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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

MDR Year MDR Reports MDR Events
2021 573 577
2022 509 513
2023 585 597
2024 693 697
2025 768 770
2026 369 369

Device Problems MDRs with this Device Problem Events in those MDRs
Adverse Event Without Identified Device or Use Problem 1830 1842
Device Dislodged or Dislocated 377 380
Fracture 241 243
Osseointegration Problem 224 225
Patient Device Interaction Problem 107 107
Difficult to Insert 101 102
Loosening of Implant Not Related to Bone-Ingrowth 92 93
Break 89 89
Naturally Worn 69 70
Detachment of Device or Device Component 56 57
Loss of or Failure to Bond 55 55
Migration 46 46
Unstable 41 43
Positioning Failure 33 33
Appropriate Device Problem Term/Code Not Available 27 31
Insufficient Device Problem Information 22 22
Material Deformation 20 20
Loss of Osseointegration 17 17
Use of Device Problem 16 16
No Apparent Adverse Event 15 15
Device Damaged Prior to Use 12 12
Off-Label Use 11 11
Inaccurate Information 9 9
Tear, Rip or Hole in Device Packaging 8 8
Noise, Audible 8 8
Crack 8 8
Difficult to Advance 7 7
Device-Device Incompatibility 7 7
Defective Device 6 6
Mechanical Problem 6 6
Device Appears to Trigger Rejection 6 6
Device Markings/Labelling Problem 5 5
Degraded 5 6
Improper or Incorrect Procedure or Method 5 5
Material Twisted/Bent 5 6
Inadequacy of Device Shape and/or Size 5 5
Packaging Problem 5 5
Malposition of Device 4 5
Material Erosion 4 4
Failure to Advance 4 4
Corroded 4 4
Separation Failure 3 3
Residue After Decontamination 3 3
Fitting Problem 3 3
Component Misassembled 3 3
Material Separation 3 3
Positioning Problem 3 3
Manufacturing, Packaging or Shipping Problem 3 3
Device Contaminated During Manufacture or Shipping 3 3
Connection Problem 3 3

Patient Problems MDRs with this Patient Problem Events in those MDRs
Unspecified Infection 791 794
Pain 607 614
No Clinical Signs, Symptoms or Conditions 411 416
Joint Laxity 360 363
Insufficient Information 347 348
Unspecified Tissue Injury 320 320
Joint Dislocation 300 303
Inadequate Osseointegration 236 237
Bone Fracture(s) 180 180
Failure of Implant 175 176
Appropriate Clinical Signs, Symptoms and Conditions Term/Code Not Available 149 149
Loss of Range of Motion 134 134
Implant Pain 49 50
Muscle/Tendon Damage 48 48
Osteolysis 37 38
Medical device site infection 35 35
Muscular Rigidity 34 34
Nerve Damage 34 34
Hematoma 33 33
Foreign Body Reaction 32 36
Extraskeletal ossification 28 28
Fall 27 27
Unspecified Musculoskeletal problem 26 26
Metal Related Pathology 26 26
Subluxation 23 23
Foreign Body In Patient 21 21
Hypersensitivity/Allergic reaction 20 20
Discomfort 20 20
Aseptic loosening 19 19
Inflammation 16 16
Periprosthetic fracture 14 14
Fatigue 13 13
Bacterial Infection 12 12
Erosion 12 14
Adhesion(s) 11 11
Swelling/ Edema 11 11
Sepsis 11 11
Bone Notching 11 11
Scar Tissue 9 9
Joint Impingement 9 9
Post Operative Wound Infection 9 9
Numbness 9 9
Nonunion/Delayed-union Bone Fracture 8 8
Pulmonary Embolism 7 7
Septic loosening 7 7
Limb Fracture 7 7
Fluid Discharge 7 7
Rheumatoid Arthritis 6 6
Pneumonia 6 6
Connective Tissue Disease 6 6

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