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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 1
MEDACTA INTERNATIONAL S.A.
  SUBSTANTIALLY EQUIVALENT 1
MEDARTIS, INC.
  SUBSTANTIALLY EQUIVALENT 1
MEDLINE INDUSTRIES, INC.
  SUBSTANTIALLY EQUIVALENT 1
MEDLINE INDUSTRIES, LP
  SUBSTANTIALLY EQUIVALENT 3
MEDSHAPE, INC.
  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 2
RESTOR3D
  SUBSTANTIALLY EQUIVALENT 1
RMR ORTHO, LLC
  SUBSTANTIALLY EQUIVALENT 1
STRYKER GMBH
  SUBSTANTIALLY EQUIVALENT 1
TRAX SURGICAL
  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
2021 210 210
2022 202 212
2023 175 176
2024 206 206
2025 318 318
2026 46 46

Device Problems MDRs with this Device Problem Events in those MDRs
Adverse Event Without Identified Device or Use Problem 390 395
Break 337 339
Detachment of Device or Device Component 92 92
Fracture 67 67
Migration 35 38
Physical Resistance/Sticking 30 30
Device Dislodged or Dislocated 30 30
Device-Device Incompatibility 27 27
Manufacturing, Packaging or Shipping Problem 25 25
Difficult to Advance 21 21
Loosening of Implant Not Related to Bone-Ingrowth 19 20
Material Deformation 18 18
Patient Device Interaction Problem 13 13
Crack 12 12
Insufficient Information 8 8
Material Fragmentation 6 6
Material Twisted/Bent 6 6
Material Split, Cut or Torn 5 5
Unintended Movement 5 5
Mechanical Jam 4 4
Inaccurate Information 4 4
Entrapment of Device 4 4
Migration or Expulsion of Device 4 4
Device Damaged Prior to Use 4 4
Failure to Advance 4 4
Device Contaminated During Manufacture or Shipping 3 3
Loose or Intermittent Connection 3 3
Mechanical Problem 3 3
Connection Problem 3 3
Packaging Problem 3 3
Use of Device Problem 3 3
Firing Problem 2 2
Failure to Form Staple 2 2
Appropriate Term/Code Not Available 2 2
No Apparent Adverse Event 2 2
Material Separation 2 2
Device Damaged by Another Device 2 2
Component Missing 2 2
Material Integrity Problem 2 2
Patient-Device Incompatibility 2 2
Separation Failure 2 2
Activation Problem 2 2
Failure to Eject 2 2
Structural Problem 1 1
Difficult or Delayed Positioning 1 1
Delivered as Unsterile Product 1 1
Degraded 1 1
Contamination /Decontamination Problem 1 1
Defective Device 1 1
Product Quality Problem 1 1

Patient Problems MDRs with this Patient Problem Events in those MDRs
No Clinical Signs, Symptoms or Conditions 576 578
Non-union Bone Fracture 111 111
Insufficient Information 110 110
Pain 105 105
Implant Pain 54 59
Failure of Implant 35 35
Unspecified Tissue Injury 26 26
Foreign Body In Patient 25 25
Hypersensitivity/Allergic reaction 22 22
Bone Fracture(s) 22 22
Wound Dehiscence 21 21
Skin Inflammation/ Irritation 19 19
Perforation 19 19
Post Operative Wound Infection 17 17
Impaired Healing 16 16
Loss of Range of Motion 13 17
Unspecified Infection 12 12
Discomfort 12 12
Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available 10 10
Swelling/ Edema 10 10
Malunion of Bone 8 8
Foreign Body Reaction 7 7
Device Embedded In Tissue or Plaque 5 5
Cellulitis 5 5
Fall 4 4
Rupture 4 4
Synovitis 3 3
Cyst(s) 3 3
Osteolysis 3 3
Skin Infection 3 3
Arthritis 3 3
Post Traumatic Wound Infection 2 2
Inflammation 2 2
Numbness 2 2
Unspecified Musculoskeletal problem 2 2
Nerve Damage 2 2
Inadequate Osseointegration 2 3
Muscle/Tendon Damage 2 2
Joint Dislocation 2 2
Stroke/CVA 2 2
Physical Asymmetry 2 2
Ulcer 2 2
Erosion 2 2
Bacterial Infection 2 2
Ossification 1 1
Skin Discoloration 1 1
Itching Sensation 1 1
Seroma 1 1
Fever 1 1
Osteomyelitis 1 1

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