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U.S. Department of Health and Human Services

TPLC - Total Product Life Cycle

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Device apparatus, nitric oxide delivery
Regulation Description Nitric oxide administration apparatus.
Product CodeMRN
Regulation Number 868.5165
Device Class 2


Premarket Reviews
ManufacturerDecision
AIRGAS THERAPEUTICS
  SUBSTANTIALLY EQUIVALENT 1
AIRGAS THERAPEUTICS LLC
  SUBSTANTIALLY EQUIVALENT 1
INTERNATIONAL BIOMEDICAL
  SUBSTANTIALLY EQUIVALENT 1
LINDE GAS & EQUIPMENT INC.
  SUBSTANTIALLY EQUIVALENT 3
MALINCKRODT MANUFACTURING LLC
  SUBSTANTIALLY EQUIVALENT 1
MALLINCKRODT MANUFACTURING LLC
  SUBSTANTIALLY EQUIVALENT 4
PRAXAIR, INC.
  SUBSTANTIALLY EQUIVALENT 1

MDR Year MDR Reports MDR Events
2020 199 199
2021 221 221
2022 115 115
2023 99 99
2024 138 138
2025 58 58

Device Problems MDRs with this Device Problem Events in those MDRs
High Readings 213 213
Failure to Recalibrate 210 210
Intermittent Communication Failure 201 201
Failure to Deliver 117 117
Inaccurate Delivery 111 111
Loose or Intermittent Connection 25 25
Calibration Problem 22 22
Therapeutic or Diagnostic Output Failure 18 18
Device Sensing Problem 15 15
Failure to Calibrate 11 11
Output Problem 9 9
Defective Device 9 9
Device Displays Incorrect Message 8 8
Excess Flow or Over-Infusion 8 8
Incorrect, Inadequate or Imprecise Result or Readings 8 8
Medical Gas Supply Problem 7 7
Device Alarm System 7 7
Break 7 7
Unexpected Shutdown 6 6
Inappropriate or Unexpected Reset 6 6
Communication or Transmission Problem 6 6
Defective Component 5 5
Adverse Event Without Identified Device or Use Problem 5 5
Protective Measures Problem 4 4
Infusion or Flow Problem 4 4
Battery Problem 4 4
Use of Device Problem 4 4
Improper Flow or Infusion 4 4
Display or Visual Feedback Problem 3 3
Complete Loss of Power 3 3
Low Readings 3 3
Inaccurate Flow Rate 3 3
Gas/Air Leak 3 3
Insufficient Information 3 3
No Display/Image 2 2
Device Emits Odor 2 2
Application Program Freezes, Becomes Nonfunctional 2 2
Failure to Sense 2 2
Failure to Deliver Shock/Stimulation 2 2
Device-Device Incompatibility 2 2
No Flow 2 2
Failure to Charge 2 2
Noise, Audible 2 2
Precipitate in Device or Device Ingredient 1 1
Unable to Obtain Readings 1 1
No Audible Alarm 1 1
Mechanical Problem 1 1
Insufficient Flow or Under Infusion 1 1
Charging Problem 1 1
Off-Label Use 1 1

Patient Problems MDRs with this Patient Problem Events in those MDRs
No Clinical Signs, Symptoms or Conditions 662 662
No Known Impact Or Consequence To Patient 87 87
Low Oxygen Saturation 32 32
Insufficient Information 21 21
No Consequences Or Impact To Patient 13 13
Low Blood Pressure/ Hypotension 7 7
Bradycardia 6 6
Hypoxia 4 4
Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available 3 3
Tachycardia 3 3
High Pulmonary Arterial Wedge Pressure 2 2
Cardiac Arrest 2 2
Irritation 2 2
Dyspnea 2 2
Headache 2 2
Pulmonary Hypertension 1 1
Arrhythmia 1 1
Death 1 1
Pulmonary Dysfunction 1 1
Nausea 1 1
Malaise 1 1
Diminished Pulse Pressure 1 1
Chemical Exposure 1 1
Overdose 1 1
No Patient Involvement 1 1
Collapse 1 1
Underdose 1 1
Unspecified Respiratory Problem 1 1
Loss of consciousness 1 1

Recalls
Manufacturer Recall Class Date Posted
1 Mallinckrodt, LLC. II Sep-13-2022
2 NOXBOX LTD I Jun-09-2023
3 Vero Biotech, LLC II Dec-15-2023
4 Vero Biotech, LLC I Sep-30-2021
5 Vero Biotech, LLC I Jun-23-2021
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