose for consumers. A Class I recall designation means that continued use of the device is likely to cause severe injury or death.

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These devices are used in the surgical treatment of prolapse and hemorrhoids, where circular or semicircular stapling of anorectal tissue is needed.

Failure to complete the firing stroke of the stapler can result in severe pain, sphincter dysfunction, rectal wall damage, sepsis, bleeding, and occlusion of the rectal canal. Failure to complete the firing stroke can also result in poor staple formation, dehiscence of the rectal wall staple line and bleeding.

The recall affects the following products:

  • Ethicon PROXIMATE HCS Hemorrhoidal Circular Stapler and Accessories 33mm (Product Code: PPH01)
  • Ethicon PROXIMATE PPH Hemorrhoidal Circular Stapler and Accessories 33mm (Product Code: PPH03)
  • Ethicon TRANSTAR Circular Stapler Procedure Set (Product Code: STR10)

The recalled surgical staplers were manufactured by Ethicon, a subsidiary of Johnson and Johnson, between April 16, 2011 and July 24, 2012 and distributed from April 18, 2011 to July 23, 2012.

The initial Ethicon Endo-Surgery stapler recall was announced in August following complaints that the surgical staple guns were too hard to fire. In one case, a surgeon gave up trying to use the stapler mid-surgery due to frustration and an inability of the device to function properly.


  • DanielDecember 6, 2021 at 2:13 pm

    Case law suggests manufactures knew for 10 years prior to the recall. Any cases that happened within this time frame should be allowed. I need someone for a 2008 surgery.

  • NatashaJuly 22, 2014 at 5:43 am

    I have heard of multiple cases where this product has either killed or severely injured someone. There is so much negative information in the FDA's MAUDE site about this product, please be careful. This is a dangerous product.

  • BrandonOctober 30, 2012 at 6:06 pm

    I suffered necrotizing fasciitis, sever SEPSIS and underwent 19 additional surgeries (including a colostomy) after a staple broke open following a Hemorrhoidectomy in July 2012. A defective proximate pph circular stapler appears to be the culprit.

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