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U.S. Department of Health and Human Services

TPLC - Total Product Life Cycle

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Device endoscopic suture/plication system, gastroesophageal reflux disease (gerd)
Definition To treat the symptoms of chronic gastroesophageal reflux disease (GERD), either by approximating tissue with sutures or plicating tissue with an implant.
Product CodeODE
Regulation Number 876.1500
Device Class 2


Premarket Reviews
ManufacturerDecision
ENDOGASTRIC SOLUTIONS, INC.
  SUBSTANTIALLY EQUIVALENT 6
MEDIGUS LTD.
  SUBSTANTIALLY EQUIVALENT 2
MEDIGUS, LTD.
  SUBSTANTIALLY EQUIVALENT 2

MDR Year MDR Reports MDR Events
2014 7 7
2015 5 5
2016 12 12
2017 12 12
2018 11 11
2019 10 10
2020 18 18
2021 24 24
2022 16 16
2023 28 28
2024 9 9

Device Problems MDRs with this Device Problem Events in those MDRs
Adverse Event Without Identified Device or Use Problem 69 69
Insufficient Information 19 19
Break 8 8
Use of Device Problem 8 8
Detachment of Device or Device Component 7 7
Device Operates Differently Than Expected 6 6
Failure to Fire 6 6
Improper or Incorrect Procedure or Method 5 5
Mechanical Problem 4 4
Loss of or Failure to Bond 4 4
Therapeutic or Diagnostic Output Failure 4 4
Physical Resistance 3 3
Difficult to Remove 3 3
Physical Resistance/Sticking 3 3
Retraction Problem 2 2
Leak/Splash 2 2
Loose or Intermittent Connection 2 2
Misfire 2 2
Difficult to Open or Close 2 2
Mechanical Jam 2 2
No Apparent Adverse Event 2 2
Material Deformation 2 2
Material Protrusion/Extrusion 2 2
Material Twisted/Bent 1 1
Positioning Problem 1 1
Torn Material 1 1
Device Dislodged or Dislocated 1 1
Malposition of Device 1 1
Patient-Device Incompatibility 1 1
Bent 1 1
Detachment Of Device Component 1 1
Entrapment of Device 1 1
Material Fragmentation 1 1
Difficult to Insert 1 1
Material Separation 1 1
Sticking 1 1
Stretched 1 1
Device Inoperable 1 1
Device Issue 1 1
Obstruction of Flow 1 1
Device Fell 1 1
Appropriate Term/Code Not Available 1 1
Migration 1 1
Firing Problem 1 1

Patient Problems MDRs with this Patient Problem Events in those MDRs
Perforation of Esophagus 30 30
Perforation 19 19
Pleural Effusion 17 17
Laceration(s) of Esophagus 16 16
No Known Impact Or Consequence To Patient 16 16
No Clinical Signs, Symptoms or Conditions 14 14
Insufficient Information 11 11
Abscess 11 11
Chest Pain 11 11
Fever 8 8
No Consequences Or Impact To Patient 7 7
Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available 7 7
Patient Problem/Medical Problem 7 7
Hemorrhage/Bleeding 6 6
Dysphagia/ Odynophagia 5 5
No Code Available 5 5
Pain 4 4
Tissue Damage 3 3
Abdominal Pain 3 3
Internal Organ Perforation 3 3
Failure to Anastomose 2 2
Failure of Implant 2 2
Unspecified Infection 2 2
Ischemia 2 2
Laceration(s) 2 2
Pneumothorax 2 2
Aspiration/Inhalation 2 2
Atrial Fibrillation 2 2
Cyst(s) 2 2
Hematoma 2 2
Foreign Body In Patient 2 2
Pericardial Effusion 2 2
Constipation 1 1
Syncope/Fainting 1 1
Test Result 1 1
Device Embedded In Tissue or Plaque 1 1
Fungal Infection 1 1
Ambulation Difficulties 1 1
Weight Changes 1 1
Difficulty Chewing 1 1
Low Blood Pressure/ Hypotension 1 1
Extravasation 1 1
Fatigue 1 1
Bacterial Infection 1 1
Cardiac Arrest 1 1
Abrasion 1 1
Anemia 1 1
Pulmonary Edema 1 1
Respiratory Distress 1 1
Pneumonia 1 1
Excessive Tear Production 1 1
Hernia 1 1
Ulcer 1 1
Discomfort 1 1
Injury 1 1
Depression 1 1
Muscle Spasm(s) 1 1
Nausea 1 1
Inflammation 1 1

Recalls
Manufacturer Recall Class Date Posted
1 Endogastric Solutions Inc II Aug-17-2013
2 Endogastric Solutions Inc II Apr-17-2013
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