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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 573 577
2022 509 513
2023 586 598
2024 693 697
2025 766 768
2026 120 120

Device Problems MDRs with this Device Problem Events in those MDRs
Adverse Event Without Identified Device or Use Problem 2001 2013
Device Dislodged or Dislocated 466 469
Fracture 264 266
Osseointegration Problem 209 210
Appropriate Term/Code Not Available 133 138
Break 131 131
Difficult to Insert 124 125
Patient Device Interaction Problem 105 105
Loosening of Implant Not Related to Bone-Ingrowth 104 105
Naturally Worn 78 80
Detachment of Device or Device Component 77 78
Loss of or Failure to Bond 70 70
Loss of Osseointegration 54 54
Migration 52 52
Unstable 41 43
Insufficient Information 37 37
Positioning Failure 34 34
Material Deformation 19 19
Use of Device Problem 17 17
Device-Device Incompatibility 13 13
No Apparent Adverse Event 13 13
Device Damaged Prior to Use 13 13
Tear, Rip or Hole in Device Packaging 12 12
Off-Label Use 12 12
Loose or Intermittent Connection 12 12
Manufacturing, Packaging or Shipping Problem 12 12
Noise, Audible 11 11
Inaccurate Information 9 9
Crack 9 9
Malposition of Device 9 10
Difficult to Advance 8 8
Defective Device 7 7
Mechanical Problem 7 7
Device Appears to Trigger Rejection 6 6
Material Erosion 6 6
Material Twisted/Bent 6 7
Material Split, Cut or Torn 6 6
Packaging Problem 6 6
Inadequacy of Device Shape and/or Size 6 6
Positioning Problem 5 5
Therapeutic or Diagnostic Output Failure 5 5
Degraded 5 6
Device Markings/Labelling Problem 5 5
Corroded 4 4
Failure to Advance 4 4
Material Separation 4 4
Difficult to Remove 3 3
Unintended Movement 3 3
Connection Problem 3 3
Patient-Device Incompatibility 3 3

Patient Problems MDRs with this Patient Problem Events in those MDRs
Unspecified Infection 844 847
Pain 727 734
No Clinical Signs, Symptoms or Conditions 401 406
Joint Dislocation 359 362
Joint Laxity 341 344
No Code Available 334 334
Insufficient Information 322 323
Unspecified Tissue Injury 301 301
Inadequate Osseointegration 258 259
Failure of Implant 201 202
Bone Fracture(s) 189 189
Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available 178 178
Loss of Range of Motion 144 144
Osteolysis 46 47
Implant Pain 46 47
Muscle/Tendon Damage 43 43
Fall 42 42
Muscular Rigidity 41 41
Hematoma 39 39
Foreign Body Reaction 38 42
No Information 35 35
No Known Impact Or Consequence To Patient 34 34
Discomfort 34 34
Nerve Damage 32 32
Limited Mobility Of The Implanted Joint 31 31
No Consequences Or Impact To Patient 30 30
Ossification 30 30
Metal Related Pathology 27 27
Unspecified Musculoskeletal problem 26 26
Inflammation 23 23
Hypersensitivity/Allergic reaction 20 20
Subluxation 20 20
Adhesion(s) 19 19
Foreign Body In Patient 18 18
Bacterial Infection 17 17
Erosion 14 16
Fatigue 14 14
Pneumonia 14 14
Not Applicable 14 14
Swelling/ Edema 12 12
Tissue Damage 12 12
Injury 12 12
Sepsis 11 11
Scar Tissue 10 10
Numbness 10 10
Pulmonary Embolism 9 9
Post Operative Wound Infection 8 8
No Patient Involvement 7 7
Fluid Discharge 7 7
Limb Fracture 7 7

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