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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 589 589
2024 697 697
2025 352 354

Device Problems MDRs with this Device Problem Events in those MDRs
Adverse Event Without Identified Device or Use Problem 1675 1677
Device Dislodged or Dislocated 433 433
Fracture 233 233
Osseointegration Problem 170 170
Appropriate Term/Code Not Available 133 133
Break 127 127
Difficult to Insert 114 114
Loosening of Implant Not Related to Bone-Ingrowth 91 91
Patient Device Interaction Problem 72 72
Detachment of Device or Device Component 69 69
Naturally Worn 68 68
Loss of or Failure to Bond 66 66
Migration 46 46
Loss of Osseointegration 45 45
Insufficient Information 35 35
Unstable 34 34
Positioning Failure 25 25
Use of Device Problem 17 17
Material Deformation 16 16
Device-Device Incompatibility 13 13
Device Damaged Prior to Use 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
Mechanical Problem 6 6
Material Erosion 6 6
Defective Device 6 6
Packaging Problem 6 6
Material Twisted/Bent 6 6
Device Appears to Trigger Rejection 5 5
Inadequacy of Device Shape and/or Size 5 5
Degraded 5 5
Therapeutic or Diagnostic Output Failure 5 5
Positioning Problem 5 5
Device Markings/Labelling Problem 5 5
Material Separation 4 4
Corroded 4 4
Failure to Advance 4 4
Difficult to Remove 3 3
Unintended Movement 3 3
Patient-Device Incompatibility 3 3
Separation Failure 3 3

Patient Problems MDRs with this Patient Problem Events in those MDRs
Unspecified Infection 715 715
Pain 650 650
No Clinical Signs, Symptoms or Conditions 353 353
Joint Dislocation 338 338
No Code Available 334 334
Joint Laxity 284 284
Insufficient Information 276 276
Unspecified Tissue Injury 229 229
Inadequate Osseointegration 216 216
Failure of Implant 180 180
Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available 176 176
Bone Fracture(s) 154 154
Loss of Range of Motion 137 137
Muscular Rigidity 41 41
Fall 41 41
Osteolysis 40 40
Implant Pain 39 39
Hematoma 38 38
Foreign Body Reaction 35 35
No Information 35 35
No Known Impact Or Consequence To Patient 34 34
Nerve Damage 32 32
Muscle/Tendon Damage 32 32
Discomfort 31 31
Limited Mobility Of The Implanted Joint 31 31
No Consequences Or Impact To Patient 30 30
Ossification 26 26
Unspecified Musculoskeletal problem 25 25
Inflammation 23 23
Adhesion(s) 19 19
Metal Related Pathology 17 17
Bacterial Infection 16 16
Foreign Body In Patient 15 15
Hypersensitivity/Allergic reaction 15 15
Pneumonia 14 14
Not Applicable 14 14
Fatigue 13 13
Erosion 13 15
Subluxation 12 12
Injury 12 12
Tissue Damage 12 12
Sepsis 11 11
Scar Tissue 10 10
Numbness 10 10
Pulmonary Embolism 9 9
Post Operative Wound Infection 8 8
Swelling/ Edema 8 8
Fluid Discharge 7 7
No Patient Involvement 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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