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U.S. Department of Health and Human Services

TPLC - Total Product Life Cycle

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Device holder, head, neurosurgical (skull clamp)
Regulation Description Neurosurgical head holder (skull clamp).
Product CodeHBL
Regulation Number 882.4460
Device Class 2


Premarket Reviews
ManufacturerDecision
PRO MED INSTRUMENTS GMBH
  SUBSTANTIALLY EQUIVALENT 5

MDR Year MDR Reports MDR Events
2020 607 607
2021 512 512
2022 268 268
2023 265 265
2024 197 197
2025 238 238

Device Problems MDRs with this Device Problem Events in those MDRs
Device Slipped 635 635
Mechanical Problem 496 496
Unintended Movement 357 357
Unstable 140 140
Mechanics Altered 137 137
Loose or Intermittent Connection 92 92
Adverse Event Without Identified Device or Use Problem 83 83
Break 59 59
Physical Resistance/Sticking 29 29
Insufficient Information 18 18
Mechanical Jam 10 10
Pressure Problem 9 9
Fracture 7 7
Decrease in Pressure 7 7
Use of Device Problem 7 7
Difficult to Open or Close 6 6
Unintended System Motion 6 6
Device Dislodged or Dislocated 6 6
Naturally Worn 5 5
Material Integrity Problem 5 5
Material Fragmentation 4 4
Noise, Audible 3 3
Dull, Blunt 3 3
Appropriate Term/Code Not Available 3 3
No Apparent Adverse Event 3 3
Material Too Rigid or Stiff 3 3
Manufacturing, Packaging or Shipping Problem 3 3
Defective Component 3 3
Output Problem 3 3
Difficult to Remove 2 2
Material Discolored 2 2
Component Missing 2 2
Unclear Information 2 2
Retraction Problem 2 2
Material Split, Cut or Torn 2 2
Incorrect, Inadequate or Imprecise Result or Readings 1 1
Ejection Problem 1 1
Positioning Problem 1 1
Degraded 1 1
No Pressure 1 1
Defective Device 1 1
Vibration 1 1
Failure to Align 1 1
Sharp Edges 1 1
Calibration Problem 1 1
Misassembly by Users 1 1
Device Handling Problem 1 1
Material Separation 1 1
Detachment of Device or Device Component 1 1
Material Disintegration 1 1

Patient Problems MDRs with this Patient Problem Events in those MDRs
No Clinical Signs, Symptoms or Conditions 787 787
Laceration(s) 604 604
No Known Impact Or Consequence To Patient 309 309
No Consequences Or Impact To Patient 201 201
Insufficient Information 54 54
No Patient Involvement 43 43
Unspecified Tissue Injury 26 26
Injury 15 15
Skull Fracture 14 14
Hemorrhage/Bleeding 12 12
Needle Stick/Puncture 9 9
Abrasion 8 8
Skin Tears 7 7
Hematoma 7 7
Bone Fracture(s) 3 3
Bruise/Contusion 2 2
Hyperextension 2 2
Suture Abrasion 2 2
No Code Available 2 2
Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available 2 2
Movement Disorder 1 1
Skin Discoloration 1 1
Intracranial Hemorrhage 1 1
Irritation 1 1
Skin Disorders 1 1
Muscle Weakness 1 1
Head Injury 1 1
Ecchymosis 1 1
Pain 1 1
Paresis 1 1
Bradycardia 1 1
No Information 1 1
Brain Injury 1 1
Cerebrospinal Fluid Leakage 1 1
Neck Stiffness 1 1
Intervertebral Disc Compression or Protrusion 1 1
Failure of Implant 1 1
Bacterial Infection 1 1
Pressure Sores 1 1
Spinal Cord Injury 1 1
Cerebral Edema 1 1

Recalls
Manufacturer Recall Class Date Posted
1 Deerfield Imaging, Inc. II Apr-14-2022
2 Integra LifeSciences Corp. II Dec-08-2020
3 Pro-Med Instruments Gmbh II May-28-2025
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