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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
KARL STORZ ENDOSCOPY AMERICA, INC.
  SUBSTANTIALLY EQUIVALENT 1
PALLIARE LTD.
  SUBSTANTIALLY EQUIVALENT 2

MDR Year MDR Reports MDR Events
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 25 25
Pressure Problem 20 20
No Apparent Adverse Event 15 15
Pumping Stopped 14 14
Device Alarm System 11 11
Device Handling Problem 11 11
Infusion or Flow Problem 4 4
Adverse Event Without Identified Device or Use Problem 4 4
Device Reprocessing Problem 4 4
Defective Component 3 3
Obstruction of Flow 2 2
No Display/Image 2 2
Use of Device Problem 2 2
Noise, Audible 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
Low Audible Alarm 1 1
Break 1 1
Gas Output Problem 1 1
Inflation Problem 1 1
Leak/Splash 1 1
Failure to Power Up 1 1
Use of Incorrect Control/Treatment Settings 1 1
Crack 1 1
Deflation Problem 1 1
Malposition of Device 1 1
Contamination /Decontamination Problem 1 1
Improper Flow or Infusion 1 1
Product Quality Problem 1 1
Material Rupture 1 1
Sensing Intermittently 1 1

Patient Problems MDRs with this Patient Problem Events in those MDRs
No Clinical Signs, Symptoms or Conditions 72 72
Insufficient Information 22 22
Bradycardia 4 4
Bowel Perforation 3 3
Cardiac Arrest 2 2
Abdominal Pain 2 2
Perforation 2 2
No Consequences Or Impact To Patient 2 2
Discomfort 1 1
Electric Shock 1 1
Air Embolism 1 1
Bowel Burn 1 1
Hemorrhage/Bleeding 1 1
Inflammation 1 1
No Known Impact Or Consequence To Patient 1 1

Recalls
Manufacturer Recall Class Date Posted
1 Northgate Technologies, Inc. II Feb-24-2021
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