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U.S. Department of Health and Human Services

TPLC - Total Product Life Cycle

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Device instrument, manual, surgical, general use
Regulation Description Manual surgical instrument for general use.
Product CodeMDM
Regulation Number 878.4800
Device Class 1

MDR Year MDR Reports MDR Events
2020 245 245
2021 227 228
2022 182 186
2023 209 212
2024 507 507
2025 324 324
2026 41 41

Device Problems MDRs with this Device Problem Events in those MDRs
Break 1082 1083
Physical Resistance/Sticking 70 70
Material Twisted/Bent 62 62
Adverse Event Without Identified Device or Use Problem 54 54
Difficult to Remove 50 50
Entrapment of Device 49 49
Detachment of Device or Device Component 46 46
Dull, Blunt 41 41
Fracture 41 44
Material Fragmentation 40 40
Defective Device 23 23
Corroded 19 19
Appropriate Term/Code Not Available 19 19
Mechanical Jam 19 19
Material Separation 17 17
Use of Device Problem 17 17
Material Split, Cut or Torn 15 16
Component Missing 13 13
Mechanical Problem 12 12
Patient Device Interaction Problem 12 12
Flaked 11 11
Device Damaged by Another Device 11 11
Fitting Problem 11 11
Material Deformation 10 10
Connection Problem 9 9
Failure to Disinfect 8 8
Naturally Worn 7 7
Failure to Cut 7 7
Activation, Positioning or Separation Problem 7 8
Difficult to Open or Close 6 6
Crack 6 6
Device Dislodged or Dislocated 6 6
Failure to Advance 6 6
Unintended Movement 6 6
Device-Device Incompatibility 6 6
Positioning Failure 6 6
Output Problem 5 5
Insufficient Information 5 5
Device Difficult to Maintain 5 5
Contamination /Decontamination Problem 5 5
Melted 4 4
Misfire 4 4
Device Slipped 4 4
Difficult to Insert 3 3
Separation Problem 3 3
Device Damaged Prior to Use 3 3
Failure to Fire 3 3
Delivered as Unsterile Product 3 3
Inadequacy of Device Shape and/or Size 3 3
Incorrect Measurement 3 3

Patient Problems MDRs with this Patient Problem Events in those MDRs
No Clinical Signs, Symptoms or Conditions 891 897
Insufficient Information 316 317
Foreign Body In Patient 263 264
Device Embedded In Tissue or Plaque 84 84
No Known Impact Or Consequence To Patient 66 66
No Consequences Or Impact To Patient 41 41
No Patient Involvement 31 31
Injury 19 19
Failure of Implant 19 19
Unspecified Infection 14 14
Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available 13 13
Pain 11 11
Bone Fracture(s) 9 9
No Information 7 7
Unspecified Tissue Injury 6 6
Perforation 6 6
No Code Available 5 5
Pericardial Effusion 4 4
Swelling/ Edema 4 4
Low Blood Pressure/ Hypotension 4 4
Laceration(s) 3 3
Cardiac Tamponade 3 3
Tissue Damage 3 3
Post Operative Wound Infection 3 3
Discomfort 2 2
Perforation of Vessels 2 2
Hemorrhage/Bleeding 2 2
Internal Organ Perforation 2 2
Inflammation 2 2
Purulent Discharge 2 2
Joint Laxity 2 2
Metal Related Pathology 2 2
Heart Block 2 2
Not Applicable 2 2
Vascular Dissection 1 1
Subluxation 1 1
Increased Appetite 1 1
Edema 1 1
Hematoma 1 1
Wound Dehiscence 1 1
Bacterial Infection 1 1
Exposure to Body Fluids 1 1
Bruise/Contusion 1 1
Hypoxia 1 1
Damage to Ligament(s) 1 1
Muscular Rigidity 1 1
Hip Fracture 1 1
Arthralgia 1 1
Non-union Bone Fracture 1 1
Joint Dislocation 1 1

Recalls
Manufacturer Recall Class Date Posted
1 Applied Medical Resources Corp II Mar-27-2024
2 Arthrex, Inc. II Dec-08-2022
3 ENDO Pharmaceuticals Solutions, Inc. II Dec-30-2022
4 FlexDex Inc. II Jan-27-2022
5 MEDLINE INDUSTRIES, LP - Northfield II Apr-17-2025
6 MEDLINE INDUSTRIES, LP - Northfield II Mar-29-2024
7 MEDLINE INDUSTRIES, LP - Northfield II Feb-06-2023
8 Sklar Instruments II Jan-16-2025
9 Technicality Inc. II Apr-02-2024
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