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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
Defective Component 3 3
Air Leak 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
Obstruction of Flow 2 2
Use of Device Problem 2 2
Patient Device Interaction Problem 2 2
Deflation Problem 2 2
Activation Problem 2 2
Malposition of Device 2 2
No Display/Image 2 2
Output Problem 2 2
Unexpected Shutdown 2 2
Contamination /Decontamination Problem 1 1
Difficult to Insert 1 1
Gas/Air Leak 1 1
Failure to Power Up 1 1
Improper Flow or Infusion 1 1
Therapeutic or Diagnostic Output Failure 1 1
Failure to Clean Adequately 1 1
Crack 1 1
Insufficient Flow or Under Infusion 1 1
Inaccurate Flow Rate 1 1
Unintended Electrical Shock 1 1
Break 1 1
Misconnection 1 1
Use of Incorrect Control/Treatment Settings 1 1
Environmental Particulates 1 1
Explosion 1 1
Product Quality Problem 1 1
Low Audible Alarm 1 1
Power Problem 1 1
Sensing Intermittently 1 1
Intermittent Continuity 1 1
Leak/Splash 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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