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U.S. Department of Health and Human Services

TPLC - Total Product Life Cycle

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Device dura substitute
Regulation Description Dura substitute.
Product CodeGXQ
Regulation Number 882.5910
Device Class 2


Premarket Reviews
ManufacturerDecision
COLLAGEN MATRIX, INC.
  SUBSTANTIALLY EQUIVALENT 1
HELIOS BIOMEDICAL, INC.
  SUBSTANTIALLY EQUIVALENT 1
NURAMI MEDICAL , LTD.
  SUBSTANTIALLY EQUIVALENT 1
SYNTHES (USA) PRODUCTS, LLC
  SUBSTANTIALLY EQUIVALENT 1

MDR Year MDR Reports MDR Events
2021 76 76
2022 59 59
2023 109 110
2024 55 55
2025 63 63
2026 20 20

Device Problems MDRs with this Device Problem Events in those MDRs
Adverse Event Without Identified Device or Use Problem 228 229
Insufficient Information 47 47
Material Puncture/Hole 16 16
Fluid/Blood Leak 12 12
Lack of Effect 11 11
Material Disintegration 9 9
Degraded 8 8
Patient Device Interaction Problem 8 8
Failure to Seal 7 7
Nonstandard Device 6 6
Break 4 4
Material Separation 4 4
Material Integrity Problem 4 4
Material Split, Cut or Torn 4 4
Material Rupture 3 3
Device Appears to Trigger Rejection 2 2
Material Erosion 2 2
Naturally Worn 2 2
Compatibility Problem 2 2
Device Contaminated During Manufacture or Shipping 2 2
Microbial Contamination of Device 2 2
Adhesive Too Strong 2 2
Appropriate Term/Code Not Available 2 2
Device Handling Problem 1 1
Loosening of Implant Not Related to Bone-Ingrowth 1 1
Therapeutic or Diagnostic Output Failure 1 1
Misassembly by Users 1 1
No Apparent Adverse Event 1 1
Expiration Date Error 1 1
Patient-Device Incompatibility 1 1
Biocompatibility 1 1
Contamination /Decontamination Problem 1 1
Device Markings/Labelling Problem 1 1
Device Dislodged or Dislocated 1 1
Expulsion 1 1
Material Deformation 1 1
Fitting Problem 1 1
Material Perforation 1 1
Device Damaged Prior to Use 1 1
Calcified 1 1
Contamination 1 1
Fracture 1 1
Gel Leak 1 1
Leak/Splash 1 1
Loose or Intermittent Connection 1 1
Mechanical Problem 1 1
Difficult to Remove 1 1
Delivered as Unsterile Product 1 1
Off-Label Use 1 1
Product Quality Problem 1 1

Patient Problems MDRs with this Patient Problem Events in those MDRs
Cerebrospinal Fluid Leakage 151 152
Unspecified Infection 42 42
Meningitis 37 38
Headache 30 30
Bacterial Infection 19 19
Failure of Implant 19 19
No Clinical Signs, Symptoms or Conditions 19 19
Insufficient Information 16 16
Post Operative Wound Infection 16 16
Fever 14 14
Swelling/ Edema 13 13
Hematoma 13 14
Hydrocephalus 12 13
Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available 11 11
Abscess 11 11
Hypersensitivity/Allergic reaction 10 10
Foreign Body Reaction 9 9
Cerebral Edema 8 8
Pain 8 8
Fistula 7 8
Hemorrhage/Bleeding 7 7
Unspecified Tissue Injury 7 8
Adhesion(s) 7 7
Fungal Infection 5 5
Cyst(s) 5 5
Inflammation 5 5
Purulent Discharge 5 5
Sepsis 4 4
Low Blood Pressure/ Hypotension 3 3
Cancer 3 3
Discomfort 3 3
Paralysis 3 3
Local Reaction 3 3
Impaired Healing 3 3
Emotional Changes 3 3
Implant Pain 2 2
Cramp(s) /Muscle Spasm(s) 2 2
Unspecified Nervous System Problem 2 2
Wound Dehiscence 2 2
Convulsion/Seizure 2 2
Speech Disorder 2 2
Nausea 2 2
Numbness 2 2
Anaphylactic Shock 2 2
Fatigue 2 2
Fluid Discharge 2 2
Bradycardia 2 2
Hearing Impairment 1 1
Ambulation Difficulties 1 1
High Blood Pressure/ Hypertension 1 1

Recalls
Manufacturer Recall Class Date Posted
1 Collagen Matrix, Inc. II Feb-24-2022
2 Cook Biotech, Inc. II Jan-10-2025
3 Integra LifeSciences Corp. II Oct-30-2024
4 Medtronic Neurosurgery II Jul-20-2023
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