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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 17 17

Device Problems MDRs with this Device Problem Events in those MDRs
Insufficient Information 29 29
Pressure Problem 21 21
No Apparent Adverse Event 15 15
Pumping Stopped 14 14
Device Handling Problem 12 12
Adverse Event Without Identified Device or Use Problem 12 12
Device Alarm System 11 11
Burst Container or Vessel 5 5
Device Reprocessing Problem 4 4
Infusion or Flow Problem 4 4
Noise, Audible 3 3
Inflation Problem 3 3
Material Rupture 3 3
Air Leak 3 3
Defective Component 3 3
Gas Output Problem 2 2
Improper or Incorrect Procedure or Method 2 2
Device Inoperable 2 2
Complete Loss of Power 2 2
Deflation Problem 2 2
Patient Device Interaction Problem 2 2
Malposition of Device 2 2
No Display/Image 2 2
Activation Problem 2 2
Output Problem 2 2
Unexpected Shutdown 2 2
Obstruction of Flow 2 2
Use of Device Problem 2 2
Failure to Clean Adequately 1 1
Therapeutic or Diagnostic Output Failure 1 1
Crack 1 1
Unintended Electrical Shock 1 1
Contamination /Decontamination Problem 1 1
Difficult to Insert 1 1
Inaccurate Flow Rate 1 1
Sensing Intermittently 1 1
Insufficient Flow or Under Infusion 1 1
Break 1 1
Extrusion 1 1
Use of Incorrect Control/Treatment Settings 1 1
Misconnection 1 1
Product Quality Problem 1 1
Environmental Particulates 1 1
Explosion 1 1
Low Audible Alarm 1 1
Power Problem 1 1
Leak/Splash 1 1
Failure to Power Up 1 1
Intermittent Continuity 1 1
Improper Flow or Infusion 1 1

Patient Problems MDRs with this Patient Problem Events in those MDRs
No Clinical Signs, Symptoms or Conditions 77 77
Insufficient Information 25 25
Abdominal Pain 8 8
Bowel Perforation 7 7
No Consequences Or Impact To Patient 7 7
Bradycardia 5 5
No Known Impact Or Consequence To Patient 4 4
Perforation 3 3
Air Embolism 2 2
No Information 2 2
Inflammation 2 2
Cardiac Arrest 2 2
Hemorrhage/Bleeding 2 2
Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available 1 1
Death 1 1
Electric Shock 1 1
Respiratory Distress 1 1
No Code Available 1 1
Test Result 1 1
Perforation of Esophagus 1 1
Abdominal Distention 1 1
Bowel Burn 1 1
Peritonitis 1 1
Fever 1 1
Vomiting 1 1
Discomfort 1 1
Pain 1 1
Reaction 1 1
Abscess 1 1
Tissue Damage 1 1
Embolism 1 1
Therapeutic Effects, Unexpected 1 1
Low Blood Pressure/ Hypotension 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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