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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
Product CodeJOH
Regulation Number 868.5800
Device Class 2


Premarket Reviews
ManufacturerDecision
COOK INCORPORATED
  SUBSTANTIALLY EQUIVALENT 1
COVIDIEN
  SUBSTANTIALLY EQUIVALENT 2
SMITHS MEDICAL ASD, INC.
  SUBSTANTIALLY EQUIVALENT 1
TRACOE MEDICAL GMBH
  SUBSTANTIALLY EQUIVALENT 1

MDR Year MDR Reports MDR Events
2019 1019 1019
2020 791 791
2021 1041 1041
2022 1633 1633
2023 1233 1233
2024 746 746

Device Problems MDRs with this Device Problem Events in those MDRs
Gas/Air Leak 1091 1091
Use of Device Problem 989 989
Inflation Problem 877 877
Leak/Splash 512 512
Defective Component 410 410
Material Split, Cut or Torn 376 376
Break 251 251
Connection Problem 221 221
Disconnection 163 163
Crack 142 142
Defective Device 125 125
Material Separation 118 118
Fluid/Blood Leak 116 116
Material Puncture/Hole 115 115
Appropriate Term/Code Not Available 101 101
Fracture 100 100
Insufficient Information 89 89
Detachment of Device or Device Component 88 88
Inadequacy of Device Shape and/or Size 80 80
Physical Resistance/Sticking 79 79
Human-Device Interface Problem 78 78
Material Discolored 71 71
Obstruction of Flow 66 66
Material Integrity Problem 59 59
Deflation Problem 59 59
Device Markings/Labelling Problem 54 54
Material Rupture 54 54
Material Fragmentation 50 50
Labelling, Instructions for Use or Training Problem 46 46
Mechanical Problem 45 45
Patient-Device Incompatibility 43 43
Patient Device Interaction Problem 43 43
Contamination 38 38
Component Missing 36 36
Material Deformation 32 32
Adverse Event Without Identified Device or Use Problem 30 30
Product Quality Problem 29 29
Unintended Deflation 28 28
Tear, Rip or Hole in Device Packaging 27 27
Difficult to Advance 27 27
Contamination /Decontamination Problem 26 26
Deformation Due to Compressive Stress 24 24
No Apparent Adverse Event 21 21
Difficult to Insert 21 21
Material Twisted/Bent 20 20
Separation Problem 20 20
Gel Leak 20 20
Difficult to Remove 19 19
Device-Device Incompatibility 18 18
Loose or Intermittent Connection 18 18

Patient Problems MDRs with this Patient Problem Events in those MDRs
No Clinical Signs, Symptoms or Conditions 2507 2507
Unintended Extubation 1272 1272
No Consequences Or Impact To Patient 815 815
Insufficient Information 694 694
Extubate 264 264
No Information 217 217
No Known Impact Or Consequence To Patient 207 207
Low Oxygen Saturation 166 166
No Patient Involvement 147 147
Hypoventilation 108 108
Decreased Respiratory Rate 78 78
Airway Obstruction 63 63
Dyspnea 56 56
Unspecified Tissue Injury 56 56
No Code Available 54 54
Respiratory Insufficiency 45 45
Hemorrhage/Bleeding 44 44
Respiratory Distress 39 39
Hypoxia 35 35
Discomfort 34 34
Death 31 31
Pain 29 29
Tachycardia 23 23
Skin Inflammation/ Irritation 23 23
Cardiac Arrest 18 18
Inflammation 17 17
Irritation 16 16
Aspiration/Inhalation 16 16
Distress 15 15
Respiratory Failure 15 15
Injury 14 14
Pneumonia 14 14
Unspecified Infection 14 14
Unspecified Respiratory Problem 13 13
Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available 13 13
Pneumothorax 12 12
Foreign Body In Patient 11 11
Failure of Implant 9 9
Bradycardia 9 9
Pressure Sores 8 8
Respiratory Tract Infection 8 8
Dysphasia 8 8
Cough 7 7
Increased Respiratory Rate 7 7
Anxiety 7 7
Obstruction/Occlusion 7 7
Stenosis 7 7
Low Blood Pressure/ Hypotension 7 7
High Oxygen Saturation 7 7
Bacterial Infection 6 6

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