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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
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 138 138

Device Problems MDRs with this Device Problem Events in those MDRs
High Readings 220 220
Failure to Recalibrate 217 217
Intermittent Communication Failure 212 212
Failure to Deliver 126 126
Inaccurate Delivery 113 113
Loose or Intermittent Connection 27 27
Calibration Problem 24 24
Therapeutic or Diagnostic Output Failure 19 19
Gas Output Problem 15 15
Device Sensing Problem 15 15
Inappropriate or Unexpected Reset 14 14
Failure to Calibrate 12 12
Gas/Air Leak 11 11
Application Program Freezes, Becomes Nonfunctional 10 10
Output Problem 9 9
Device Alarm System 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
Unexpected Shutdown 7 7
Break 7 7
Medical Gas Supply Problem 7 7
Communication or Transmission Problem 6 6
Insufficient Information 6 6
Use of Device Problem 6 6
Adverse Event Without Identified Device or Use Problem 6 6
Defective Component 5 5
Improper Flow or Infusion 5 5
Device-Device Incompatibility 4 4
Protective Measures Problem 4 4
Low Readings 4 4
Battery Problem 4 4
Infusion or Flow Problem 4 4
Inaccurate Flow Rate 4 4
Display or Visual Feedback Problem 3 3
Complete Loss of Power 3 3
No Display/Image 3 3
Device Emits Odor 2 2
Failure to Sense 2 2
Mechanical Problem 2 2
Failure to Deliver Shock/Stimulation 2 2
Improper or Incorrect Procedure or Method 2 2
No Flow 2 2
Failure to Charge 2 2
Fluid/Blood Leak 2 2
Noise, Audible 2 2
Obstruction of Flow 1 1
Component Missing 1 1
Precipitate in Device or Device Ingredient 1 1

Patient Problems MDRs with this Patient Problem Events in those MDRs
No Clinical Signs, Symptoms or Conditions 719 719
No Known Impact Or Consequence To Patient 87 87
Low Oxygen Saturation 47 47
Insufficient Information 24 24
No Consequences Or Impact To Patient 13 13
Low Blood Pressure/ Hypotension 8 8
Bradycardia 6 6
Hypoxia 4 4
Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available 3 3
Cardiac Arrest 3 3
Tachycardia 3 3
Pulmonary Hypertension 2 2
High Pulmonary Arterial Wedge Pressure 2 2
Irritation 2 2
Dyspnea 2 2
Unspecified Respiratory Problem 2 2
Headache 2 2
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
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 Oct-06-2025
3 NOXBOX LTD I Oct-06-2025
4 NOXBOX LTD II Sep-09-2025
5 NOXBOX LTD I Jun-09-2023
6 Vero Biotech, LLC II Dec-15-2023
7 Vero Biotech, LLC I Sep-30-2021
8 Vero Biotech, LLC I Jun-23-2021
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