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U.S. Department of Health and Human Services

TPLC - Total Product Life Cycle

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Device humidifier, respiratory gas, (direct patient interface)
Regulation Description Respiratory gas humidifier.
Product CodeBTT
Regulation Number 868.5450
Device Class 2


Premarket Reviews
ManufacturerDecision
FISHER & PAYKEL HEALTH CARE
  SUBSTANTIALLY EQUIVALENT 2
FISHER &PAYKEL HEALTHCARE , LTD.
  SUBSTANTIALLY EQUIVALENT 10
HOMETA, INC.
  SUBSTANTIALLY EQUIVALENT 1
INVENT MEDICAL CORPORATION
  SUBSTANTIALLY EQUIVALENT 1
LABORATORIOS BIOGALENIC S.A. DE C.V.
  SUBSTANTIALLY EQUIVALENT 1
MEDLINE INDUSTRIES, INC.
  SUBSTANTIALLY EQUIVALENT 1
MEDLINE INDUSTRIES, LP
  SUBSTANTIALLY EQUIVALENT 3
PERMA PURE, LLC
  SUBSTANTIALLY EQUIVALENT 1
TELESAIR, INC.
  SUBSTANTIALLY EQUIVALENT 1
VAPOTHERM, INC.
  SUBSTANTIALLY EQUIVALENT 1
VINCENT HEALTHCARE PRODUCTS LIMITED
  SUBSTANTIALLY EQUIVALENT 1
VYAIRE MEDICAL, INC.
  SUBSTANTIALLY EQUIVALENT 1

MDR Year MDR Reports MDR Events
2020 1188 1198
2021 1510 1511
2022 749 749
2023 716 736
2024 500 505
2025 1273 1277

Device Problems MDRs with this Device Problem Events in those MDRs
No Audible Alarm 1860 1860
Defective Alarm 669 671
Material Split, Cut or Torn 582 587
Leak/Splash 389 395
Break 384 399
Detachment of Device or Device Component 379 390
Crack 363 367
Fluid/Blood Leak 329 330
Insufficient Heating 300 300
Failure to Power Up 181 181
Gas/Air Leak 121 121
Device Alarm System 104 104
Melted 95 95
Mechanical Problem 85 86
Complete Loss of Power 83 83
Power Problem 57 57
Disconnection 53 55
Stretched 51 52
Temperature Problem 48 48
Adverse Event Without Identified Device or Use Problem 44 44
Insufficient Information 40 40
Material Puncture/Hole 38 38
Overfill 34 34
Device Dislodged or Dislocated 29 29
Therapeutic or Diagnostic Output Failure 28 30
Overheating of Device 25 26
No Audible Prompt/Feedback 24 24
Infusion or Flow Problem 21 21
Use of Device Problem 19 19
Unexpected Shutdown 18 18
Improper Flow or Infusion 17 17
Obstruction of Flow 17 17
Connection Problem 17 18
Loose or Intermittent Connection 16 16
Output Problem 16 16
Misconnection 15 15
Moisture or Humidity Problem 14 14
Protective Measures Problem 14 14
Defective Device 13 13
Contamination /Decontamination Problem 12 12
Material Integrity Problem 12 12
Unintended Movement 12 12
Difficult to Open or Close 11 11
Improper or Incorrect Procedure or Method 11 11
No Flow 11 13
Sparking 11 11
Failure to Read Input Signal 11 11
Device Emits Odor 10 10
Fire 10 10
Defective Component 9 9

Patient Problems MDRs with this Patient Problem Events in those MDRs
No Clinical Signs, Symptoms or Conditions 4729 4763
No Patient Involvement 350 350
No Known Impact Or Consequence To Patient 314 316
Low Oxygen Saturation 275 277
Insufficient Information 115 116
No Consequences Or Impact To Patient 87 88
Hypoxia 16 16
Burn(s) 14 14
Death 12 12
No Information 12 12
Cardiac Arrest 10 10
Bradycardia 9 9
Partial thickness (Second Degree) Burn 8 8
Superficial (First Degree) Burn 7 7
Unspecified Respiratory Problem 6 6
Cough 5 5
Obstruction/Occlusion 5 5
Airway Obstruction 4 4
Cancer 4 4
Pneumonia 4 4
Dyspnea 4 4
Viral Infection 4 4
Discomfort 4 4
Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available 3 3
Respiratory Failure 3 3
Respiratory Arrest 3 3
Tachycardia 3 3
Full thickness (Third Degree) Burn 2 2
Pressure Sores 2 2
Increased Respiratory Rate 2 2
Pain 2 2
Blister 2 2
Burn, Thermal 2 3
Aspiration/Inhalation 2 2
Skin Inflammation/ Irritation 2 2
Respiratory Distress 2 2
Burning Sensation 1 1
Fever 1 1
Chest Pain 1 1
Erythema 1 1
Swelling 1 1
Respiratory Tract Infection 1 1
Epistaxis 1 1
Chronic Obstructive Pulmonary Disease (COPD) 1 1
Hypothermia 1 1
Unspecified Kidney or Urinary Problem 1 1
Asthma 1 1
Nasal Obstruction 1 1
Heart Failure/Congestive Heart Failure 1 1
Inflammation 1 1

Recalls
Manufacturer Recall Class Date Posted
1 Fisher & Paykel Healthcare, Ltd. II Oct-15-2025
2 Fisher & Paykel Healthcare, Ltd. II May-15-2024
3 Hamilton Medical AG III Jul-14-2022
4 TELEFLEX MEDICAL INC I Feb-07-2020
5 Vapotherm II Mar-17-2023
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