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U.S. Department of Health and Human Services

TPLC - Total Product Life Cycle

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Device blood pump for ecmo, long-term (> 6 hours) use
Regulation Description Extracorporeal circuit and accessories for long-term respiratory/cardiopulmonary failure.
Definition A blood pump for long-term circulatory support is a device intended for use as part of an extracorporeal circuit intended to provide assisted extracorporeal circulation and physiologic gas exchange of the patient's blood in patients with acute respiratory failure or acute cardiopulmonary failure where other available treatment options have failed and continued clinical deterioration is expected or the risk of death is imminent.
Product CodeQNR
Regulation Number 870.4100
Device Class 2


Premarket Reviews
ManufacturerDecision
ABBOTT (FORMERLY THORATEC CORPORATION)
  SUBSTANTIALLY EQUIVALENT 1
ABBOTT MEDICAL
  SUBSTANTIALLY EQUIVALENT 1
CARDIACASSIST, INC.
  SUBSTANTIALLY EQUIVALENT 3
MEDTRONIC, INC.
  SUBSTANTIALLY EQUIVALENT 1
MICHIGAN CRITICAL CARE CONSULTANTS, INC. (D.B.A MC3 INC.)
  SUBSTANTIALLY EQUIVALENT 2

MDR Year MDR Reports MDR Events
2021 1 2
2023 5 7
2024 134 160
2025 184 184
2026 10 10

Device Problems MDRs with this Device Problem Events in those MDRs
Insufficient Information 96 102
Adverse Event Without Identified Device or Use Problem 54 61
Noise, Audible 44 45
Unexpected Shutdown 37 40
Device Difficult to Setup or Prepare 37 41
Infusion or Flow Problem 30 36
Mechanical Problem 28 35
No Apparent Adverse Event 22 24
Electrical /Electronic Property Problem 21 21
Device Alarm System 19 19
Pumping Stopped 15 19
Display or Visual Feedback Problem 13 13
Overheating of Device 7 10
Fluid/Blood Leak 5 5
Use of Device Problem 4 4
Product Quality Problem 4 6
Excessive Heating 4 5
Failure to Interrogate 3 3
Communication or Transmission Problem 3 3
Power Problem 3 3
Decreased Pump Speed 2 2
No Audible Alarm 2 2
Increased Pump Speed 2 4
Failure to Power Up 2 2
Gas/Air Leak 2 2
Electrical Power Problem 2 3
Material Deformation 2 2
Fracture 2 2
Failure of Device to Self-Test 2 2
Vibration 1 1
Contamination /Decontamination Problem 1 1
Backflow 1 1
Pumping Problem 1 1
Component Missing 1 1
Obstruction of Flow 1 1
Display Difficult to Read 1 1
Calibration Problem 1 1
Premature Separation 1 1
Malposition of Device 1 1
No Display/Image 1 2
Improper or Incorrect Procedure or Method 1 1
No Flow 1 1
Disconnection 1 1

Patient Problems MDRs with this Patient Problem Events in those MDRs
No Clinical Signs, Symptoms or Conditions 274 294
Hemorrhage/Bleeding 13 15
Thrombosis/Thrombus 13 18
Multiple Organ Failure 11 12
Insufficient Information 8 9
Hemolysis 7 8
Heart Failure/Congestive Heart Failure 7 9
Tachycardia 5 6
Renal Failure 5 7
Ischemia Stroke 4 5
Low Blood Pressure/ Hypotension 4 4
Bacterial Infection 4 4
Stroke/CVA 4 6
Hypoxia 4 6
Ventricular Fibrillation 3 3
Cardiac Arrest 3 4
Atrial Fibrillation 3 4
Fungal Infection 3 3
Brain Injury 3 5
Air Embolism 3 3
Purulent Discharge 2 2
Septic Shock 2 2
Visual Impairment 2 4
Renal Impairment 2 3
Endocarditis 2 2
Sepsis 2 2
Thromboembolism 2 2
Hemothorax 2 3
Respiratory Failure 2 3
Abdominal Distention 1 2
Anemia 1 2
Muscle Weakness 1 1
Ischemia 1 1
Hemorrhagic Stroke 1 1
Hematoma 1 2
Cardiac Tamponade 1 1
Respiratory Acidosis 1 1
Exsanguination 1 1
Coagulation Disorder 1 1
Cardiogenic Shock 1 1
Hematuria 1 1
Bradycardia 1 1
Pneumonia 1 1
Low White Blood Cell Count 1 1
Convulsion/Seizure 1 1
Thrombocytopenia 1 1
Unspecified Respiratory Problem 1 1
Arrhythmia 1 2
Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available 1 1
Aortic Valve Insufficiency/ Regurgitation 1 1

Recalls
Manufacturer Recall Class Date Posted
1 Medtronic Perfusion Systems II Nov-14-2025
2 Thoratec LLC II Jan-15-2026
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