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U.S. Department of Health and Human Services

TPLC - Total Product Life Cycle

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Device endoscopic tissue approximation device
Regulation Description Endoscope and accessories.
Definition To aid in endoscopically placing sutures, staples, clips, and other fastening tools through tissue.
Product CodeOCW
Regulation Number 876.1500
Device Class 2


Premarket Reviews
ManufacturerDecision
ANCHORA MEDICAL, LTD.
  SUBSTANTIALLY EQUIVALENT 1
APOLLO ENDOSURGERY, INC.
  SUBSTANTIALLY EQUIVALENT 2
COVIDIEN
  SUBSTANTIALLY EQUIVALENT 1
ENDO TOOLS THERAPEUTICS S.A.
  SUBSTANTIALLY EQUIVALENT 2
ENVISION ENDOSCOPY
  SUBSTANTIALLY EQUIVALENT 1
HEALTH VALUE CREATION B.V., TRADING AS CORPORIS MEDICAL
  SUBSTANTIALLY EQUIVALENT 1

MDR Year MDR Reports MDR Events
2021 198 201
2022 235 247
2023 227 233
2024 211 211
2025 329 329
2026 61 61

Device Problems MDRs with this Device Problem Events in those MDRs
Break 519 535
Detachment of Device or Device Component 466 475
Human-Device Interface Problem 190 193
Adverse Event Without Identified Device or Use Problem 142 146
Component or Accessory Incompatibility 98 99
Device-Device Incompatibility 49 49
Difficult to Open or Close 47 47
Material Twisted/Bent 44 44
Entrapment of Device 38 39
Insufficient Information 36 37
Activation Failure 33 33
Difficult to Remove 26 26
Failure to Align 23 23
Mechanical Problem 23 23
Failure to Cut 21 21
Material Integrity Problem 15 15
Defective Device 13 14
Mechanical Jam 12 12
Difficult to Advance 11 11
Migration 9 9
Mechanics Altered 9 9
Use of Device Problem 9 9
Physical Resistance/Sticking 8 8
Device Slipped 8 8
Unintended Ejection 6 6
Output Problem 5 5
No Apparent Adverse Event 5 5
Material Split, Cut or Torn 5 5
Material Separation 5 5
Activation, Positioning or Separation Problem 5 5
Patient-Device Incompatibility 4 4
Appropriate Term/Code Not Available 4 4
Therapeutic or Diagnostic Output Failure 4 4
Misfire 4 4
Material Frayed 4 4
Material Perforation 4 4
Firing Problem 3 3
Product Quality Problem 3 3
Difficult to Insert 3 3
Material Deformation 3 3
Fracture 2 2
Premature Separation 2 2
Failure to Fire 2 2
Fluid/Blood Leak 2 2
Device Difficult to Setup or Prepare 2 2
Positioning Problem 2 2
Leak/Splash 2 2
Component Missing 1 2
Battery Problem 1 1
Material Fragmentation 1 1

Patient Problems MDRs with this Patient Problem Events in those MDRs
No Clinical Signs, Symptoms or Conditions 723 735
Foreign Body In Patient 186 188
Insufficient Information 176 182
Unintended Radiation Exposure 166 169
Hemorrhage/Bleeding 45 45
Unspecified Tissue Injury 41 42
Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available 27 27
Device Embedded In Tissue or Plaque 23 24
Perforation 18 18
Pain 16 16
Abdominal Pain 14 14
Tissue Breakdown 10 10
Vomiting 9 9
Perforation of Esophagus 8 8
Gastrointestinal Hemorrhage 8 8
Laceration(s) 7 7
Nausea 6 6
Failure of Implant 6 6
Unspecified Infection 6 6
Pulmonary Embolism 6 6
Ulcer 6 6
Hematoma 5 5
Inflammation 4 4
Perforation of Vessels 4 4
Sepsis 4 4
Pancreatitis 4 4
Bowel Perforation 4 4
Cramp(s) /Muscle Spasm(s) 3 3
Pneumonia 3 3
Distress 3 3
Discomfort 3 3
Emotional Changes 3 3
Fever 3 3
Wound Dehiscence 3 3
Cardiac Arrest 3 3
Chest Pain 2 2
Dehydration 2 2
Diarrhea 2 2
Abscess 2 2
Fistula 2 2
Fatigue 2 2
Liver Damage/Dysfunction 2 2
Deformity/ Disfigurement 2 2
Depression 2 2
Laceration(s) of Esophagus 2 2
Obstruction/Occlusion 2 2
Post Operative Wound Infection 2 2
Sleep Dysfunction 2 2
Lethargy 2 2
Ascites 2 2

Recalls
Manufacturer Recall Class Date Posted
1 Covidien LP II Feb-06-2024
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