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U.S. Department of Health and Human Services

TPLC - Total Product Life Cycle

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Device humidifier, respiratory gas, (direct patient interface)
Regulation Description Respiratory gas humidifier.
Product CodeBTT
Regulation Number 868.5450
Device Class 2


Premarket Reviews
ManufacturerDecision
FISHER & PAYKEL HEALTHCARE
  SUBSTANTIALLY EQUIVALENT 3
FISHER & PAYKEL HEALTHCARE LTD
  SUBSTANTIALLY EQUIVALENT 8
FISHER & PAYKEL HEALTHCARE LTD.
  SUBSTANTIALLY EQUIVALENT 1
FISHER &PAYKEL HEALTHCARE LTD.
  SUBSTANTIALLY EQUIVALENT 1
HOMETA INC
  SUBSTANTIALLY EQUIVALENT 1
INVENT MEDICAL CORPORATION
  SUBSTANTIALLY EQUIVALENT 1
LABORATORIOS BIOGALENIC, S.A. DE C.V.
  SUBSTANTIALLY EQUIVALENT 1
  1.  K242717  Laboratorios Biogalenic Sterile Water for Inhalati ...
MEDLINE INDUSTRIES, INC.
  SUBSTANTIALLY EQUIVALENT 1
MEDLINE INDUSTRIES, LP.
  SUBSTANTIALLY EQUIVALENT 3
PERMA PURE LLC
  SUBSTANTIALLY EQUIVALENT 1
TELESAIR, INC.
  SUBSTANTIALLY EQUIVALENT 1
TNI MEDICAL AG
  SUBSTANTIALLY EQUIVALENT 1
VAPOTHERM INC.
  SUBSTANTIALLY EQUIVALENT 1
VAPOTHERM, INC.
  SUBSTANTIALLY EQUIVALENT 1
VINCENT HEALTHCARE PRODUCTS LIMITED
  SUBSTANTIALLY EQUIVALENT 1
VYAIRE MEDICAL, INC.
  SUBSTANTIALLY EQUIVALENT 1

MDR Year MDR Reports MDR Events
2018 918 918
2019 894 894
2020 1188 1191
2021 1510 1510
2022 749 749
2023 716 716
2024 501 501
2025 793 795

Device Problems MDRs with this Device Problem Events in those MDRs
No Audible Alarm 3285 3285
Material Split, Cut or Torn 580 581
Leak/Splash 465 467
Crack 449 449
Break 396 396
Detachment of Device or Device Component 369 370
Fluid/Blood Leak 356 356
Insufficient Heating 307 307
Defective Alarm 248 248
Failure to Power Up 186 186
Device Alarm System 138 138
Gas/Air Leak 125 125
Melted 99 99
Mechanical Problem 87 87
Complete Loss of Power 83 83
Adverse Event Without Identified Device or Use Problem 65 65
Disconnection 60 60
Power Problem 58 58
Stretched 51 52
Overfill 51 51
Temperature Problem 51 51
Insufficient Information 45 45
Material Puncture/Hole 41 41
Therapeutic or Diagnostic Output Failure 32 34
Overheating of Device 31 32
Use of Device Problem 29 29
Device Dislodged or Dislocated 29 29
Infusion or Flow Problem 27 27
Defective Component 27 27
No Audible Prompt/Feedback 27 27
Obstruction of Flow 25 25
Unexpected Shutdown 20 20
Loose or Intermittent Connection 20 20
Connection Problem 19 19
Improper Flow or Infusion 19 19
Moisture or Humidity Problem 18 18
Device Displays Incorrect Message 18 18
Defective Device 18 18
Output Problem 17 17
Improper or Incorrect Procedure or Method 17 17
No Apparent Adverse Event 16 16
No Flow 16 18
Misconnection 16 16
Protective Measures Problem 15 15
Difficult to Open or Close 14 14
Fire 14 14
Unintended Movement 13 13
Material Integrity Problem 13 13
Incorrect, Inadequate or Imprecise Result or Readings 13 13
Loss of Power 12 12

Patient Problems MDRs with this Patient Problem Events in those MDRs
No Clinical Signs, Symptoms or Conditions 4256 4258
No Patient Involvement 1279 1279
No Known Impact Or Consequence To Patient 920 922
No Consequences Or Impact To Patient 319 319
Low Oxygen Saturation 297 297
Insufficient Information 111 111
Death 25 25
Hypoxia 19 19
Burn(s) 16 16
No Information 14 14
Partial thickness (Second Degree) Burn 10 10
Bradycardia 10 10
Cardiac Arrest 10 10
Superficial (First Degree) Burn 7 7
Respiratory Distress 7 7
Unspecified Respiratory Problem 6 6
Obstruction/Occlusion 6 6
Cancer 5 5
Cough 5 5
Dyspnea 5 5
Airway Obstruction 4 4
Aspiration/Inhalation 4 4
Tachycardia 4 4
Pneumonia 4 4
Discomfort 4 4
Viral Infection 4 4
Patient Problem/Medical Problem 3 3
Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available 3 3
Full thickness (Third Degree) Burn 3 3
Respiratory Failure 3 3
Respiratory Arrest 3 3
Distress 2 2
Pressure Sores 2 2
Increased Respiratory Rate 2 2
Pain 2 2
Blister 2 2
Burn, Thermal 2 3
Asthma 2 2
Skin Inflammation/ Irritation 2 2
No Code Available 2 2
Bronchitis 1 1
Cyanosis 1 1
Decreased Respiratory Rate 1 1
Ventilator Dependent 1 1
Low Blood Pressure/ Hypotension 1 1
Unspecified Infection 1 1
Sleep Dysfunction 1 1
Arrhythmia 1 1
Stroke/CVA 1 1
Respiratory Insufficiency 1 1

Recalls
Manufacturer Recall Class Date Posted
1 Fisher & Paykel Healthcare, Ltd. II Oct-15-2025
2 Fisher & Paykel Healthcare, Ltd. II May-15-2024
3 Hamilton Medical AG III Jul-14-2022
4 TELEFLEX MEDICAL INC I Feb-07-2020
5 Vapotherm II Mar-17-2023
6 Vyaire Medical I Jan-24-2018
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