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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 474 475

Device Problems MDRs with this Device Problem Events in those MDRs
Gas/Air Leak 1310 1311
Use of Device Problem 1252 1253
Inflation Problem 821 821
Material Split, Cut or Torn 462 463
Defective Component 393 394
Break 245 247
Disconnection 228 228
Connection Problem 213 214
Leak/Splash 160 160
Material Separation 109 109
Appropriate Device Problem Term/Code Not Available 108 108
Crack 108 108
Defective Device 105 105
Fluid/Blood Leak 91 91
Insufficient Device Problem Information 85 85
Human-Device Interface Problem 81 81
Material Puncture/Hole 80 80
Fracture 78 78
Physical Resistance/Sticking 77 78
Obstruction of Flow 71 72
Detachment of Device or Device Component 56 56
Deflation Problem 53 53
Component Missing 47 47
Device Markings/Labelling Problem 47 47
Contamination 44 44
Patient-Device Incompatibility 41 42
Labelling, Instructions for Use or Training Problem 38 38
Patient Device Interaction Problem 36 36
Unintended Deflation 34 34
Difficult to Advance 33 33
Mechanical Problem 33 34
Material Discolored 31 31
Loss of or Failure to Bond 29 29
Inadequacy of Device Shape and/or Size 28 28
No Apparent Adverse Event 27 27
Material Deformation 27 27
Material Fragmentation 26 27
Product Quality Problem 26 26
Difficult to Insert 26 26
Material Integrity Problem 25 25
Device-Device Incompatibility 23 23
Deformation Due to Compressive Stress 21 21
Contamination /Decontamination Problem 21 21
Material Rupture 21 21
Adverse Event Without Identified Device or Use Problem 19 19
Fitting Problem 19 19
Failure to Deflate 19 19
Difficult to Remove 18 18
Gel Leak 18 18
Tear, Rip or Hole in Device Packaging 18 18

Patient Problems MDRs with this Patient Problem Events in those MDRs
No Clinical Signs, Symptoms or Conditions 3648 3660
Unintended Extubation 1751 1755
Insufficient Information 807 814
Low Oxygen Saturation 156 156
Hypoventilation 112 112
Decreased Respiratory Rate 83 83
Dyspnea 63 63
Unspecified Tissue Injury 62 63
Hemorrhage/Blood Loss/Bleeding 60 60
Respiratory Insufficiency 59 59
Airway Obstruction 49 49
No Consequences Or Impact To Patient 46 46
Discomfort 40 40
Cardiac Arrest 25 26
Tachycardia 23 23
Skin Inflammation/ Irritation 23 23
Hypoxia 23 23
Pain 21 21
Aspiration/Inhalation 20 20
Respiratory Failure 15 15
Unspecified Respiratory Problem 14 14
Distress 14 14
Inflammation 14 14
Foreign Body In Patient 12 13
No Information 11 11
Cough 11 11
Unspecified Infection 11 12
Appropriate Clinical Signs, Symptoms and Conditions Term/Code Not Available 11 11
Pneumonia 11 11
Upper Respiratory Tract Injury 10 10
Pressure Sore/Ulcer 10 10
No Patient Involvement 10 10
Bradycardia 9 9
Failure of Implant 9 9
Pneumothorax 8 8
High Oxygen Saturation 7 7
Bacterial Infection 7 7
Sore Throat 7 7
Respiratory Tract Infection 7 7
Obstruction/Occlusion 7 7
Increased Respiratory Rate 7 7
Hemoptysis 6 6
Device Embedded In Tissue or Plaque 6 6
Stenosis 6 6
Ventilator Dependent 6 7
Swelling/ Edema 5 5
Ulcer 5 5
Forced Expiratory Volume Decreased 5 5
Choking 5 5
Anxiety 5 5

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 Covidien LLC II May-29-2026
6 Smiths Medical ASD Inc. II Oct-31-2023
7 Smiths Medical ASD Inc. II Jul-01-2021
8 Smiths Medical ASD Inc. II Feb-23-2021
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