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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: EXACTECH, INC. EQUINOXE; PROSTHESIS, SHOULDER, NON-CONSTRAINED, METAL/POLYMER CEMENTED

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EXACTECH, INC. EQUINOXE; PROSTHESIS, SHOULDER, NON-CONSTRAINED, METAL/POLYMER CEMENTED Back to Search Results
Device Problem Adverse Event Without Identified Device or Use Problem (2993)
Patient Problem Insufficient Information (4580)
Event Date 01/23/2024
Event Type  Injury  
Manufacturer Narrative
Additional information, including the product investigation, will be submitted within 30 days of receipt.
 
Event Description
It was reported that a patient, right shoulder implanted on an unknown date, underwent a revision procedure on (b)(6) 2024.Their shoulder components were removed, and a competitor¿s shoulder was implanted.There were no surgical delays or device breakages during the procedure.No x-ray were able to be obtained.The patient was last known to be in stable condition following the event.No explanted devices are available for analysis.It is against hospital policy to return.No device images are available.No further information.
 
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Brand Name
EQUINOXE
Type of Device
PROSTHESIS, SHOULDER, NON-CONSTRAINED, METAL/POLYMER CEMENTED
Manufacturer (Section D)
EXACTECH, INC.
2320 nw 66 court
gainesville FL 32653
Manufacturer (Section G)
EXACTECH, INC.
2320 nw 66 court
gainesville FL 32653
Manufacturer Contact
miguel sosa
2320 nw 66 court
gainesville, FL 32653
3523164164
MDR Report Key18758795
MDR Text Key336004352
Report Number1038671-2024-00293
Device Sequence Number1
Product Code KWT
Combination Product (y/n)N
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Health Professional,Company Representative
Reporter Occupation Physician
Type of Report Initial
Report Date 02/22/2024
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received02/22/2024
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Health Professional
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Date Manufacturer Received01/24/2024
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
Patient Outcome(s) Required Intervention;
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