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U.S. Department of Health and Human Services

TPLC - Total Product Life Cycle

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Device prosthesis, shoulder, non-constrained, metal/polymer cemented
Regulation Description Shoulder joint metal/polymer non-constrained cemented prosthesis.
Product CodeKWT
Regulation Number 888.3650
Device Class 2


Premarket Reviews
ManufacturerDecision
BIOMET ORTHOPEDICS
  SUBSTANTIALLY EQUIVALENT 1
FX SHOULDER USA, INC.
  SUBSTANTIALLY EQUIVALENT 1
IMPLANTCAST, GMBH
  SUBSTANTIALLY EQUIVALENT 3
SHOULDER INNOVATIONS, INC.
  SUBSTANTIALLY EQUIVALENT 1
TORNIER, INC.
  SUBSTANTIALLY EQUIVALENT 1
WALDEMAR LINK GMBH & CO KG
  SUBSTANTIALLY EQUIVALENT 1

MDR Year MDR Reports MDR Events
2020 215 215
2021 228 231
2022 273 274
2023 362 366
2024 601 604
2025 717 717

Device Problems MDRs with this Device Problem Events in those MDRs
Adverse Event Without Identified Device or Use Problem 843 847
Device Dislodged or Dislocated 415 418
Detachment of Device or Device Component 365 366
Loosening of Implant Not Related to Bone-Ingrowth 248 252
Naturally Worn 240 241
Fracture 211 212
Unstable 140 140
Insufficient Information 111 111
Break 81 81
Migration 35 35
Patient Device Interaction Problem 28 28
Appropriate Term/Code Not Available 26 27
Mechanical Problem 25 25
Lack of Effect 24 24
Loss of or Failure to Bond 23 23
Structural Problem 15 15
Noise, Audible 11 11
Inadequacy of Device Shape and/or Size 9 9
Material Erosion 8 8
Unintended Movement 7 7
Material Deformation 6 6
Loss of Osseointegration 5 5
Misassembly by Users 5 5
Patient-Device Incompatibility 4 4
Difficult to Insert 4 4
Loose or Intermittent Connection 3 3
Material Twisted/Bent 3 3
Material Fragmentation 3 3
Contamination /Decontamination Problem 3 3
Defective Device 3 3
Positioning Problem 3 3
Separation Failure 3 3
Crack 3 3
Malposition of Device 3 3
Separation Problem 3 3
Manufacturing, Packaging or Shipping Problem 2 2
Degraded 2 2
Use of Device Problem 2 2
Material Integrity Problem 2 2
Off-Label Use 2 2
Migration or Expulsion of Device 2 2
Inaccurate Information 2 2
Activation, Positioning or Separation Problem 2 2
Improper or Incorrect Procedure or Method 2 2
Fitting Problem 2 2
Device-Device Incompatibility 2 2
Biocompatibility 2 2
Unintended Collision 2 2
Difficult to Remove 1 1
Unsealed Device Packaging 1 1

Patient Problems MDRs with this Patient Problem Events in those MDRs
Failure of Implant 537 539
Pain 471 474
Joint Dislocation 395 396
Insufficient Information 361 362
Unspecified Infection 193 193
Joint Laxity 165 166
Bacterial Infection 163 163
Bone Fracture(s) 139 139
Loss of Range of Motion 124 126
Metal Related Pathology 102 102
No Clinical Signs, Symptoms or Conditions 100 100
Muscle/Tendon Damage 90 92
Osteolysis 76 76
Implant Pain 67 67
Subluxation 46 46
Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available 44 44
Inadequate Osseointegration 38 38
Discomfort 22 22
Unspecified Tissue Injury 17 17
Fall 17 17
Limb Fracture 16 16
No Information 14 14
No Code Available 14 14
Erosion 14 14
Swelling/ Edema 13 13
No Consequences Or Impact To Patient 13 13
Inflammation 12 12
Osteopenia/ Osteoporosis 11 11
Device Embedded In Tissue or Plaque 8 8
Purulent Discharge 8 8
Fluid Discharge 7 7
Foreign Body In Patient 7 7
Unspecified Musculoskeletal problem 6 6
Adhesion(s) 6 6
Erythema 6 6
Ossification 6 6
Necrosis 5 5
Wound Dehiscence 5 5
Numbness 5 5
Muscle Weakness 5 5
Weight Changes 5 5
Abdominal Pain 5 5
Nerve Damage 5 5
Diarrhea 5 5
No Known Impact Or Consequence To Patient 4 4
Hematoma 4 4
Ambulation Difficulties 3 3
Injury 3 3
Granuloma 3 3
Arthritis 3 3

Recalls
Manufacturer Recall Class Date Posted
1 Exactech, Inc. II Jan-18-2024
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