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U.S. Department of Health and Human Services

TPLC - Total Product Life Cycle

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Device endoscopic suture/plication system, gastroesophageal reflux disease (gerd)
Regulation Description Endoscope and accessories.
Definition To treat the symptoms of chronic gastroesophageal reflux disease (GERD), either by approximating tissue with sutures or plicating tissue with an implant.
Product CodeODE
Regulation Number 876.1500
Device Class 2


Premarket Reviews
ManufacturerDecision
ENDOGASTRIC SOLUTIONS, INC.
  SUBSTANTIALLY EQUIVALENT 1
G-SURG GMBH
  SUBSTANTIALLY EQUIVALENT 1

MDR Year MDR Reports MDR Events
2021 24 24
2022 16 16
2023 28 28
2024 41 41
2025 39 39
2026 19 19

Device Problems MDRs with this Device Problem Events in those MDRs
Adverse Event Without Identified Device or Use Problem 91 91
Insufficient Device Problem Information 18 18
Mechanical Problem 10 10
No Apparent Adverse Event 7 7
Loss of or Failure to Bond 6 6
Use of Device Problem 6 6
Material Separation 6 6
Physical Resistance/Sticking 5 5
Device Dislodged or Dislocated 5 5
Fluid/Blood Leak 4 4
Difficult to Advance 4 4
Difficult to Remove 4 4
Patient Device Interaction Problem 4 4
Improper or Incorrect Procedure or Method 4 4
Difficult to Insert 4 4
Difficult to Open or Close 4 4
Failure to Fire 4 4
Detachment of Device or Device Component 4 4
Separation Failure 3 3
Mechanical Jam 3 3
Retraction Problem 3 3
Obstruction of Flow 2 2
Material Deformation 2 2
Fracture 2 2
Biocompatibility 1 1
Failure to Discharge 1 1
Deformation Due to Compressive Stress 1 1
Optical Obstruction 1 1
Activation Failure 1 1
Material Protrusion/Extrusion 1 1
Difficult or Delayed Separation 1 1
Material Twisted/Bent 1 1
Stretched 1 1
Material Fragmentation 1 1
Ejection Problem 1 1
Failure to Deliver 1 1
Contamination 1 1
Positioning Problem 1 1
Malposition of Device 1 1
Entrapment of Device 1 1
Separation Problem 1 1

Patient Problems MDRs with this Patient Problem Events in those MDRs
Perforation of Esophagus 36 36
No Clinical Signs, Symptoms or Conditions 33 33
Perforation 33 33
Hemorrhage/Blood Loss/Bleeding 17 17
Laceration(s) of Esophagus 17 17
Pleural Effusion 15 15
Abscess 13 13
Insufficient Information 12 12
Bacterial Infection 10 10
Appropriate Clinical Signs, Symptoms and Conditions Term/Code Not Available 9 9
Pain 8 8
Dysphagia/ Odynophagia 7 7
Chest Pain 7 7
Abdominal Pain 6 6
Pleural Empyema 6 6
Fever 5 5
Internal Organ Perforation 4 4
Unspecified Tissue Injury 4 4
Foreign Body In Patient 4 4
Hernia 3 3
Hematoma 3 3
Inflammation 3 3
Ischemia 3 3
Pulmonary Edema 2 2
Fluid Discharge 2 2
Pneumonia 2 2
Discomfort 2 2
Pericardial Effusion 2 2
Rupture 2 2
Atrial Fibrillation 2 2
Abrasion 2 2
Cyst(s) 2 2
Aspiration/Inhalation 2 2
Unspecified Gastrointestinal Problem 2 2
Fungal Infection 2 2
Pneumothorax 2 2
Obstruction/Occlusion 1 1
Cardiac Arrest 1 1
Peritonitis 1 1
Chills 1 1
Stenosis of the esophagus 1 1
Vomiting 1 1
Vascular Dissection 1 1
Dehydration 1 1
Dyspnea 1 1
Gastrointestinal Hemorrhage 1 1
Laceration(s) 1 1
Sepsis 1 1
Nausea 1 1
Hyponatremia 1 1

Recalls
Manufacturer Recall Class Date Posted
1 Merit Medical Systems, Inc. II Apr-21-2025
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