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U.S. Department of Health and Human Services

TPLC - Total Product Life Cycle
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Device intrauterine tamponade balloon
Definition provides temporary control or reduction of postpartum uterine bleeding
Product CodeOQY
Regulation Number 884.4530
Device Class 2


Premarket Reviews
ManufacturerDecision
ALYDIA HEALTH
  SUBSTANTIALLY EQUIVALENT 2
  1.  K201199  Jada System
  2.  K212757  Jada System
CLINICAL INNOVATIONS, LLC
  SUBSTANTIALLY EQUIVALENT 2
COOK INCORPORATED
  SUBSTANTIALLY EQUIVALENT 2
GLENVEIGH SURGICAL, LLC
  SUBSTANTIALLY EQUIVALENT 1
SINAPI BIOMEDICAL (PTY) LTD.
  SUBSTANTIALLY EQUIVALENT 1
UJENZI CHARITABLE TRUST
  SUBSTANTIALLY EQUIVALENT 1
UTAH MEDICAL PRODUCTS, INC.
  SUBSTANTIALLY EQUIVALENT 1

MDR Year MDR Reports MDR Events
2014 4 4
2015 5 5
2016 9 9
2017 3 3
2018 55 55
2019 90 90
2020 90 90
2021 113 113
2022 274 274
2023 228 228
2024 77 77

Device Problems MDRs with this Device Problem Events in those MDRs
Adverse Event Without Identified Device or Use Problem 365 365
Fluid/Blood Leak 259 259
Material Rupture 62 62
Inflation Problem 48 48
Leak/Splash 46 46
Material Puncture/Hole 23 23
Detachment of Device or Device Component 23 23
Deflation Problem 16 16
Break 16 16
Improper or Incorrect Procedure or Method 11 11
Suction Failure 9 9
Device Dislodged or Dislocated 8 8
Suction Problem 8 8
Component Missing 8 8
Obstruction of Flow 6 6
Expulsion 5 5
Use of Device Problem 5 5
Defective Component 5 5
Material Integrity Problem 5 5
Therapeutic or Diagnostic Output Failure 4 4
Appropriate Term/Code Not Available 4 4
Material Split, Cut or Torn 4 4
Defective Device 4 4
Migration or Expulsion of Device 4 4
Decrease in Suction 4 4
Positioning Failure 4 4
Fracture 4 4
Loss of or Failure to Bond 3 3
Loose or Intermittent Connection 3 3
Mechanical Problem 3 3
Material Separation 3 3
Device Damaged Prior to Use 3 3
Infusion or Flow Problem 3 3
Device Contaminated During Manufacture or Shipping 2 2
Material Deformation 2 2
No Flow 2 2
Failure to Deflate 2 2
Unintended Deflation 2 2
Insufficient Information 2 2
Positioning Problem 2 2
Migration 2 2
Off-Label Use 2 2
Blocked Connection 2 2
Contamination /Decontamination Problem 2 2
Partial Blockage 2 2
Crack 2 2
Difficult or Delayed Positioning 2 2
Disconnection 1 1
Hole In Material 1 1
Difficult to Insert 1 1
Burst Container or Vessel 1 1
Complete Blockage 1 1
Component Incompatible 1 1
Component or Accessory Incompatibility 1 1
Fitting Problem 1 1
Difficult to Remove 1 1
Device Slipped 1 1
Unexpected Therapeutic Results 1 1
Separation Problem 1 1
Patient Device Interaction Problem 1 1
Output Problem 1 1
Material Twisted/Bent 1 1
Installation-Related Problem 1 1
Compatibility Problem 1 1
Device Operates Differently Than Expected 1 1

Patient Problems MDRs with this Patient Problem Events in those MDRs
No Clinical Signs, Symptoms or Conditions 289 289
Hemorrhage/Bleeding 198 198
Insufficient Information 157 157
No Consequences Or Impact To Patient 141 141
Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available 118 118
No Known Impact Or Consequence To Patient 49 49
Blood Loss 19 19
Disseminated Intravascular Coagulation (DIC) 19 19
Uterine Perforation 14 14
Laceration(s) 13 13
No Code Available 8 8
No Patient Involvement 8 8
Foreign Body In Patient 8 8
No Information 7 7
Low Blood Pressure/ Hypotension 7 7
Fever 7 7
Hypovolemic Shock 6 6
Thrombosis/Thrombus 6 6
Coagulation Disorder 4 4
Cough 2 2
Swelling/ Edema 2 2
Abdominal Pain 2 2
Abscess 2 2
Bacterial Infection 2 2
Rupture 2 2
Distress 2 2
Pain 2 2
Necrosis 2 2
Tachycardia 2 2
Urinary Retention 1 1
Internal Organ Perforation 1 1
Pelvic Inflammatory Disease 1 1
Perforation 1 1
Pulmonary Edema 1 1
Sepsis 1 1
Shock 1 1
Discomfort 1 1
Bronchospasm 1 1
Anxiety 1 1
Vomiting 1 1
Exposure to Body Fluids 1 1
Micturition Urgency 1 1
Hematoma 1 1
Hypersensitivity/Allergic reaction 1 1
Damage to Ligament(s) 1 1
Miscarriage 1 1
Muscle Weakness 1 1
Implant Pain 1 1
Intermenstrual Bleeding 1 1
Fluid Discharge 1 1
Multiple Organ Failure 1 1

Recalls
Manufacturer Recall Class Date Posted
1 Clinical Innovations, LLC II Oct-15-2015
2 Clinical Innovations, LLC II Jan-27-2015
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