Catalog Number 113786045 |
Device Problems
Loss of or Failure to Bond (1068); Naturally Worn (2988)
|
Patient Problem
Insufficient Information (4580)
|
Event Date 01/12/2022 |
Event Type
Injury
|
Event Description
|
In 2011 the patient underwent a tsa for treating osteoarthritis in the shoulder joint glenoid.On an unknown date the patient underwent a revision procedure due to the loose shoulder blade component.The surgeon commented the following: 1.After the shoulder blade component in question was explanted, any replacing device was not implanted in the glenoid.Instead, ilium bone implantation was applied.The polyethylene area on the explanted shoulder blade component had worn out.2.A 112852110 head (lot # d97hy1) was replaced with a 112852120 head.
|
|
Manufacturer Narrative
|
Product complaint # (b)(4).If information is obtained that was not available for the initial medwatch, a follow-up medwatch will be filed as appropriate.
|
|
Manufacturer Narrative
|
Product complaint # (b)(4).This report is being submitted pursuant to the provisions of 21 cfr, part 803.This report may be based on information which has not been investigated or verified prior to the required reporting date.This report does not reflect a conclusion by depuy synthes joint reconstruction, or its employees that the report constitutes an admission that the product, depuy synthes joint reconstruction, or its employees caused or contributed to the potential event described in this report.If information is obtained that was not available for the initial report, a follow-up report will be filed as appropriate.
|
|
Manufacturer Narrative
|
Product complaint # (b)(4).Investigation summary: no device associated with this report was received for examination.The information received will be retained for potential series investigations if triggered by trend analysis, post market surveillance, or other events within the quality system.Depuy considers the investigation closed.Should additional information be received, the information will be reviewed and the investigation will be re-opened as necessary.Device history lot: the product investigation found no evidence suspecting an error in the manufacturing or material that would be a contributing factor in the reported allegation(s).A manufacturing records evaluation (mre) was not performed.
|
|
Search Alerts/Recalls
|