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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 508 512
2023 586 598
2024 693 697
2025 681 683

Device Problems MDRs with this Device Problem Events in those MDRs
Adverse Event Without Identified Device or Use Problem 1862 1874
Device Dislodged or Dislocated 457 460
Fracture 254 256
Osseointegration Problem 195 196
Appropriate Term/Code Not Available 133 138
Break 130 130
Difficult to Insert 123 124
Loosening of Implant Not Related to Bone-Ingrowth 99 100
Patient Device Interaction Problem 91 91
Naturally Worn 77 79
Detachment of Device or Device Component 76 77
Loss of or Failure to Bond 68 68
Loss of Osseointegration 50 50
Migration 48 48
Insufficient Information 37 37
Unstable 35 37
Positioning Failure 32 32
Material Deformation 19 19
Use of Device Problem 17 17
Device-Device Incompatibility 13 13
Device Damaged Prior to Use 13 13
No Apparent Adverse Event 12 12
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 10 10
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
Material Erosion 6 6
Material Twisted/Bent 6 7
Packaging Problem 6 6
Material Split, Cut or Torn 6 6
Therapeutic or Diagnostic Output Failure 5 5
Positioning Problem 5 5
Degraded 5 6
Device Appears to Trigger Rejection 5 5
Device Markings/Labelling Problem 5 5
Inadequacy of Device Shape and/or Size 5 5
Corroded 4 4
Failure to Advance 4 4
Material Separation 4 4
Difficult to Remove 3 3
Connection Problem 3 3
Unintended Movement 3 3
Patient-Device Incompatibility 3 3

Patient Problems MDRs with this Patient Problem Events in those MDRs
Unspecified Infection 793 796
Pain 693 700
No Clinical Signs, Symptoms or Conditions 388 393
Joint Dislocation 355 358
No Code Available 334 334
Joint Laxity 316 319
Insufficient Information 306 307
Unspecified Tissue Injury 270 270
Inadequate Osseointegration 243 244
Failure of Implant 194 195
Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available 178 178
Bone Fracture(s) 172 172
Loss of Range of Motion 142 142
Osteolysis 44 45
Implant Pain 44 45
Muscular Rigidity 41 41
Fall 41 41
Hematoma 39 39
Muscle/Tendon Damage 38 38
Foreign Body Reaction 37 41
No Information 35 35
No Known Impact Or Consequence To Patient 34 34
Discomfort 33 33
Nerve Damage 32 32
Limited Mobility Of The Implanted Joint 31 31
No Consequences Or Impact To Patient 30 30
Ossification 28 28
Metal Related Pathology 27 27
Unspecified Musculoskeletal problem 26 26
Inflammation 23 23
Adhesion(s) 19 19
Foreign Body In Patient 17 17
Hypersensitivity/Allergic reaction 17 17
Bacterial Infection 17 17
Subluxation 17 17
Not Applicable 14 14
Pneumonia 14 14
Fatigue 13 13
Erosion 13 15
Tissue Damage 12 12
Injury 12 12
Sepsis 11 11
Scar Tissue 10 10
Numbness 10 10
Swelling/ Edema 10 10
Pulmonary Embolism 9 9
Post Operative Wound Infection 8 8
Fluid Discharge 7 7
Limb Fracture 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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