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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
  SUBSTANTIALLY EQUIVALENT 1
SMITHS MEDICAL ASD, INC.
  SUBSTANTIALLY EQUIVALENT 1
TRACOE MEDICAL GMBH
  SUBSTANTIALLY EQUIVALENT 1

MDR Year MDR Reports MDR Events
2020 791 791
2021 1041 1044
2022 1632 1646
2023 1233 1233
2024 1103 1103
2025 869 869

Device Problems MDRs with this Device Problem Events in those MDRs
Gas/Air Leak 1288 1297
Use of Device Problem 1219 1222
Inflation Problem 901 905
Material Split, Cut or Torn 477 477
Defective Component 424 424
Leak/Splash 295 296
Break 256 256
Disconnection 233 233
Connection Problem 215 215
Material Separation 126 126
Fluid/Blood Leak 119 119
Crack 115 115
Appropriate Term/Code Not Available 114 114
Defective Device 114 114
Material Puncture/Hole 93 93
Insufficient Information 90 90
Fracture 86 86
Physical Resistance/Sticking 79 79
Human-Device Interface Problem 75 75
Obstruction of Flow 63 65
Deflation Problem 59 61
Device Markings/Labelling Problem 54 54
Detachment of Device or Device Component 50 50
Inadequacy of Device Shape and/or Size 49 49
Material Fragmentation 45 45
Labelling, Instructions for Use or Training Problem 44 44
Material Rupture 43 43
Contamination 43 43
Patient Device Interaction Problem 42 42
Patient-Device Incompatibility 41 41
Mechanical Problem 40 40
Material Discolored 40 40
Material Integrity Problem 39 39
Component Missing 36 36
Unintended Deflation 34 34
Difficult to Advance 33 33
Material Deformation 32 32
No Apparent Adverse Event 30 30
Product Quality Problem 28 30
Tear, Rip or Hole in Device Packaging 28 28
Difficult to Insert 24 24
Adverse Event Without Identified Device or Use Problem 23 23
Contamination /Decontamination Problem 23 23
Device-Device Incompatibility 23 23
Deformation Due to Compressive Stress 22 22
Fitting Problem 21 21
Material Twisted/Bent 20 20
Loose or Intermittent Connection 18 18
Gel Leak 18 18
Failure to Deflate 17 17

Patient Problems MDRs with this Patient Problem Events in those MDRs
No Clinical Signs, Symptoms or Conditions 3333 3343
Unintended Extubation 1607 1607
Insufficient Information 770 776
No Consequences Or Impact To Patient 450 450
Low Oxygen Saturation 167 167
Extubate 123 123
Hypoventilation 122 122
Decreased Respiratory Rate 82 82
No Patient Involvement 76 76
No Information 68 68
Unspecified Tissue Injury 61 61
Airway Obstruction 58 58
Hemorrhage/Bleeding 58 58
Dyspnea 56 56
Respiratory Insufficiency 55 55
Discomfort 38 38
Hypoxia 28 28
Tachycardia 25 25
Pain 24 24
Skin Inflammation/ Irritation 24 24
Cardiac Arrest 22 22
Distress 20 20
Death 18 18
Aspiration/Inhalation 18 18
No Code Available 17 17
Respiratory Failure 16 16
Foreign Body In Patient 15 15
Respiratory Distress 14 14
Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available 14 14
Unspecified Infection 14 15
Unspecified Respiratory Problem 13 13
Inflammation 13 13
Pneumonia 13 13
Pressure Sores 11 11
Cough 11 11
Pneumothorax 11 11
Injury 11 11
Bradycardia 10 10
No Known Impact Or Consequence To Patient 10 10
Failure of Implant 9 9
Respiratory Tract Infection 8 8
Dysphasia 8 8
Bacterial Infection 7 7
Sore Throat 7 7
High Oxygen Saturation 7 7
Anxiety 7 7
Stenosis 7 7
Obstruction/Occlusion 7 7
Increased Respiratory Rate 6 6
Low Blood Pressure/ Hypotension 6 6

Recalls
Manufacturer Recall Class Date Posted
1 Cook Incorporated I May-10-2023
2 Covidien I Mar-25-2025
3 Covidien I Apr-19-2023
4 Smiths Medical ASD Inc. II Oct-31-2023
5 Smiths Medical ASD Inc. II Jul-01-2021
6 Smiths Medical ASD Inc. II Feb-23-2021
7 Smiths Medical ASD Inc. II Dec-28-2020
8 Smiths Medical ASD Inc. II Sep-09-2020
9 Smiths Medical ASD Inc. II Jul-01-2020
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