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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
Regulation Description Tracheostomy tube and tube cuff.
Product CodeJOH
Regulation Number 868.5800
Device Class 2


Premarket Reviews
ManufacturerDecision
COVIDIEN
  SUBSTANTIALLY EQUIVALENT 1
  1.  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
2020 791 791
2021 1041 1047
2022 1632 1650
2023 1233 1234
2024 1103 1103
2025 933 933

Device Problems MDRs with this Device Problem Events in those MDRs
Gas/Air Leak 1307 1316
Use of Device Problem 1231 1235
Inflation Problem 906 910
Material Split, Cut or Torn 481 482
Defective Component 424 425
Leak/Splash 300 301
Break 259 261
Disconnection 234 234
Connection Problem 215 216
Material Separation 126 126
Fluid/Blood Leak 119 119
Crack 117 117
Appropriate Term/Code Not Available 114 114
Defective Device 114 114
Material Puncture/Hole 99 99
Insufficient Information 91 91
Fracture 86 86
Physical Resistance/Sticking 80 81
Human-Device Interface Problem 76 76
Obstruction of Flow 65 67
Deflation Problem 59 61
Device Markings/Labelling Problem 54 54
Detachment of Device or Device Component 54 54
Inadequacy of Device Shape and/or Size 49 49
Material Fragmentation 45 46
Labelling, Instructions for Use or Training Problem 44 44
Contamination 44 44
Material Rupture 43 43
Patient Device Interaction Problem 42 42
Patient-Device Incompatibility 41 42
Material Discolored 40 40
Mechanical Problem 40 41
Material Integrity Problem 39 39
Component Missing 36 36
Unintended Deflation 34 34
Material Deformation 33 33
Difficult to Advance 33 33
No Apparent Adverse Event 30 30
Tear, Rip or Hole in Device Packaging 29 29
Product Quality Problem 28 30
Difficult to Insert 24 24
Contamination /Decontamination Problem 24 24
Adverse Event Without Identified Device or Use Problem 23 23
Device-Device Incompatibility 23 23
Deformation Due to Compressive Stress 22 22
Material Twisted/Bent 21 21
Fitting Problem 21 21
Loose or Intermittent Connection 18 18
Pressure Problem 18 18
Gel Leak 18 18

Patient Problems MDRs with this Patient Problem Events in those MDRs
No Clinical Signs, Symptoms or Conditions 3377 3389
Unintended Extubation 1613 1616
Insufficient Information 778 785
No Consequences Or Impact To Patient 450 450
Low Oxygen Saturation 168 168
Extubate 123 123
Hypoventilation 122 122
Decreased Respiratory Rate 82 82
No Patient Involvement 76 76
No Information 68 68
Unspecified Tissue Injury 62 63
Airway Obstruction 58 58
Hemorrhage/Bleeding 58 58
Dyspnea 56 56
Respiratory Insufficiency 55 55
Discomfort 38 38
Hypoxia 28 28
Tachycardia 25 25
Cardiac Arrest 24 25
Pain 24 24
Skin Inflammation/ Irritation 24 24
Distress 20 20
Death 18 18
Aspiration/Inhalation 18 18
No Code Available 17 17
Respiratory Failure 16 16
Foreign Body In Patient 16 17
Unspecified Infection 15 16
Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available 14 14
Respiratory Distress 14 14
Pneumonia 13 13
Unspecified Respiratory Problem 13 13
Inflammation 13 13
Injury 11 11
Cough 11 11
Pressure Sores 11 11
Pneumothorax 11 11
Bradycardia 10 10
No Known Impact Or Consequence To Patient 10 10
Failure of Implant 9 9
Respiratory Tract Infection 8 8
Dysphasia 8 8
Anxiety 7 7
Stenosis 7 7
Bacterial Infection 7 7
Sore Throat 7 7
Obstruction/Occlusion 7 7
High Oxygen Saturation 7 7
Increased Respiratory Rate 6 6
Low Blood Pressure/ Hypotension 6 6

Recalls
Manufacturer Recall Class Date Posted
1 Cook Incorporated I May-10-2023
2 Covidien I Mar-25-2025
3 Covidien I Apr-19-2023
4 Smiths Medical ASD Inc. II Oct-31-2023
5 Smiths Medical ASD Inc. II Jul-01-2021
6 Smiths Medical ASD Inc. II Feb-23-2021
7 Smiths Medical ASD Inc. II Dec-28-2020
8 Smiths Medical ASD Inc. II Sep-09-2020
9 Smiths Medical ASD Inc. II Jul-01-2020
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