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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
2021 227 228
2022 182 186
2023 209 212
2024 507 507
2025 324 324
2026 18 18

Device Problems MDRs with this Device Problem Events in those MDRs
Break 934 935
Physical Resistance/Sticking 68 68
Material Twisted/Bent 56 56
Entrapment of Device 43 43
Difficult to Remove 39 39
Detachment of Device or Device Component 36 36
Dull, Blunt 34 34
Material Fragmentation 33 33
Adverse Event Without Identified Device or Use Problem 32 32
Fracture 27 30
Defective Device 23 23
Corroded 18 18
Material Split, Cut or Torn 14 15
Use of Device Problem 14 14
Mechanical Jam 13 13
Fitting Problem 11 11
Appropriate Term/Code Not Available 11 11
Device Damaged by Another Device 11 11
Patient Device Interaction Problem 11 11
Mechanical Problem 10 10
Flaked 10 10
Component Missing 8 8
Activation, Positioning or Separation Problem 7 8
Failure to Cut 7 7
Device Dislodged or Dislocated 6 6
Material Separation 6 6
Material Deformation 6 6
Unintended Movement 6 6
Difficult to Open or Close 6 6
Positioning Failure 6 6
Failure to Advance 5 5
Output Problem 5 5
Device Difficult to Maintain 5 5
Contamination /Decontamination Problem 5 5
Crack 4 4
Melted 4 4
Connection Problem 4 4
Inadequacy of Device Shape and/or Size 3 3
Incorrect Measurement 3 3
Misfire 3 3
Naturally Worn 3 3
Insufficient Information 3 3
Device Damaged Prior to Use 3 3
Separation Problem 3 3
Device-Device Incompatibility 3 3
Difficult to Insert 2 2
Loosening of Implant Not Related to Bone-Ingrowth 2 2
Failure to Clean Adequately 2 2
Material Integrity Problem 2 2
Defective Component 2 2

Patient Problems MDRs with this Patient Problem Events in those MDRs
No Clinical Signs, Symptoms or Conditions 852 858
Insufficient Information 308 309
Foreign Body In Patient 243 244
Device Embedded In Tissue or Plaque 50 50
Failure of Implant 17 17
Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available 13 13
Bone Fracture(s) 9 9
Unspecified Infection 7 7
Pain 7 7
Perforation 6 6
Unspecified Tissue Injury 6 6
Low Blood Pressure/ Hypotension 4 4
Pericardial Effusion 4 4
Cardiac Tamponade 3 3
Laceration(s) 3 3
Internal Organ Perforation 2 2
Heart Block 2 2
Metal Related Pathology 2 2
Hemorrhage/Bleeding 2 2
No Consequences Or Impact To Patient 2 2
Inflammation 2 2
Tissue Damage 2 2
Perforation of Vessels 2 2
Discomfort 2 2
Swelling/ Edema 2 2
Joint Laxity 2 2
Bruise/Contusion 1 1
Bacterial Infection 1 1
Hypoxia 1 1
Non-union Bone Fracture 1 1
Subluxation 1 1
Increased Appetite 1 1
Cardiogenic Shock 1 1
Exposure to Body Fluids 1 1
Muscular Rigidity 1 1
Loss of Range of Motion 1 1
No Known Impact Or Consequence To Patient 1 1
Obstruction/Occlusion 1 1
Hematoma 1 1
Synovitis 1 1
Vascular Dissection 1 1
Sepsis 1 1
Joint Dislocation 1 1
Hip Fracture 1 1
Arthralgia 1 1
Damage to Ligament(s) 1 1
Impaired Healing 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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