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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
Regulation Description Endoscope and accessories.
Product CodeFCX
Regulation Number 876.1500
Device Class 2


Premarket Reviews
ManufacturerDecision
IDE VISION, LTD.
  SUBSTANTIALLY EQUIVALENT 1
KARL STORZ ENDOSCOPY AMERICA, INC.
  SUBSTANTIALLY EQUIVALENT 1
PALLIARE , LTD.
  SUBSTANTIALLY EQUIVALENT 2

MDR Year MDR Reports MDR Events
2020 1 1
2021 12 12
2022 29 29
2023 54 54
2024 35 35
2025 146 146
2026 5 5

Device Problems MDRs with this Device Problem Events in those MDRs
Insufficient Information 62 62
Defective Component 36 36
Gas Output Problem 29 29
Pressure Problem 27 27
No Apparent Adverse Event 26 26
Electrical /Electronic Property Problem 21 21
Output Problem 21 21
Unexpected Shutdown 20 20
Pumping Stopped 14 14
Device Alarm System 12 12
Device Handling Problem 11 11
Adverse Event Without Identified Device or Use Problem 11 11
Use of Device Problem 7 7
Intermittent Loss of Power 6 6
Mechanical Problem 6 6
Gas/Air Leak 6 6
Device Reprocessing Problem 5 5
Improper Flow or Infusion 5 5
Display or Visual Feedback Problem 4 4
Detachment of Device or Device Component 4 4
Infusion or Flow Problem 4 4
No Display/Image 3 3
Failure of Device to Self-Test 3 3
Failure to Power Up 3 3
Noise, Audible 2 2
No Flow 2 2
Complete Loss of Power 2 2
Incorrect Interpretation of Signal 2 2
Power Problem 2 2
Medical Gas Supply Problem 2 2
Explosion 2 2
Environmental Particulates 2 2
Optical Problem 2 2
Insufficient Flow or Under Infusion 2 2
Decrease in Pressure 2 2
Obstruction of Flow 2 2
Unintended Application Program Shut Down 2 2
Activation Problem 2 2
Leak/Splash 2 2
Inaccurate Flow Rate 1 1
Misassembly During Maintenance/Repair 1 1
Use of Incorrect Control/Treatment Settings 1 1
Material Rupture 1 1
Inappropriate Tactile Prompt/Feedback 1 1
Failure to Align 1 1
Product Quality Problem 1 1
Operating System Version or Upgrade Problem 1 1
Contamination /Decontamination Problem 1 1
Low Audible Alarm 1 1
Failure to Conduct 1 1

Patient Problems MDRs with this Patient Problem Events in those MDRs
No Clinical Signs, Symptoms or Conditions 217 217
Insufficient Information 47 47
Bradycardia 7 7
Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available 6 6
Perforation 2 2
Cardiac Arrest 2 2
Foreign Body In Patient 2 2
No Consequences Or Impact To Patient 2 2
Air Embolism 1 1
Abdominal Pain 1 1
Electric Shock 1 1
Intra-Abdominal Hemorrhage 1 1
Arrhythmia 1 1
Bowel Perforation 1 1
Inflammation 1 1
Bowel Burn 1 1

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