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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 11
FLEXICARE MEDICAL LIMITED.
  SUBSTANTIALLY EQUIVALENT 1
HOMETA, INC.
  SUBSTANTIALLY EQUIVALENT 1
INVENT MEDICAL CORPORATION
  SUBSTANTIALLY EQUIVALENT 1
LABORATORIOS BIOGALENIC S.A. DE C.V.
  SUBSTANTIALLY EQUIVALENT 2
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 3
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 1198
2021 1510 1511
2022 749 749
2023 716 736
2024 500 505
2025 1754 1758
2026 1031 1031

Device Problems MDRs with this Device Problem Events in those MDRs
No Audible Alarm 3326 3326
Defective Alarm 1969 1971
Material Split, Cut or Torn 615 620
Leak/Splash 476 482
Crack 473 477
Detachment of Device or Device Component 468 479
Break 403 418
Fluid/Blood Leak 381 382
Insufficient Heating 308 308
Failure to Power Up 186 186
Gas/Air Leak 142 142
Device Alarm System 139 139
Melted 114 114
Mechanical Problem 94 95
Complete Loss of Power 83 83
Adverse Event Without Identified Device or Use Problem 68 68
Disconnection 61 63
Power Problem 58 58
Stretched 53 54
Temperature Problem 52 52
Overfill 51 51
Insufficient Information 48 48
Material Puncture/Hole 42 42
Device Dislodged or Dislocated 34 34
Therapeutic or Diagnostic Output Failure 32 34
Overheating of Device 31 32
Use of Device Problem 29 29
No Audible Prompt/Feedback 27 27
Defective Component 27 27
Infusion or Flow Problem 27 27
Obstruction of Flow 25 25
Loose or Intermittent Connection 22 22
Connection Problem 21 22
Unexpected Shutdown 20 20
Moisture or Humidity Problem 20 20
Improper Flow or Infusion 19 19
Defective Device 18 18
Device Displays Incorrect Message 18 18
Output Problem 17 17
Misconnection 17 17
Improper or Incorrect Procedure or Method 17 17
No Flow 17 19
No Apparent Adverse Event 16 16
Material Integrity Problem 16 16
Protective Measures Problem 15 15
Appropriate Term/Code Not Available 14 14
Fire 14 14
Difficult to Open or Close 14 14
Unintended Movement 13 13
Incorrect, Inadequate or Imprecise Result or Readings 13 13

Patient Problems MDRs with this Patient Problem Events in those MDRs
No Clinical Signs, Symptoms or Conditions 6217 6251
No Patient Involvement 1279 1279
No Known Impact Or Consequence To Patient 920 922
No Consequences Or Impact To Patient 319 320
Low Oxygen Saturation 318 320
Insufficient Information 121 122
Death 25 25
Hypoxia 19 19
Burn(s) 18 18
No Information 14 14
Partial thickness (Second Degree) Burn 11 11
Bradycardia 11 11
Cardiac Arrest 10 10
Superficial (First Degree) Burn 8 8
Airway Obstruction 7 7
Respiratory Distress 7 7
Unspecified Respiratory Problem 7 7
Cough 6 6
Obstruction/Occlusion 6 6
Aspiration/Inhalation 5 5
Dyspnea 5 5
Cancer 4 4
Tachycardia 4 4
Pneumonia 4 4
Viral Infection 4 4
Discomfort 4 4
Patient Problem/Medical Problem 3 3
Respiratory Failure 3 3
Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available 3 3
Full thickness (Third Degree) Burn 3 3
Respiratory Arrest 3 3
Blister 3 3
Distress 2 2
Pressure Sores 2 2
Increased Respiratory Rate 2 2
Pain 2 2
Burn, Thermal 2 3
Asthma 2 2
No Code Available 2 2
Skin Inflammation/ Irritation 2 2
Bronchitis 1 1
Unspecified Infection 1 1
Decreased Respiratory Rate 1 1
Ventilator Dependent 1 1
Sleep Dysfunction 1 1
Low Blood Pressure/ Hypotension 1 1
Cyanosis 1 1
Electric Shock 1 1
Complaint, Ill-Defined 1 1
Irritability 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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