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U.S. Department of Health and Human Services

TPLC - Total Product Life Cycle

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Device staple, fixation, bone
Regulation Description Single/multiple component metallic bone fixation appliances and accessories.
Product CodeJDR
Regulation Number 888.3030
Device Class 2


Premarket Reviews
ManufacturerDecision
ARTHREX INC.
  SUBSTANTIALLY EQUIVALENT 2
MEDACTA INTERNATIONAL SA
  SUBSTANTIALLY EQUIVALENT 1
MEDARTIS INC.
  SUBSTANTIALLY EQUIVALENT 1
MEDLINE INDUSTRIES, INC.
  SUBSTANTIALLY EQUIVALENT 1
MEDLINE INDUSTRIES, LP
  SUBSTANTIALLY EQUIVALENT 3
MEDSHAPE, INC.
  SUBSTANTIALLY EQUIVALENT 2
NEOSTEO
  SUBSTANTIALLY EQUIVALENT 1
NEXTREMITY SOLUTIONS, INC.
  SUBSTANTIALLY EQUIVALENT 1
NOVASTEP
  SUBSTANTIALLY EQUIVALENT 1
ORTHO SOLUTIONS UK LTD.
  SUBSTANTIALLY EQUIVALENT 1
PARAGON 28 INC
  SUBSTANTIALLY EQUIVALENT 1
PARAGON 28, INC.
  SUBSTANTIALLY EQUIVALENT 1
RESTOR3D
  SUBSTANTIALLY EQUIVALENT 1
RMR ORTHO, LLC
  SUBSTANTIALLY EQUIVALENT 1
STRYKER GMBH
  SUBSTANTIALLY EQUIVALENT 1
SYNTHES (USA) PRODUCTS, LLC
  SUBSTANTIALLY EQUIVALENT 1
TREACE MEDICAL CONCEPTS
  SUBSTANTIALLY EQUIVALENT 4
TYBER MEDICAL, LLC.
  SUBSTANTIALLY EQUIVALENT 1
VILEX, LLC
  SUBSTANTIALLY EQUIVALENT 1
WRIGHT MEDICAL
  SUBSTANTIALLY EQUIVALENT 1

MDR Year MDR Reports MDR Events
2020 234 234
2021 210 210
2022 202 209
2023 175 175
2024 207 207
2025 42 42

Device Problems MDRs with this Device Problem Events in those MDRs
Break 341 341
Adverse Event Without Identified Device or Use Problem 249 253
Detachment of Device or Device Component 104 104
Fracture 65 65
Device-Device Incompatibility 34 34
Migration 33 36
Device Dislodged or Dislocated 31 31
Manufacturing, Packaging or Shipping Problem 28 28
Physical Resistance/Sticking 26 26
Difficult to Advance 22 22
Crack 20 20
Patient Device Interaction Problem 14 14
Appropriate Term/Code Not Available 13 13
Loosening of Implant Not Related to Bone-Ingrowth 13 13
Material Deformation 10 10
Entrapment of Device 9 9
Migration or Expulsion of Device 8 8
Material Separation 7 7
Insufficient Information 7 7
Material Twisted/Bent 6 6
Material Fragmentation 6 6
Material Split, Cut or Torn 5 5
Mechanical Jam 4 4
Loose or Intermittent Connection 4 4
Inaccurate Information 4 4
No Apparent Adverse Event 4 4
Corroded 3 3
Connection Problem 3 3
Packaging Problem 3 3
Difficult to Remove 3 3
Device Contaminated During Manufacture or Shipping 3 3
Unintended Movement 3 3
Patient-Device Incompatibility 3 3
Device Damaged Prior to Use 3 3
Fitting Problem 2 2
Use of Device Problem 2 2
Component Missing 2 2
Failure to Align 2 2
Flaked 2 2
Firing Problem 2 2
Failure to Cut 2 2
Device Damaged by Another Device 2 2
Material Integrity Problem 2 2
Defective Component 2 2
Separation Failure 2 2
Activation Problem 2 2
Failure to Advance 2 2
Failure to Eject 2 2
Mechanical Problem 2 2
Failure to Form Staple 2 2

Patient Problems MDRs with this Patient Problem Events in those MDRs
No Clinical Signs, Symptoms or Conditions 524 524
Non-union Bone Fracture 80 80
Pain 79 79
Insufficient Information 60 60
No Consequences Or Impact To Patient 48 48
Failure of Implant 40 40
Injury 38 38
No Code Available 31 31
Unspecified Tissue Injury 26 26
Foreign Body In Patient 25 25
Hypersensitivity/Allergic reaction 20 20
Bone Fracture(s) 20 20
Post Operative Wound Infection 19 19
Perforation 17 17
Impaired Healing 14 14
No Known Impact Or Consequence To Patient 14 14
Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available 12 12
Tissue Damage 12 12
Implant Pain 12 16
Loss of Range of Motion 12 15
Unspecified Infection 11 11
Not Applicable 11 11
Discomfort 11 11
Skin Inflammation/ Irritation 10 10
No Patient Involvement 8 8
Wound Dehiscence 7 7
No Information 7 7
Foreign Body Reaction 7 7
Malunion of Bone 6 6
Swelling/ Edema 5 5
Cellulitis 5 5
Device Embedded In Tissue or Plaque 4 4
Abscess 4 4
Rupture 4 4
Cyst(s) 4 4
Osteolysis 3 3
Synovitis 3 3
Fall 3 3
Arthritis 3 3
Skin Infection 3 3
Muscular Rigidity 2 2
Nerve Damage 2 2
Swelling 2 2
Numbness 2 2
Inflammation 2 2
Unspecified Musculoskeletal problem 2 2
Muscle/Tendon Damage 2 2
Joint Dislocation 2 2
Stroke/CVA 2 2
Ulcer 2 2

Recalls
Manufacturer Recall Class Date Posted
1 Biomet, Inc. II Mar-18-2022
2 Merete Medical GmbH II Feb-17-2022
3 Stryker GmbH II Nov-16-2020
4 Synthes (USA) Products LLC II Oct-18-2022
5 Synthes (USA) Products LLC II Oct-06-2022
6 Wright Medical Technology, Inc. II Mar-31-2022
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