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U.S. Department of Health and Human Services

TPLC - Total Product Life Cycle

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Device dialysate concentrate for hemodialysis (liquid or powder)
Regulation Description Hemodialysis system and accessories.
Product CodeKPO
Regulation Number 876.5820
Device Class 2


Premarket Reviews
ManufacturerDecision
DEKA RESEARCH AND DEVELOPMENT
  SUBSTANTIALLY EQUIVALENT 1
DI-CHEM, INC.
  SUBSTANTIALLY EQUIVALENT 1
FRESENIUS MEDICAL CARE RENAL THERAPIES GROUP, LLC
  SUBSTANTIALLY EQUIVALENT 8
HAEMOPHARM BIOFLUIDS S.R.L.
  SUBSTANTIALLY EQUIVALENT 1
ISOPURE, CORP.
  SUBSTANTIALLY EQUIVALENT 1
NIPRO RENAL SOLUTIONS USA, CORP.
  SUBSTANTIALLY EQUIVALENT 2
NXSTAGE MEDICAL, INC.
  SUBSTANTIALLY EQUIVALENT 1
RENAL CARE DIALYSIS SOLUTIONS, S.A. DE C.V.
  SUBSTANTIALLY EQUIVALENT 1

MDR Year MDR Reports MDR Events
2020 244 293
2021 63 65
2022 25 26
2023 59 59
2024 259 259
2025 94 94

Device Problems MDRs with this Device Problem Events in those MDRs
Leak/Splash 213 213
Chemical Problem 210 210
Break 210 210
Thermal Decomposition of Device 106 106
No Apparent Adverse Event 61 61
Smoking 60 60
Device Contaminated During Manufacture or Shipping 43 43
Adverse Event Without Identified Device or Use Problem 27 27
Melted 22 22
Sparking 18 18
Fluid/Blood Leak 10 15
Fire 8 8
Material Puncture/Hole 8 56
Arcing 6 6
Burst Container or Vessel 4 4
Product Quality Problem 4 4
Filtration Problem 3 3
Unintended Electrical Shock 3 3
Device Markings/Labelling Problem 2 3
Contamination 2 2
Material Rupture 2 2
Output Problem 1 1
Patient-Device Incompatibility 1 1
Fail-Safe Did Not Operate 1 1
Defective Component 1 20
Unsealed Device Packaging 1 1
Material Integrity Problem 1 1
Inadequate Instructions for Healthcare Professional 1 2
Key or Button Unresponsive/not Working 1 1
Tear, Rip or Hole in Device Packaging 1 1
Device Contamination with Chemical or Other Material 1 1
Display or Visual Feedback Problem 1 1
Improper or Incorrect Procedure or Method 1 1

Patient Problems MDRs with this Patient Problem Events in those MDRs
No Clinical Signs, Symptoms or Conditions 424 426
No Patient Involvement 158 158
No Known Impact Or Consequence To Patient 70 119
Insufficient Information 24 25
Chemical Exposure 22 22
Death 11 11
Myocardial Infarction 6 6
Electrolyte Imbalance 5 5
Eye Pain 3 3
Eye Injury 3 3
No Code Available 3 3
Low Blood Pressure/ Hypotension 2 2
Bradycardia 2 2
Dyspnea 2 2
Vomiting 2 2
Burning Sensation 2 2
Rash 2 2
Cardiac Arrest 2 2
Itching Sensation 2 2
Corneal Abrasion 2 2
Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available 2 2
Local Reaction 1 1
Fever 1 1
Hematoma 1 1
Dry Eye(s) 1 1
Chills 1 1
Swelling 1 1
Skin Inflammation/ Irritation 1 1
Discomfort 1 1
Numbness 1 1
No Information 1 1
Dizziness 1 1
Nausea 1 1
Hypersensitivity/Allergic reaction 1 1
Tachycardia 1 1
Swelling/ Edema 1 1
Blurred Vision 1 1
Headache 1 1
Hemorrhage/Bleeding 1 1
No Consequences Or Impact To Patient 1 1
Loss of consciousness 1 1
High Blood Pressure/ Hypertension 1 1
Non specific EKG/ECG Changes 1 1

Recalls
Manufacturer Recall Class Date Posted
1 Diasol, Inc II Oct-23-2024
2 Diasol, Inc II Jun-18-2020
3 Fresenius Medical Care Holdings, Inc. II Nov-04-2022
4 Fresenius Medical Care Holdings, Inc. II Jul-12-2022
5 Fresenius Medical Care Holdings, Inc. II Jul-01-2022
6 Fresenius Medical Care Holdings, Inc. II Jul-16-2021
7 Fresenius Medical Care Holdings, Inc. II Feb-01-2021
8 Fresenius Medical Care Holdings, Inc. II Jan-11-2021
9 Fresenius Medical Care Holdings, Inc. II Jan-11-2021
10 Isopure Corp II Sep-13-2022
11 Isopure Corp II Jan-19-2020
12 Nipro Renal Soultions USA, Corporation I May-14-2025
13 Nipro Renal Soultions USA, Corporation II Jan-08-2025
14 NxStage Medical Inc II May-28-2025
15 NxStage Medical Inc II Jun-20-2024
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