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U.S. Department of Health and Human Services

TPLC - Total Product Life Cycle

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Device instrument, ligature passing and knot tying
Regulation Description Manual surgical instrument for general use.
Product CodeHCF
Regulation Number 878.4800
Device Class 1

MDR Year MDR Reports MDR Events
2021 46 46
2022 68 68
2023 57 57
2024 124 124
2025 78 78

Device Problems MDRs with this Device Problem Events in those MDRs
Break 105 105
Material Deformation 66 66
Difficult to Advance 16 16
Device-Device Incompatibility 15 15
Detachment of Device or Device Component 15 15
Use of Device Problem 13 13
Unintended Movement 10 10
Failure to Cut 9 9
Misfire 9 9
Mechanical Problem 7 7
Failure to Fire 6 6
Packaging Problem 5 5
Mechanical Jam 4 4
Output Problem 4 4
Physical Resistance/Sticking 4 4
Crack 4 4
Device Damaged Prior to Use 4 4
Insufficient Information 4 4
Defective Device 4 4
Improper or Incorrect Procedure or Method 3 3
Material Split, Cut or Torn 3 3
Difficult to Open or Close 3 3
Activation Problem 3 3
Therapeutic or Diagnostic Output Failure 3 3
Adverse Event Without Identified Device or Use Problem 3 3
Material Twisted/Bent 3 3
Delivered as Unsterile Product 2 2
Shipping Damage or Problem 2 2
Defective Component 2 2
Entrapment of Device 2 2
Activation, Positioning or Separation Problem 2 2
Difficult or Delayed Activation 1 1
Difficult to Insert 1 1
Device Damaged by Another Device 1 1
Material Fragmentation 1 1
Difficult or Delayed Positioning 1 1
Device Fell 1 1
Separation Failure 1 1
Retraction Problem 1 1
Material Disintegration 1 1
Device Markings/Labelling Problem 1 1
No Apparent Adverse Event 1 1
Activation Failure 1 1
Migration 1 1
Perivalvular Leak 1 1
Protective Measures Problem 1 1
Appropriate Term/Code Not Available 1 1
Flushing Problem 1 1
Unintended System Motion 1 1
Connection Problem 1 1

Patient Problems MDRs with this Patient Problem Events in those MDRs
No Clinical Signs, Symptoms or Conditions 307 307
Insufficient Information 28 28
Foreign Body In Patient 10 10
Aortic Valve Insufficiency/ Regurgitation 5 5
Ischemic Heart Disease 3 3
Laceration(s) 3 3
Perforation 2 2
Valvular Insufficiency/ Regurgitation 2 2
Pericardial Effusion 2 2
Chest Pain 2 2
Mitral Valve Insufficiency/ Regurgitation 2 2
Unspecified Tissue Injury 2 2
Syncope/Fainting 1 1
Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available 1 1
Failure of Implant 1 1
Vascular Dissection 1 1
Atrial Fibrillation 1 1
Rupture 1 1
Cusp Tear 1 1
Cardiac Perforation 1 1
Foreign Body Embolism 1 1
Endocarditis 1 1
Hemorrhage/Bleeding 1 1
Tissue Breakdown 1 1

Recalls
Manufacturer Recall Class Date Posted
1 Aesculap Inc II Jan-31-2024
2 New Wave Endo-Surgical, Corp. II May-09-2023
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