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U.S. Department of Health and Human Services

TPLC - Total Product Life Cycle

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Device prosthesis, shoulder, semi-constrained, metal/polymer cemented
Regulation Description Shoulder joint metal/polymer semi-constrained cemented prosthesis.
Product CodeKWS
Regulation Number 888.3660
Device Class 2


Premarket Reviews
ManufacturerDecision
ARTHREX INC
  SUBSTANTIALLY EQUIVALENT 1
ARTHREX INC.
  SUBSTANTIALLY EQUIVALENT 1
BIOMET INC.
  SUBSTANTIALLY EQUIVALENT 1
CATALYST ORTHOSCIENCE, INC.
  SUBSTANTIALLY EQUIVALENT 2
DEPUY LNC.
  SUBSTANTIALLY EQUIVALENT 1
ENCORE MEDICAL, L.P
  SUBSTANTIALLY EQUIVALENT 1
ENCORE MEDICAL, L.P.
  SUBSTANTIALLY EQUIVALENT 2
EXACTECH, INC.
  SUBSTANTIALLY EQUIVALENT 1
LIMACORPORATE
  SUBSTANTIALLY EQUIVALENT 1
MEDACTA INTERNATIONAL S.A.
  SUBSTANTIALLY EQUIVALENT 1
SMITH & NEPHEW, INC.
  SUBSTANTIALLY EQUIVALENT 4
STRYKER CORPORATION (TORNIER, INC.)
  SUBSTANTIALLY EQUIVALENT 2
STRYKER GMBH
  SUBSTANTIALLY EQUIVALENT 2
TORNIER SAS
  SUBSTANTIALLY EQUIVALENT 1
ZIMMER INC.
  SUBSTANTIALLY EQUIVALENT 1

MDR Year MDR Reports MDR Events
2020 1567 1573
2021 1359 1359
2022 1268 1372
2023 1749 1758
2024 2122 2122
2025 1954 1955

Device Problems MDRs with this Device Problem Events in those MDRs
Adverse Event Without Identified Device or Use Problem 4573 4624
Device Dislodged or Dislocated 1266 1311
Fracture 1034 1049
Appropriate Term/Code Not Available 658 658
Loosening of Implant Not Related to Bone-Ingrowth 598 600
Unstable 532 568
Break 385 396
Insufficient Information 298 298
Naturally Worn 271 271
Detachment of Device or Device Component 263 263
Osseointegration Problem 233 243
Migration 221 234
Loss of Osseointegration 166 166
Loose or Intermittent Connection 122 122
Patient Device Interaction Problem 100 100
Malposition of Device 57 57
Difficult to Insert 55 55
Loss of or Failure to Bond 52 52
Mechanical Problem 45 45
Noise, Audible 36 36
Inadequacy of Device Shape and/or Size 35 35
Positioning Failure 32 32
Material Fragmentation 32 32
Crack 32 32
Material Twisted/Bent 29 29
Therapeutic or Diagnostic Output Failure 29 29
Material Integrity Problem 27 27
Unintended Movement 26 26
Mechanical Jam 26 26
Use of Device Problem 21 21
Failure to Osseointegrate 21 21
Material Erosion 20 22
Migration or Expulsion of Device 20 20
Defective Device 19 19
No Apparent Adverse Event 19 19
Device Difficult to Setup or Prepare 19 19
Biocompatibility 18 18
Material Separation 18 18
Inaccurate Information 17 17
Physical Resistance/Sticking 17 17
Degraded 17 17
Off-Label Use 16 16
Positioning Problem 15 15
Device Contaminated During Manufacture or Shipping 14 14
Device Appears to Trigger Rejection 13 13
Difficult to Remove 13 13
Device-Device Incompatibility 12 12
Material Deformation 12 12
Material Split, Cut or Torn 11 11
Fitting Problem 11 11

Patient Problems MDRs with this Patient Problem Events in those MDRs
Unspecified Infection 1731 1757
Joint Dislocation 1232 1269
Pain 1121 1124
Failure of Implant 1093 1100
No Clinical Signs, Symptoms or Conditions 1084 1088
Insufficient Information 1056 1103
Joint Laxity 817 840
Implant Pain 567 573
Bone Fracture(s) 456 466
No Code Available 387 387
Inadequate Osseointegration 365 375
Loss of Range of Motion 363 368
Osteolysis 224 224
Fall 220 220
Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available 218 218
Muscle/Tendon Damage 189 195
Limb Fracture 174 174
Bacterial Infection 138 138
Subluxation 125 125
Discomfort 109 109
No Information 101 101
No Known Impact Or Consequence To Patient 99 99
Erosion 95 95
Metal Related Pathology 94 94
Foreign Body In Patient 85 85
Ossification 68 68
Injury 67 67
Unspecified Tissue Injury 67 67
Swelling/ Edema 67 67
Hematoma 64 64
Limited Mobility Of The Implanted Joint 60 60
Inflammation 55 57
Post Operative Wound Infection 52 52
Osteopenia/ Osteoporosis 51 51
No Consequences Or Impact To Patient 46 46
Muscle Weakness 40 40
Tissue Damage 35 35
Hypersensitivity/Allergic reaction 29 29
Numbness 28 31
Foreign Body Reaction 27 27
Non-union Bone Fracture 27 27
Fluid Discharge 26 26
Nerve Damage 25 25
Erythema 25 25
Ambulation Difficulties 22 22
Adhesion(s) 22 22
Scar Tissue 22 22
Muscular Rigidity 21 21
Fever 20 20
Cyst(s) 18 18

Recalls
Manufacturer Recall Class Date Posted
1 Biomet, Inc. II Dec-17-2020
2 Biomet, Inc. II Apr-03-2020
3 Encore Medical, LP II Sep-10-2025
4 Encore Medical, LP II Nov-08-2023
5 Encore Medical, LP II Sep-19-2023
6 Encore Medical, LP II Aug-23-2021
7 Encore Medical, LP II Oct-16-2020
8 Exactech, Inc. II Mar-29-2024
9 Exactech, Inc. II Jan-18-2024
10 Exactech, Inc. II Nov-17-2020
11 Materialise N.V. II Aug-26-2020
12 Medacta Usa Inc II Jan-03-2020
13 Tornier, Inc II Jun-28-2023
14 Tornier, Inc II Jul-12-2021
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