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U.S. Department of Health and Human Services

TPLC - Total Product Life Cycle

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Device ear, nose, and throat stereotaxic instrument
Regulation Description Stereotaxic instrument.
Definition Intended as an aid for precisely locating a surgical instrument within anatomical structures in either open or percutaneous procedures for any medical condition in which a reference to a rigid anatomical structure in the field of ENT surgery can be identified relative to a CT- or MR-based model or digitized landmarks of the anatomy.
Product CodePGW
Regulation Number 882.4560
Device Class 2


Premarket Reviews
ManufacturerDecision
ACCLARENT, INC.
  SUBSTANTIALLY EQUIVALENT 2
BRAINLAB AG
  SUBSTANTIALLY EQUIVALENT 1
CLARONAV
  SUBSTANTIALLY EQUIVALENT 1
FIAGON GMBH
  SUBSTANTIALLY EQUIVALENT 2
MEDTRONIC NAVIGATION, INC.
  SUBSTANTIALLY EQUIVALENT 1
STRYKER CORPORATION
  SUBSTANTIALLY EQUIVALENT 1

MDR Year MDR Reports MDR Events
2021 190 193
2022 166 176
2023 200 209
2024 274 300
2025 220 254
2026 51 68

Device Problems MDRs with this Device Problem Events in those MDRs
Application Program Freezes or Fails to Launch 244 253
Device Sensing Problem 156 159
Display or Visual Feedback Problem 149 149
Incorrect Interpretation of Signal 129 129
Incorrect, Inadequate or Imprecise Result or Readings 116 119
Application Program Problem 114 117
Human-Device Interface Problem 73 76
Communication or Transmission Problem 68 68
Imprecision 60 65
Incorrect Measurement 50 125
Adverse Event Without Identified Device or Use Problem 47 47
Use of Device Problem 43 43
Connection Problem 42 46
Mechanical Problem 41 42
Material Integrity Problem 39 41
Environmental Compatibility Problem 39 39
Computer Software Problem 27 28
Patient Device Interaction Problem 23 23
Unintended Application Program Shut Down 22 22
No Device Output 17 18
Unexpected Shutdown 14 14
Image Orientation Incorrect 12 12
Audible Prompt/Feedback Problem 11 11
Electrical /Electronic Property Problem 8 8
Insufficient Device Problem Information 7 7
Failure to Read Input Signal 6 6
Electromagnetic Interference 6 6
Power Problem 6 6
Detachment of Device or Device Component 6 6
Overheating of Device 5 5
Output Problem 5 5
Computer Operating System Problem 4 4
Delayed Program or Algorithm Execution 4 4
Failure to Power Up 4 4
Smoking 3 3
Data Problem 3 3
Mechanics Altered 2 2
Component Missing 2 2
Physical Resistance/Sticking 2 2
Fracture 2 2
Break 2 2
Degraded 2 2
Material Fragmentation 2 2
Failure to Shut Off 2 2
Failure to Capture 1 1
Image Display Error/Artifact 1 1
Intermittent Continuity 1 1
Delayed Charge Time 1 1
Gas/Air Leak 1 1
Pumping Problem 1 1

Patient Problems MDRs with this Patient Problem Events in those MDRs
No Clinical Signs, Symptoms or Conditions 1066 1165
Cerebrospinal Fluid Leakage 21 21
Perforation of Vessels 7 7
Insufficient Information 5 8
Stroke/CVA 4 4
Hemorrhage/Blood Loss/Bleeding 4 4
Unspecified Tissue Injury 3 3
Pain 2 2
Unspecified Nervous System Problem 2 2
Cardiac Arrest 2 2
Hypoxia 2 2
Headache 2 2
Incontinence 1 1
Hematoma 1 1
Visual Impairment 1 1
Calcium Deposits/Calcification 1 1
Fatigue 1 1
Electric Shock 1 1
Urinary Retention 1 1
Discomfort 1 1
Post Operative Wound Infection 1 1
Hypoventilation 1 1
Unintended Extubation 1 1
Ambulation or Postural Difficulties 1 1
Burning Sensation 1 1
Obstruction/Occlusion 1 1
Alteration in Body Temperature 1 1
Erythema 1 1
Appropriate Clinical Signs, Symptoms and Conditions Term/Code Not Available 1 1
Bacterial Infection 1 1
Low Blood Pressure/ Hypotension 1 1
Loss of Vision 1 1
Urinary Frequency / Polyuria 1 1
Urinary Tract Infection 1 1
Swelling/ Edema 1 1
Anaphylactic Shock 1 1

Recalls
Manufacturer Recall Class Date Posted
1 Acclarent, Inc. II Oct-20-2023
2 Acclarent, Inc. II Dec-22-2021
3 Integra LifeSciences Corp. II Aug-05-2024
4 Integra LifeSciences Corp. (NeuroSciences) II Nov-04-2025
5 Stryker Leibinger GmbH & Co. KG II May-23-2024
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