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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 2 2

Device Problems MDRs with this Device Problem Events in those MDRs
Adverse Event Without Identified Device or Use Problem 80 80
Insufficient Information 18 18
Mechanical Problem 14 14
No Apparent Adverse Event 7 7
Loss of or Failure to Bond 6 6
Device Dislodged or Dislocated 6 6
Use of Device Problem 6 6
Material Separation 6 6
Break 5 5
Difficult to Remove 5 5
Failure to Fire 5 5
Fluid/Blood Leak 4 4
Physical Resistance/Sticking 4 4
Difficult to Advance 4 4
Improper or Incorrect Procedure or Method 4 4
Difficult to Open or Close 4 4
Patient Device Interaction Problem 4 4
Difficult to Insert 4 4
Detachment of Device or Device Component 4 4
Entrapment of Device 3 3
Separation Failure 3 3
Mechanical Jam 3 3
Obstruction of Flow 3 3
Retraction Problem 3 3
Fracture 2 2
Material Deformation 2 2
Material Fragmentation 2 2
Positioning Problem 2 2
Defective Device 2 2
Difficult or Delayed Separation 1 1
Material Twisted/Bent 1 1
Misfire 1 1
Stretched 1 1
Material Protrusion/Extrusion 1 1
Activation Failure 1 1
Ejection Problem 1 1
Failure to Advance 1 1
Failure to Deliver 1 1
Contamination 1 1
Optical Obstruction 1 1
Deformation Due to Compressive Stress 1 1
Malposition of Device 1 1
Failure to Discharge 1 1
Separation Problem 1 1
Biocompatibility 1 1

Patient Problems MDRs with this Patient Problem Events in those MDRs
Perforation of Esophagus 34 34
Perforation 32 32
No Clinical Signs, Symptoms or Conditions 31 31
Hemorrhage/Bleeding 17 17
Pleural Effusion 15 15
Laceration(s) of Esophagus 15 15
Abscess 13 13
Insufficient Information 11 11
Bacterial Infection 10 10
Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available 8 8
Pain 8 8
Chest Pain 7 7
Dysphagia/ Odynophagia 7 7
Pleural Empyema 6 6
Fever 5 5
Abdominal Pain 5 5
Foreign Body In Patient 4 4
Unspecified Tissue Injury 3 3
Hematoma 3 3
Ischemia 3 3
Inflammation 2 2
Internal Organ Perforation 2 2
Pneumothorax 2 2
Rupture 2 2
Hernia 2 2
Abrasion 2 2
Aspiration/Inhalation 2 2
Atrial Fibrillation 2 2
Cyst(s) 2 2
Pericardial Effusion 2 2
Discomfort 2 2
Fluid Discharge 2 2
Fungal Infection 2 2
Obstruction/Occlusion 1 1
Respiratory Failure 1 1
Weight Changes 1 1
Tissue Breakdown 1 1
Syncope/Fainting 1 1
Device Embedded In Tissue or Plaque 1 1
Gastrointestinal Hemorrhage 1 1
Stenosis of the esophagus 1 1
Unspecified Gastrointestinal Problem 1 1
Hyponatremia 1 1
Swelling/ Edema 1 1
Dehydration 1 1
Cardiac Arrest 1 1
Fistula 1 1
Dyspnea 1 1
High Blood Pressure/ Hypertension 1 1
Low Blood Pressure/ Hypotension 1 1

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