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U.S. Department of Health and Human Services

TPLC - Total Product Life Cycle

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Device insufflator, automatic carbon-dioxide for endoscope
Product CodeFCX
Regulation Number 876.1500
Device Class 2


Premarket Reviews
ManufacturerDecision
BARONOVA, INC.
  SUBSTANTIALLY EQUIVALENT - KIT 1
BRACCO DIAGNOSTIC, INC.
  SUBSTANTIALLY EQUIVALENT 3
BYRNE MEDICAL, INC.
  SUBSTANTIALLY EQUIVALENT 1
FUJIFILM CORPORATION
  SUBSTANTIALLY EQUIVALENT 1
FUJIFILM MEDICAL SYSTEM U.S.A., INC.
  SUBSTANTIALLY EQUIVALENT 1
KARL STORZ ENDOSCOPY AMERICA, INC.
  SUBSTANTIALLY EQUIVALENT 1
LEXION MEDICAL, LLC.
  SUBSTANTIALLY EQUIVALENT 1
NEXCORE TECHNOLOGY, LLC
  SUBSTANTIALLY EQUIVALENT 1
PALLIARE LTD.
  SUBSTANTIALLY EQUIVALENT 2

MDR Year MDR Reports MDR Events
2014 10 10
2015 5 5
2016 4 4
2017 3 3
2018 7 7
2019 4 4
2020 1 1
2021 12 12
2022 29 29
2023 54 54
2024 9 9

Device Problems MDRs with this Device Problem Events in those MDRs
Insufficient Information 29 29
Pressure Problem 20 20
No Apparent Adverse Event 15 15
Pumping Stopped 14 14
Device Handling Problem 12 12
Device Alarm System 11 11
Adverse Event Without Identified Device or Use Problem 10 10
Burst Container or Vessel 5 5
Device Reprocessing Problem 4 4
Infusion or Flow Problem 4 4
Air Leak 3 3
Noise, Audible 3 3
Material Rupture 3 3
Defective Component 3 3
Inflation Problem 3 3
Deflation Problem 2 2
No Display/Image 2 2
Obstruction of Flow 2 2
Malposition of Device 2 2
Device Inoperable 2 2
Use of Device Problem 2 2
Improper or Incorrect Procedure or Method 2 2
Patient Device Interaction Problem 2 2
Complete Loss of Power 2 2
Unexpected Shutdown 2 2
Activation Problem 2 2
Failure to Clean Adequately 1 1
Unintended Electrical Shock 1 1
Explosion 1 1
Therapeutic or Diagnostic Output Failure 1 1
Sensing Intermittently 1 1
Contamination /Decontamination Problem 1 1
Extrusion 1 1
Improper Flow or Infusion 1 1
Inaccurate Flow Rate 1 1
Gas Output Problem 1 1
Intermittent Continuity 1 1
Use of Incorrect Control/Treatment Settings 1 1
Crack 1 1
Difficult to Insert 1 1
Leak/Splash 1 1
Misconnection 1 1
Loss of Power 1 1
Failure to Power Up 1 1
Low Audible Alarm 1 1
Break 1 1
Product Quality Problem 1 1

Patient Problems MDRs with this Patient Problem Events in those MDRs
No Clinical Signs, Symptoms or Conditions 73 73
Insufficient Information 22 22
Abdominal Pain 8 8
No Consequences Or Impact To Patient 7 7
Bowel Perforation 7 7
Bradycardia 5 5
No Known Impact Or Consequence To Patient 4 4
Perforation 3 3
Hemorrhage/Bleeding 2 2
Inflammation 2 2
Cardiac Arrest 2 2
No Information 2 2
Air Embolism 2 2
No Code Available 1 1
Test Result 1 1
Peritonitis 1 1
Discomfort 1 1
Perforation of Esophagus 1 1
Reaction 1 1
Electric Shock 1 1
Abdominal Distention 1 1
Death 1 1
Embolism 1 1
Fever 1 1
Bowel Burn 1 1
Abscess 1 1
Pain 1 1
Low Blood Pressure/ Hypotension 1 1
Respiratory Distress 1 1
Therapeutic Effects, Unexpected 1 1
Tissue Damage 1 1
Vomiting 1 1

Recalls
Manufacturer Recall Class Date Posted
1 Northgate Technologies, Inc. II Feb-24-2021
2 Pentax Medical Company I Oct-28-2013
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