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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
2019 829 829
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 2051 2053
Device Dislodged or Dislocated 579 579
Fracture 282 282
Osseointegration Problem 193 193
Appropriate Term/Code Not Available 160 160
Break 148 148
Difficult to Insert 124 124
Loss of Osseointegration 109 109
Loosening of Implant Not Related to Bone-Ingrowth 105 105
Naturally Worn 97 97
Detachment of Device or Device Component 85 85
Loss of or Failure to Bond 80 80
Insufficient Information 80 80
Patient Device Interaction Problem 72 72
Migration 55 55
Unstable 42 42
Positioning Failure 26 26
Use of Device Problem 24 24
Material Deformation 19 19
Device-Device Incompatibility 19 19
Loose or Intermittent Connection 16 16
Off-Label Use 15 15
Malposition of Device 15 15
Noise, Audible 14 14
Manufacturing, Packaging or Shipping Problem 13 13
Device Damaged Prior to Use 13 13
Material Erosion 11 11
Tear, Rip or Hole in Device Packaging 11 11
Packaging Problem 10 10
Inaccurate Information 9 9
Crack 9 9
Inadequacy of Device Shape and/or Size 9 9
Difficult to Advance 8 8
Fitting Problem 8 8
No Apparent Adverse Event 7 7
Patient-Device Incompatibility 6 6
Defective Device 6 6
Therapeutic or Diagnostic Output Failure 6 6
Failure to Advance 6 6
Migration or Expulsion of Device 6 6
Mechanical Problem 6 6
Mechanical Jam 6 6
Material Split, Cut or Torn 6 6
Material Twisted/Bent 6 6
Device Appears to Trigger Rejection 5 5
Positioning Problem 5 5
Difficult to Remove 5 5
Device Markings/Labelling Problem 5 5
Degraded 5 5
Material Separation 5 5

Patient Problems MDRs with this Patient Problem Events in those MDRs
Unspecified Infection 986 986
No Code Available 866 866
Pain 838 838
Joint Dislocation 458 458
No Clinical Signs, Symptoms or Conditions 353 353
Joint Laxity 284 284
Inadequate Osseointegration 279 279
Insufficient Information 276 276
Unspecified Tissue Injury 231 231
Bone Fracture(s) 198 198
Failure of Implant 197 197
Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available 178 178
Loss of Range of Motion 167 167
Hematoma 81 81
Not Applicable 78 78
No Consequences Or Impact To Patient 78 78
No Information 75 75
No Known Impact Or Consequence To Patient 67 67
Limited Mobility Of The Implanted Joint 56 56
Osteolysis 56 56
Injury 54 54
Discomfort 53 53
Fall 51 51
Muscular Rigidity 47 47
Foreign Body Reaction 41 41
Implant Pain 39 39
Nerve Damage 35 35
Muscle/Tendon Damage 32 32
Ossification 28 28
Tissue Damage 25 25
Unspecified Musculoskeletal problem 25 25
Inflammation 25 25
Adhesion(s) 22 22
Foreign Body In Patient 20 20
Stroke/CVA 19 19
Hypersensitivity/Allergic reaction 18 18
Bacterial Infection 18 18
Metal Related Pathology 17 17
Fatigue 15 15
Erosion 14 16
Pneumonia 14 14
Numbness 12 12
Scar Tissue 12 12
Subluxation 12 12
Sepsis 11 11
No Patient Involvement 11 11
Pulmonary Embolism 11 11
Swelling/ Edema 10 10
Osteopenia/ Osteoporosis 9 9
Post Operative Wound Infection 9 9

Recalls
Manufacturer Recall Class Date Posted
1 Ascension Orthopedics, Inc III Feb-02-2019
2 Exactech, Inc. II Jan-22-2021
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