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U.S. Department of Health and Human Services

TPLC - Total Product Life Cycle

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Device apparatus, nitric oxide delivery
Regulation Description Nitric oxide administration apparatus.
Product CodeMRN
Regulation Number 868.5165
Device Class 2


Premarket Reviews
ManufacturerDecision
AIRGAS THERAPEUTICS
  SUBSTANTIALLY EQUIVALENT 1
AIRGAS THERAPEUTICS LLC
  SUBSTANTIALLY EQUIVALENT 1
INTERNATIONAL BIOMEDICAL
  SUBSTANTIALLY EQUIVALENT 1
LINDE GAS & EQUIPMENT INC.
  SUBSTANTIALLY EQUIVALENT 3
MALINCKRODT MANUFACTURING LLC
  SUBSTANTIALLY EQUIVALENT 1
  1.  K240410  EVOLVE Nitric Oxide Delivery System
MALLINCKRODT MANUFACTURING LLC
  SUBSTANTIALLY EQUIVALENT 4
PRAXAIR, INC.
  SUBSTANTIALLY EQUIVALENT 1

MDR Year MDR Reports MDR Events
2020 199 199
2021 221 221
2022 115 115
2023 99 99
2024 138 138
2025 68 68

Device Problems MDRs with this Device Problem Events in those MDRs
High Readings 214 214
Failure to Recalibrate 211 211
Intermittent Communication Failure 203 203
Failure to Deliver 118 118
Inaccurate Delivery 112 112
Loose or Intermittent Connection 26 26
Calibration Problem 22 22
Therapeutic or Diagnostic Output Failure 18 18
Device Sensing Problem 15 15
Failure to Calibrate 12 12
Output Problem 9 9
Defective Device 9 9
Device Displays Incorrect Message 8 8
Incorrect, Inadequate or Imprecise Result or Readings 8 8
Excess Flow or Over-Infusion 8 8
Break 7 7
Medical Gas Supply Problem 7 7
Device Alarm System 7 7
Unexpected Shutdown 6 6
Inappropriate or Unexpected Reset 6 6
Communication or Transmission Problem 6 6
Adverse Event Without Identified Device or Use Problem 5 5
Defective Component 5 5
Use of Device Problem 5 5
Protective Measures Problem 4 4
Infusion or Flow Problem 4 4
Battery Problem 4 4
Improper Flow or Infusion 4 4
Display or Visual Feedback Problem 3 3
Complete Loss of Power 3 3
Low Readings 3 3
Inaccurate Flow Rate 3 3
Gas/Air Leak 3 3
Insufficient Information 3 3
Failure to Sense 2 2
Device Emits Odor 2 2
No Display/Image 2 2
Application Program Freezes, Becomes Nonfunctional 2 2
Failure to Deliver Shock/Stimulation 2 2
Device-Device Incompatibility 2 2
No Flow 2 2
Failure to Charge 2 2
Fluid/Blood Leak 2 2
Noise, Audible 2 2
Precipitate in Device or Device Ingredient 1 1
Unable to Obtain Readings 1 1
No Audible Alarm 1 1
Manufacturing, Packaging or Shipping Problem 1 1
Insufficient Flow or Under Infusion 1 1
Charging Problem 1 1

Patient Problems MDRs with this Patient Problem Events in those MDRs
No Clinical Signs, Symptoms or Conditions 670 670
No Known Impact Or Consequence To Patient 87 87
Low Oxygen Saturation 33 33
Insufficient Information 21 21
No Consequences Or Impact To Patient 13 13
Low Blood Pressure/ Hypotension 7 7
Bradycardia 6 6
Hypoxia 4 4
Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available 3 3
Tachycardia 3 3
High Pulmonary Arterial Wedge Pressure 2 2
Cardiac Arrest 2 2
Irritation 2 2
Dyspnea 2 2
Headache 2 2
Pulmonary Hypertension 1 1
Death 1 1
Arrhythmia 1 1
Pulmonary Dysfunction 1 1
Nausea 1 1
Malaise 1 1
Diminished Pulse Pressure 1 1
Chemical Exposure 1 1
Overdose 1 1
No Patient Involvement 1 1
Collapse 1 1
Cardiomyopathy 1 1
Unspecified Respiratory Problem 1 1
Underdose 1 1
Loss of consciousness 1 1
Respiratory Distress Syndrome of Newborns 1 1

Recalls
Manufacturer Recall Class Date Posted
1 Mallinckrodt, LLC. II Sep-13-2022
2 NOXBOX LTD I Jun-09-2023
3 Vero Biotech, LLC II Dec-15-2023
4 Vero Biotech, LLC I Sep-30-2021
5 Vero Biotech, LLC I Jun-23-2021
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