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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 2
BIOMET, INC.
  SUBSTANTIALLY EQUIVALENT 1
CATALYST ORTHOSCIENCE, INC.
  SUBSTANTIALLY EQUIVALENT 2
DEPUY LNC.
  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 1
TORNIER S.A.S.
  SUBSTANTIALLY EQUIVALENT 1

MDR Year MDR Reports MDR Events
2021 1358 1376
2022 1268 1393
2023 1750 1798
2024 2122 2132
2025 2318 2319

Device Problems MDRs with this Device Problem Events in those MDRs
Adverse Event Without Identified Device or Use Problem 4251 4328
Device Dislodged or Dislocated 1019 1073
Fracture 932 980
Unstable 518 557
Loosening of Implant Not Related to Bone-Ingrowth 504 515
Appropriate Term/Code Not Available 453 459
Break 351 362
Insufficient Information 255 262
Naturally Worn 242 242
Osseointegration Problem 229 241
Detachment of Device or Device Component 219 223
Migration 204 219
Loss of Osseointegration 130 130
Patient Device Interaction Problem 98 101
Loose or Intermittent Connection 70 71
Malposition of Device 63 63
Mechanical Problem 54 54
Crack 40 41
Loss of or Failure to Bond 37 39
Noise, Audible 31 31
Difficult to Insert 27 27
Material Fragmentation 26 26
Material Integrity Problem 26 28
Material Twisted/Bent 25 25
Positioning Failure 23 24
Mechanical Jam 22 22
Inadequacy of Device Shape and/or Size 22 22
Failure to Osseointegrate 21 21
Biocompatibility 19 19
No Apparent Adverse Event 19 20
Defective Device 19 19
Use of Device Problem 18 18
Inaccurate Information 17 17
Degraded 17 18
Migration or Expulsion of Device 17 17
Unintended Movement 17 17
Physical Resistance/Sticking 16 16
Material Erosion 16 17
Off-Label Use 15 15
Lack of Effect 15 15
Therapeutic or Diagnostic Output Failure 14 14
Device Appears to Trigger Rejection 13 13
Material Separation 13 13
Device Difficult to Setup or Prepare 12 12
Fitting Problem 11 11
Difficult to Remove 9 9
Material Deformation 9 9
Dull, Blunt 8 9
Material Split, Cut or Torn 8 8
Device Damaged by Another Device 8 8

Patient Problems MDRs with this Patient Problem Events in those MDRs
Unspecified Infection 1556 1593
No Clinical Signs, Symptoms or Conditions 1080 1109
Joint Dislocation 1052 1097
Insufficient Information 1027 1091
Failure of Implant 980 998
Pain 904 914
Joint Laxity 848 873
Implant Pain 553 560
Bone Fracture(s) 413 426
Loss of Range of Motion 342 352
Inadequate Osseointegration 320 331
Osteolysis 233 234
Muscle/Tendon Damage 192 198
Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available 183 186
Limb Fracture 174 175
Fall 172 173
Bacterial Infection 128 129
Subluxation 126 127
Metal Related Pathology 95 99
Discomfort 92 93
Foreign Body In Patient 82 85
Erosion 81 83
Unspecified Tissue Injury 77 77
Swelling/ Edema 66 66
Ossification 53 53
Post Operative Wound Infection 46 46
Inflammation 45 46
Osteopenia/ Osteoporosis 42 42
Hematoma 40 40
Hypersensitivity/Allergic reaction 27 27
Nerve Damage 26 26
Muscle Weakness 24 24
Non-union Bone Fracture 21 21
Scar Tissue 19 19
No Information 17 17
Cyst(s) 17 17
Ambulation Difficulties 17 17
Erythema 17 17
Fluid Discharge 16 16
Arthralgia 15 15
Foreign Body Reaction 14 15
Limited Mobility Of The Implanted Joint 14 14
Numbness 14 14
Adhesion(s) 14 14
Pulmonary Embolism 14 14
Sepsis 13 13
Arthritis 12 12
Unspecified Musculoskeletal problem 12 12
Seroma 11 11
Rupture 11 11

Recalls
Manufacturer Recall Class Date Posted
1 Encore Medical, LP II Sep-10-2025
2 Encore Medical, LP II Nov-08-2023
3 Encore Medical, LP II Sep-19-2023
4 Encore Medical, LP II Aug-23-2021
5 Exactech, Inc. II Mar-29-2024
6 Exactech, Inc. II Jan-18-2024
7 Tornier, Inc II Jun-28-2023
8 Tornier, Inc II Jul-12-2021
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