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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 24 24

Device Problems MDRs with this Device Problem Events in those MDRs
Adverse Event Without Identified Device or Use Problem 228 229
Insufficient Information 48 48
Material Puncture/Hole 17 17
Fluid/Blood Leak 13 13
Lack of Effect 12 12
Material Disintegration 9 9
Degraded 8 8
Patient Device Interaction Problem 8 8
Failure to Seal 7 7
Nonstandard Device 6 6
Break 5 5
Material Split, Cut or Torn 4 4
Material Separation 4 4
Material Integrity Problem 4 4
Material Rupture 3 3
Naturally Worn 2 2
Device Appears to Trigger Rejection 2 2
Appropriate Term/Code Not Available 2 2
Material Deformation 2 2
Adhesive Too Strong 2 2
Microbial Contamination of Device 2 2
Material Erosion 2 2
Device Contaminated During Manufacture or Shipping 2 2
Compatibility Problem 2 2
Difficult to Remove 1 1
Contamination /Decontamination Problem 1 1
Contamination 1 1
Loosening of Implant Not Related to Bone-Ingrowth 1 1
Therapeutic or Diagnostic Output Failure 1 1
Expiration Date Error 1 1
Material Perforation 1 1
Patient-Device Incompatibility 1 1
Delivered as Unsterile Product 1 1
Device Markings/Labelling Problem 1 1
Device Damaged Prior to Use 1 1
Misassembly by Users 1 1
Device Handling Problem 1 1
Product Quality Problem 1 1
Off-Label Use 1 1
No Apparent Adverse Event 1 1
Fracture 1 1
Device Dislodged or Dislocated 1 1
Mechanical Problem 1 1
Gel Leak 1 1
Expulsion 1 1
Calcified 1 1
Loose or Intermittent Connection 1 1
Fitting Problem 1 1
Biocompatibility 1 1
Leak/Splash 1 1

Patient Problems MDRs with this Patient Problem Events in those MDRs
Cerebrospinal Fluid Leakage 152 153
Unspecified Infection 42 42
Meningitis 37 38
Headache 31 31
No Clinical Signs, Symptoms or Conditions 21 21
Failure of Implant 20 20
Bacterial Infection 19 19
Insufficient Information 16 16
Post Operative Wound Infection 16 16
Swelling/ Edema 14 14
Fever 14 14
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
Fatigue 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
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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