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U.S. Department of Health and Human Services

TPLC - Total Product Life Cycle

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Device tube tracheostomy and tube cuff
Product CodeJOH
Regulation Number 868.5800
Device Class 2


Premarket Reviews
ManufacturerDecision
COOK INCORPORATED
  SUBSTANTIALLY EQUIVALENT 1
COVIDIEN
  SUBSTANTIALLY EQUIVALENT 2
  1.  K182861  Shiley Neonatal/Pediatric Tracheostomy Tube
  2.  K193077  Shiley Adult Flexible Evac Tracheostomy Tube with ...
SMITHS MEDICAL ASD, INC.
  SUBSTANTIALLY EQUIVALENT 1
TRACOE MEDICAL GMBH
  SUBSTANTIALLY EQUIVALENT 1

MDR Year MDR Reports MDR Events
2019 1019 1019
2020 791 791
2021 1041 1041
2022 1633 1633
2023 1233 1233
2024 1006 1006

Device Problems MDRs with this Device Problem Events in those MDRs
Gas/Air Leak 1167 1167
Use of Device Problem 1053 1053
Inflation Problem 897 897
Leak/Splash 513 513
Defective Component 414 414
Material Split, Cut or Torn 403 403
Break 259 259
Connection Problem 221 221
Disconnection 172 172
Crack 146 146
Defective Device 126 126
Material Separation 125 125
Fluid/Blood Leak 120 120
Material Puncture/Hole 116 116
Appropriate Term/Code Not Available 110 110
Fracture 103 103
Insufficient Information 92 92
Detachment of Device or Device Component 90 90
Physical Resistance/Sticking 84 84
Human-Device Interface Problem 81 81
Inadequacy of Device Shape and/or Size 80 80
Material Discolored 72 72
Obstruction of Flow 67 67
Material Integrity Problem 60 60
Deflation Problem 59 59
Material Rupture 56 56
Device Markings/Labelling Problem 54 54
Material Fragmentation 50 50
Labelling, Instructions for Use or Training Problem 46 46
Mechanical Problem 46 46
Patient Device Interaction Problem 43 43
Patient-Device Incompatibility 43 43
Contamination 39 39
Component Missing 36 36
Material Deformation 32 32
Adverse Event Without Identified Device or Use Problem 32 32
Product Quality Problem 29 29
Unintended Deflation 29 29
Tear, Rip or Hole in Device Packaging 27 27
Contamination /Decontamination Problem 27 27
Difficult to Advance 27 27
Deformation Due to Compressive Stress 24 24
Difficult to Insert 23 23
No Apparent Adverse Event 22 22
Separation Problem 21 21
Material Twisted/Bent 20 20
Gel Leak 20 20
Difficult to Remove 19 19
Fitting Problem 19 19
Device-Device Incompatibility 18 18

Patient Problems MDRs with this Patient Problem Events in those MDRs
No Clinical Signs, Symptoms or Conditions 2651 2651
Unintended Extubation 1364 1364
No Consequences Or Impact To Patient 815 815
Insufficient Information 721 721
Extubate 264 264
No Information 217 217
No Known Impact Or Consequence To Patient 207 207
Low Oxygen Saturation 178 178
No Patient Involvement 147 147
Hypoventilation 113 113
Decreased Respiratory Rate 82 82
Airway Obstruction 64 64
Dyspnea 59 59
Unspecified Tissue Injury 57 57
No Code Available 54 54
Hemorrhage/Bleeding 51 51
Respiratory Insufficiency 47 47
Respiratory Distress 39 39
Discomfort 38 38
Hypoxia 36 36
Death 31 31
Pain 30 30
Tachycardia 26 26
Skin Inflammation/ Irritation 24 24
Inflammation 21 21
Cardiac Arrest 19 19
Irritation 16 16
Aspiration/Inhalation 16 16
Distress 15 15
Respiratory Failure 15 15
Injury 14 14
Pneumonia 14 14
Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available 14 14
Unspecified Infection 14 14
Unspecified Respiratory Problem 13 13
Pneumothorax 12 12
Foreign Body In Patient 11 11
Bradycardia 10 10
Failure of Implant 9 9
Pressure Sores 8 8
Cough 8 8
Respiratory Tract Infection 8 8
Dysphasia 8 8
Increased Respiratory Rate 7 7
Anxiety 7 7
Obstruction/Occlusion 7 7
Stenosis 7 7
Low Blood Pressure/ Hypotension 7 7
High Oxygen Saturation 7 7
Bacterial Infection 6 6

Recalls
Manufacturer Recall Class Date Posted
1 Cook Incorporated I May-10-2023
2 Covidien I Apr-19-2023
3 Smiths Medical ASD Inc. II Oct-31-2023
4 Smiths Medical ASD Inc. II Jul-01-2021
5 Smiths Medical ASD Inc. II Feb-23-2021
6 Smiths Medical ASD Inc. II Dec-28-2020
7 Smiths Medical ASD Inc. II Sep-09-2020
8 Smiths Medical ASD Inc. II Jul-01-2020
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