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U.S. Department of Health and Human Services

TPLC - Total Product Life Cycle

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Device tube tracheostomy and tube cuff
Regulation Description Tracheostomy tube and tube cuff.
Product CodeJOH
Regulation Number 868.5800
Device Class 2


Premarket Reviews
ManufacturerDecision
COVIDIEN, LLC
  SUBSTANTIALLY EQUIVALENT 1
SMITHS MEDICAL ASD, INC.
  SUBSTANTIALLY EQUIVALENT 1
TRACOE MEDICAL GMBH
  SUBSTANTIALLY EQUIVALENT 1

MDR Year MDR Reports MDR Events
2021 1041 1047
2022 1632 1650
2023 1233 1234
2024 1103 1103
2025 998 998
2026 203 203

Device Problems MDRs with this Device Problem Events in those MDRs
Gas/Air Leak 1283 1292
Use of Device Problem 1188 1192
Inflation Problem 839 843
Material Split, Cut or Torn 450 451
Defective Component 392 393
Break 232 234
Disconnection 225 225
Connection Problem 201 202
Leak/Splash 183 184
Defective Device 113 113
Material Separation 113 113
Crack 106 106
Appropriate Term/Code Not Available 104 104
Fluid/Blood Leak 89 89
Insufficient Information 85 85
Material Puncture/Hole 84 84
Fracture 79 79
Physical Resistance/Sticking 78 79
Human-Device Interface Problem 75 75
Obstruction of Flow 69 71
Deflation Problem 56 58
Detachment of Device or Device Component 54 54
Device Markings/Labelling Problem 50 50
Contamination 44 44
Patient-Device Incompatibility 41 42
Labelling, Instructions for Use or Training Problem 37 37
Patient Device Interaction Problem 36 36
Component Missing 36 36
Unintended Deflation 34 34
Difficult to Advance 33 33
Material Discolored 32 32
Inadequacy of Device Shape and/or Size 32 32
Mechanical Problem 32 33
No Apparent Adverse Event 27 27
Product Quality Problem 27 29
Material Rupture 27 27
Material Integrity Problem 27 27
Material Deformation 26 26
Difficult to Insert 26 26
Material Fragmentation 26 27
Device-Device Incompatibility 23 23
Deformation Due to Compressive Stress 21 21
Loss of or Failure to Bond 21 21
Contamination /Decontamination Problem 21 21
Adverse Event Without Identified Device or Use Problem 20 20
Material Twisted/Bent 19 19
Gel Leak 18 18
Fitting Problem 18 18
Failure to Deflate 17 17
Microbial Contamination of Device 17 17

Patient Problems MDRs with this Patient Problem Events in those MDRs
No Clinical Signs, Symptoms or Conditions 3494 3506
Unintended Extubation 1673 1676
Insufficient Information 780 787
Low Oxygen Saturation 153 153
Hypoventilation 107 107
Decreased Respiratory Rate 83 83
Unspecified Tissue Injury 62 63
Hemorrhage/Bleeding 58 58
Dyspnea 56 56
Respiratory Insufficiency 56 56
Airway Obstruction 47 47
No Consequences Or Impact To Patient 46 46
Discomfort 39 39
Cardiac Arrest 24 25
Tachycardia 22 22
Hypoxia 22 22
Skin Inflammation/ Irritation 22 22
Pain 21 21
Aspiration/Inhalation 20 20
Distress 14 14
Respiratory Failure 14 14
Unspecified Respiratory Problem 14 14
Inflammation 14 14
Foreign Body In Patient 12 13
Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available 11 11
Unspecified Infection 11 12
Pneumonia 11 11
Cough 11 11
No Information 11 11
No Patient Involvement 10 10
Pressure Sores 10 10
Bradycardia 9 9
Failure of Implant 9 9
Pneumothorax 8 8
Bacterial Infection 7 7
Obstruction/Occlusion 7 7
Sore Throat 7 7
High Oxygen Saturation 7 7
Respiratory Tract Infection 7 7
Hemoptysis 6 6
Stenosis 6 6
Increased Respiratory Rate 6 6
Ventilator Dependent 6 7
Device Embedded In Tissue or Plaque 6 6
Ulcer 5 5
Forced Expiratory Volume Decreased 5 5
Anxiety 5 5
Swelling/ Edema 5 5
Choking 5 5
Irritability 4 4

Recalls
Manufacturer Recall Class Date Posted
1 Cook Incorporated II Apr-06-2026
2 Cook Incorporated I May-10-2023
3 Covidien I Mar-25-2025
4 Covidien I Apr-19-2023
5 Smiths Medical ASD Inc. II Oct-31-2023
6 Smiths Medical ASD Inc. II Jul-01-2021
7 Smiths Medical ASD Inc. II Feb-23-2021
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