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U.S. Department of Health and Human Services

TPLC - Total Product Life Cycle

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Device insufflator, automatic carbon-dioxide for endoscope
Regulation Description Endoscope and accessories.
Product CodeFCX
Regulation Number 876.1500
Device Class 2


Premarket Reviews
ManufacturerDecision
IDE VISION, LTD.
  SUBSTANTIALLY EQUIVALENT 1
KARL STORZ ENDOSCOPY AMERICA, INC.
  SUBSTANTIALLY EQUIVALENT 1
PALLIARE , LTD.
  SUBSTANTIALLY EQUIVALENT 2

MDR Year MDR Reports MDR Events
2020 1 1
2021 12 12
2022 29 29
2023 54 54
2024 35 35
2025 132 132

Device Problems MDRs with this Device Problem Events in those MDRs
Insufficient Information 62 62
Pressure Problem 27 27
Gas Output Problem 23 23
Defective Component 22 22
No Apparent Adverse Event 22 22
Electrical /Electronic Property Problem 20 20
Output Problem 20 20
Unexpected Shutdown 19 19
Pumping Stopped 14 14
Device Alarm System 12 12
Device Handling Problem 11 11
Adverse Event Without Identified Device or Use Problem 11 11
Intermittent Loss of Power 6 6
Mechanical Problem 6 6
Gas/Air Leak 6 6
Device Reprocessing Problem 5 5
Use of Device Problem 5 5
Improper Flow or Infusion 5 5
Infusion or Flow Problem 4 4
No Display/Image 3 3
Noise, Audible 2 2
No Flow 2 2
Complete Loss of Power 2 2
Failure of Device to Self-Test 2 2
Incorrect Interpretation of Signal 2 2
Power Problem 2 2
Explosion 2 2
Environmental Particulates 2 2
Detachment of Device or Device Component 2 2
Optical Problem 2 2
Insufficient Flow or Under Infusion 2 2
Decrease in Pressure 2 2
Obstruction of Flow 2 2
Failure to Power Up 2 2
Unintended Application Program Shut Down 2 2
Activation Problem 2 2
Inaccurate Flow Rate 1 1
Inappropriate Tactile Prompt/Feedback 1 1
Failure to Align 1 1
Misassembly During Maintenance/Repair 1 1
Use of Incorrect Control/Treatment Settings 1 1
Material Rupture 1 1
Product Quality Problem 1 1
Operating System Version or Upgrade Problem 1 1
Contamination /Decontamination Problem 1 1
Failure to Clean Adequately 1 1
Low Audible Alarm 1 1
Failure to Conduct 1 1
Medical Gas Supply Problem 1 1
Defective Device 1 1

Patient Problems MDRs with this Patient Problem Events in those MDRs
No Clinical Signs, Symptoms or Conditions 199 199
Insufficient Information 46 46
Bradycardia 7 7
Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available 6 6
Perforation 2 2
Cardiac Arrest 2 2
No Consequences Or Impact To Patient 2 2
Air Embolism 1 1
Abdominal Pain 1 1
Electric Shock 1 1
Intra-Abdominal Hemorrhage 1 1
Arrhythmia 1 1
Bowel Perforation 1 1
Inflammation 1 1
Bowel Burn 1 1

Recalls
Manufacturer Recall Class Date Posted
1 Northgate Technologies, Inc. II Feb-24-2021
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