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U.S. Department of Health and Human Services

TPLC - Total Product Life Cycle

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Device prosthesis, shoulder, hemi-, humeral, metallic uncemented
Regulation Description Shoulder joint humeral (hemi-shoulder) metallic uncemented prosthesis.
Product CodeHSD
Regulation Number 888.3690
Device Class 2


Premarket Reviews
ManufacturerDecision
ARTHREX INC.
  SUBSTANTIALLY EQUIVALENT 2
BIOCORE9, LLC.
  SUBSTANTIALLY EQUIVALENT 1
IMPLANTCAST GMBH
  SUBSTANTIALLY EQUIVALENT 1

MDR Year MDR Reports MDR Events
2020 658 658
2021 573 573
2022 508 508
2023 590 590
2024 697 697
2025 270 272

Device Problems MDRs with this Device Problem Events in those MDRs
Adverse Event Without Identified Device or Use Problem 1639 1641
Device Dislodged or Dislocated 423 423
Fracture 225 225
Osseointegration Problem 166 166
Appropriate Term/Code Not Available 133 133
Break 124 124
Difficult to Insert 110 110
Loosening of Implant Not Related to Bone-Ingrowth 85 85
Patient Device Interaction Problem 70 70
Detachment of Device or Device Component 69 69
Naturally Worn 68 68
Loss of or Failure to Bond 57 57
Loss of Osseointegration 45 45
Migration 44 44
Insufficient Information 35 35
Unstable 34 34
Positioning Failure 25 25
Material Deformation 16 16
Use of Device Problem 16 16
Device Damaged Prior to Use 13 13
Device-Device Incompatibility 13 13
Off-Label Use 12 12
Loose or Intermittent Connection 12 12
Manufacturing, Packaging or Shipping Problem 12 12
Tear, Rip or Hole in Device Packaging 11 11
Noise, Audible 10 10
Inaccurate Information 9 9
Malposition of Device 9 9
Crack 9 9
Difficult to Advance 8 8
No Apparent Adverse Event 7 7
Material Split, Cut or Torn 6 6
Defective Device 6 6
Packaging Problem 6 6
Material Twisted/Bent 6 6
Material Erosion 6 6
Device Appears to Trigger Rejection 5 5
Inadequacy of Device Shape and/or Size 5 5
Therapeutic or Diagnostic Output Failure 5 5
Positioning Problem 5 5
Mechanical Problem 5 5
Degraded 5 5
Device Markings/Labelling Problem 5 5
Failure to Advance 4 4
Material Separation 4 4
Corroded 4 4
Component Misassembled 3 3
Separation Failure 3 3
Patient-Device Incompatibility 3 3
Unintended Movement 3 3

Patient Problems MDRs with this Patient Problem Events in those MDRs
Unspecified Infection 696 696
Pain 641 641
No Clinical Signs, Symptoms or Conditions 342 342
Joint Dislocation 334 334
No Code Available 334 334
Joint Laxity 276 276
Insufficient Information 259 259
Unspecified Tissue Injury 213 213
Inadequate Osseointegration 212 212
Failure of Implant 181 181
Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available 176 176
Bone Fracture(s) 150 150
Loss of Range of Motion 135 135
Muscular Rigidity 41 41
Fall 41 41
Osteolysis 40 40
Hematoma 38 38
Implant Pain 36 36
No Information 35 35
No Known Impact Or Consequence To Patient 34 34
Muscle/Tendon Damage 32 32
Nerve Damage 32 32
Limited Mobility Of The Implanted Joint 31 31
Discomfort 31 31
No Consequences Or Impact To Patient 30 30
Foreign Body Reaction 29 29
Ossification 26 26
Inflammation 22 22
Unspecified Musculoskeletal problem 22 22
Adhesion(s) 19 19
Metal Related Pathology 17 17
Bacterial Infection 16 16
Hypersensitivity/Allergic reaction 15 15
Pneumonia 14 14
Not Applicable 14 14
Foreign Body In Patient 13 13
Fatigue 13 13
Erosion 13 15
Tissue Damage 12 12
Injury 12 12
Subluxation 12 12
Sepsis 11 11
Scar Tissue 10 10
Numbness 10 10
Pulmonary Embolism 9 9
Swelling/ Edema 8 8
Post Operative Wound Infection 8 8
No Patient Involvement 7 7
Fluid Discharge 7 7
Non-union Bone Fracture 7 7

Recalls
Manufacturer Recall Class Date Posted
1 Exactech, Inc. II Jan-22-2021
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