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U.S. Department of Health and Human Services

TPLC - Total Product Life Cycle

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Device clip, implantable
Regulation Description Implantable clip.
Product CodeFZP
Regulation Number 878.4300
Device Class 2


Premarket Reviews
ManufacturerDecision
A2 MEDICAL SYSTEMS, LLC
  SUBSTANTIALLY EQUIVALENT 2
AESCULAP, INC.
  SUBSTANTIALLY EQUIVALENT 1
ETHICON ENDO SURGERY, LLC
  SUBSTANTIALLY EQUIVALENT 1
HANGZHOU KANGJI MEDICAL INSTRUMENT CO., LTD.
  SUBSTANTIALLY EQUIVALENT 1
M/S. MERIL ENDO SURGERY PRIVATE LIMITED.
  SUBSTANTIALLY EQUIVALENT 1
MEDSCOPE BIOTECH CO., LTD.
  SUBSTANTIALLY EQUIVALENT 1
NEURAMEDICA, INC.
  SUBSTANTIALLY EQUIVALENT 1
SYNOVIS MICRO COMPANIES ALLIANCE A SUBSIDIARY OF BAXTER INT
  SUBSTANTIALLY EQUIVALENT 1
TAIWAN SURGICAL CORPORATION
  SUBSTANTIALLY EQUIVALENT 1
TELEFLEX MEDICAL
  SUBSTANTIALLY EQUIVALENT 3

MDR Year MDR Reports MDR Events
2020 1760 1765
2021 1759 1789
2022 1575 1580
2023 1918 1931
2024 2067 2067
2025 1686 1686

Device Problems MDRs with this Device Problem Events in those MDRs
Mechanics Altered 2336 2336
Failure to Form Staple 2271 2273
Failure to Fire 1679 1682
Mechanical Problem 1379 1379
Positioning Failure 801 805
Difficult to Open or Close 703 703
Break 537 538
Detachment of Device or Device Component 426 426
Mechanical Jam 390 391
Material Deformation 256 257
Device Slipped 182 182
Adverse Event Without Identified Device or Use Problem 181 181
Insufficient Information 175 175
Firing Problem 163 163
Activation, Positioning or Separation Problem 131 131
Failure to Align 122 122
Fail-Safe Problem 114 114
Entrapment of Device 107 111
No Apparent Adverse Event 105 105
Misfire 92 92
Display or Visual Feedback Problem 82 82
Unintended Ejection 70 71
Patient Device Interaction Problem 66 74
Noise, Audible 64 64
Delivered as Unsterile Product 56 56
Appropriate Term/Code Not Available 47 47
Migration 47 51
Material Integrity Problem 43 43
Material Fragmentation 37 38
Device Fell 35 35
Use of Device Problem 33 33
Failure to Advance 32 32
Product Quality Problem 30 30
Difficult to Insert 27 28
Fluid/Blood Leak 26 26
Component Missing 26 26
Physical Resistance/Sticking 25 25
Patient-Device Incompatibility 24 47
Device Dislodged or Dislocated 24 24
Defective Device 23 23
Difficult to Remove 22 22
Failure to Seal 20 20
Tear, Rip or Hole in Device Packaging 19 19
Component or Accessory Incompatibility 19 19
Difficult or Delayed Positioning 17 17
Positioning Problem 17 17
Fracture 16 16
Manufacturing, Packaging or Shipping Problem 15 15
Material Twisted/Bent 13 13
Activation Failure 13 13

Patient Problems MDRs with this Patient Problem Events in those MDRs
No Clinical Signs, Symptoms or Conditions 8331 8339
No Consequences Or Impact To Patient 1291 1291
Insufficient Information 631 634
Hemorrhage/Bleeding 255 259
Unspecified Tissue Injury 113 113
Tissue Breakdown 80 80
No Information 69 69
No Patient Involvement 65 66
Failure to Anastomose 59 59
Foreign Body In Patient 52 56
No Code Available 51 51
No Known Impact Or Consequence To Patient 50 51
Pain 47 63
Laceration(s) 29 30
Tissue Damage 24 24
Perforation of Vessels 22 22
Hematoma 21 21
Unintended Radiation Exposure 19 19
Hypersensitivity/Allergic reaction 18 42
Blood Loss 14 14
Unspecified Infection 14 34
Fever 13 13
Inflammation 13 32
Abscess 12 12
Sepsis 11 11
Autoimmune Disorder 10 10
Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available 10 10
Anemia 10 10
Fistula 9 9
Device Embedded In Tissue or Plaque 9 13
Fluid Discharge 9 10
Abdominal Distention 9 33
Post Operative Wound Infection 8 8
Failure of Implant 8 11
Confusion/ Disorientation 8 8
Rash 8 27
Extreme Exhaustion 8 8
Exsanguination 8 8
Peritonitis 7 7
Abdominal Pain 7 7
Injury 6 6
Obstruction/Occlusion 6 6
Nausea 6 6
Wound Dehiscence 6 6
Patient Problem/Medical Problem 6 6
Cerebrospinal Fluid Leakage 5 5
Cardiac Arrest 5 5
Fatigue 5 6
Vomiting 5 5
Perforation 4 4

Recalls
Manufacturer Recall Class Date Posted
1 Aesculap Implant Systems LLC II Sep-27-2021
2 Genicon, Inc. II Oct-30-2020
3 TELEFLEX LLC II May-30-2023
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