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U.S. Department of Health and Human Services

TPLC - Total Product Life Cycle

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Device instrument, manual, surgical, general use
Regulation Description Manual surgical instrument for general use.
Product CodeMDM
Regulation Number 878.4800
Device Class 1

MDR Year MDR Reports MDR Events
2020 245 245
2021 227 228
2022 182 186
2023 209 209
2024 507 507
2025 270 270

Device Problems MDRs with this Device Problem Events in those MDRs
Break 1018 1019
Physical Resistance/Sticking 64 64
Material Twisted/Bent 55 55
Adverse Event Without Identified Device or Use Problem 53 53
Difficult to Remove 50 50
Entrapment of Device 49 49
Detachment of Device or Device Component 42 42
Fracture 39 39
Material Fragmentation 37 37
Dull, Blunt 35 35
Defective Device 23 23
Mechanical Jam 19 19
Appropriate Term/Code Not Available 19 19
Corroded 19 19
Material Separation 17 17
Material Split, Cut or Torn 15 16
Component Missing 12 12
Patient Device Interaction Problem 12 12
Flaked 11 11
Mechanical Problem 11 11
Device Damaged by Another Device 10 10
Fitting Problem 10 10
Material Deformation 10 10
Use of Device Problem 10 10
Connection Problem 9 9
Failure to Disinfect 8 8
Naturally Worn 7 7
Activation, Positioning or Separation Problem 7 8
Crack 6 6
Difficult to Open or Close 6 6
Failure to Cut 6 6
Unintended Movement 6 6
Device Dislodged or Dislocated 6 6
Failure to Advance 6 6
Positioning Failure 6 6
Output Problem 5 5
Device Difficult to Maintain 5 5
Insufficient Information 5 5
Contamination /Decontamination Problem 5 5
Device-Device Incompatibility 5 5
Device Slipped 4 4
Misfire 4 4
Melted 4 4
Difficult to Insert 3 3
Inadequacy of Device Shape and/or Size 3 3
Incorrect Measurement 3 3
Separation Problem 3 3
Delivered as Unsterile Product 3 3
Device Damaged Prior to Use 3 3
Product Quality Problem 2 5

Patient Problems MDRs with this Patient Problem Events in those MDRs
No Clinical Signs, Symptoms or Conditions 814 818
Insufficient Information 307 308
Foreign Body In Patient 249 249
Device Embedded In Tissue or Plaque 84 84
No Known Impact Or Consequence To Patient 66 66
No Consequences Or Impact To Patient 41 41
No Patient Involvement 31 31
Failure of Implant 19 19
Injury 19 19
Unspecified Infection 14 14
Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available 13 13
Pain 11 11
Bone Fracture(s) 9 9
No Information 7 7
Unspecified Tissue Injury 6 6
Perforation 6 6
No Code Available 5 5
Low Blood Pressure/ Hypotension 4 4
Swelling/ Edema 4 4
Pericardial Effusion 4 4
Tissue Damage 3 3
Cardiac Tamponade 3 3
Post Operative Wound Infection 3 3
Laceration(s) 3 3
Internal Organ Perforation 2 2
Heart Block 2 2
Hemorrhage/Bleeding 2 2
Joint Laxity 2 2
Perforation of Vessels 2 2
Discomfort 2 2
Not Applicable 2 2
Metal Related Pathology 2 2
Purulent Discharge 2 2
Inflammation 2 2
Joint Dislocation 1 1
Arthralgia 1 1
Exposure to Body Fluids 1 1
Muscular Rigidity 1 1
Loss of Range of Motion 1 1
Cardiogenic Shock 1 1
Hip Fracture 1 1
Increased Appetite 1 1
Subluxation 1 1
Obstruction/Occlusion 1 1
Edema 1 1
Wound Dehiscence 1 1
Non-union Bone Fracture 1 1
Synovitis 1 1
Hypoxia 1 1
Ulcer 1 1

Recalls
Manufacturer Recall Class Date Posted
1 Applied Medical Resources Corp II Mar-27-2024
2 Arthrex, Inc. II Dec-08-2022
3 ENDO Pharmaceuticals Solutions, Inc. II Dec-30-2022
4 FlexDex Inc. II Jan-27-2022
5 MEDLINE INDUSTRIES, LP - Northfield II Apr-17-2025
6 MEDLINE INDUSTRIES, LP - Northfield II Mar-29-2024
7 MEDLINE INDUSTRIES, LP - Northfield II Feb-06-2023
8 Sklar Instruments II Jan-16-2025
9 Technicality Inc. II Apr-02-2024
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