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U.S. Department of Health and Human Services

TPLC - Total Product Life Cycle

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Device mitral valve repair devices
Definition To repair the mitral valve by coapting the valve leaflets to prevent mitral regurgitation. These devices are different from the classified device (annuloplasty rings) in that a cardiotomy is not required to place them, some of them are placed percutaneously, and they definitely are not rings that are sewn on to the valve annulus.
Product CodeNKM
Device Class 3

Premarket Approvals (PMA)
2020 2021 2022 2023 2024 2025
1 5 12 20 15 16

MDR Year MDR Reports MDR Events
2020 2724 2724
2021 2346 5588
2022 2584 3755
2023 2475 2562
2024 2562 2564
2025 2566 2655

Device Problems MDRs with this Device Problem Events in those MDRs
Incomplete Coaptation 3685 3719
Adverse Event Without Identified Device or Use Problem 3172 7635
Unintended Movement 2451 2453
Difficult to Open or Close 2145 2145
Difficult or Delayed Positioning 1018 1019
Difficult to Remove 834 834
Positioning Failure 821 822
Migration 620 620
Entrapment of Device 613 613
Off-Label Use 520 609
Device Damaged by Another Device 516 516
Improper or Incorrect Procedure or Method 489 489
Break 365 365
Physical Resistance/Sticking 329 329
Leak/Splash 309 309
Activation Failure 304 304
Mechanical Jam 273 273
Difficult or Delayed Activation 272 272
Expulsion 255 259
Material Deformation 167 167
Material Separation 151 151
Difficult to Flush 149 149
Difficult to Insert 98 98
Material Split, Cut or Torn 91 92
Premature Activation 87 87
Retraction Problem 85 85
Patient Device Interaction Problem 84 84
Product Quality Problem 77 77
Deformation Due to Compressive Stress 70 70
Air/Gas in Device 68 68
Noise, Audible 52 52
Unstable 52 52
No Apparent Adverse Event 33 33
Material Protrusion/Extrusion 33 33
Difficult to Advance 29 29
Crack 28 28
Material Frayed 22 22
Malposition of Device 21 21
Stretched 20 20
Failure to Advance 18 18
Device Difficult to Setup or Prepare 12 12
Tear, Rip or Hole in Device Packaging 12 12
Separation Failure 11 12
Activation Problem 10 10
Detachment of Device or Device Component 10 10
Loose or Intermittent Connection 7 7
Activation, Positioning or Separation Problem 7 7
Device-Device Incompatibility 7 7
Insufficient Information 6 8
Device Contamination with Chemical or Other Material 6 6

Patient Problems MDRs with this Patient Problem Events in those MDRs
No Clinical Signs, Symptoms or Conditions 6156 6725
Mitral Valve Insufficiency/ Regurgitation 3004 3908
Unspecified Tissue Injury 2309 2340
No Consequences Or Impact To Patient 1003 1003
Mitral Regurgitation 778 778
Dyspnea 580 580
Heart Failure/Congestive Heart Failure 570 1294
Tissue Damage 503 503
Foreign Body In Patient 434 438
Mitral Valve Stenosis 368 368
Tricuspid Valve Insufficiency/ Regurgitation 310 354
Stroke/CVA 295 310
Pericardial Effusion 270 271
Death 260 260
Hemorrhage/Bleeding 251 440
Low Blood Pressure/ Hypotension 244 244
Insufficient Information 219 2058
Heart Failure 210 210
Air Embolism 177 177
Embolism/Embolus 177 177
Renal Failure 153 194
No Patient Involvement 142 142
Thrombosis/Thrombus 133 134
Myocardial Infarction 125 156
Cardiac Arrest 116 181
Atrial Fibrillation 115 188
Cardiac Tamponade 106 106
Endocarditis 101 110
Cardiogenic Shock 98 98
Fatigue 90 90
Perforation 90 90
Arrhythmia 78 78
Tachycardia 76 76
High Blood Pressure/ Hypertension 62 62
Cusp Tear 58 58
Pulmonary Edema 56 56
Sepsis 53 53
Embolism 53 53
Tricuspid Regurgitation 51 51
Unspecified Infection 51 67
Swelling/ Edema 46 46
Respiratory Failure 45 45
Thrombosis 44 44
Cardiac Perforation 38 38
Fever 37 37
Transient Ischemic Attack 36 43
Non specific EKG/ECG Changes 36 36
Hypoxia 33 33
Angina 33 33
Shock 29 29

Recalls
Manufacturer Recall Class Date Posted
1 Abbott Vascular II Oct-20-2022
2 Edwards Lifesciences, LLC II Aug-29-2023
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