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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
EXACTECH, 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
2021 228 231
2022 272 273
2023 362 366
2024 600 603
2025 764 764
2026 247 247

Device Problems MDRs with this Device Problem Events in those MDRs
Adverse Event Without Identified Device or Use Problem 856 860
Device Dislodged or Dislocated 425 428
Detachment of Device or Device Component 409 410
Naturally Worn 279 280
Loosening of Implant Not Related to Bone-Ingrowth 241 245
Fracture 221 222
Unstable 164 164
Insufficient Information 120 120
Break 65 65
Migration 39 39
Patient Device Interaction Problem 36 36
Mechanical Problem 31 31
Lack of Effect 26 26
Loss of or Failure to Bond 25 25
Structural Problem 23 23
Appropriate Term/Code Not Available 13 14
Noise, Audible 12 12
Unintended Movement 11 11
Inadequacy of Device Shape and/or Size 10 10
Material Deformation 7 7
Material Erosion 6 6
Loss of Osseointegration 5 5
Separation Failure 5 5
Patient-Device Incompatibility 4 4
Misassembly by Users 4 4
Defective Device 3 3
Positioning Problem 3 3
Osseointegration Problem 3 3
Separation Problem 3 3
Material Fragmentation 3 3
Difficult to Insert 3 3
Use of Device Problem 3 3
Malposition of Device 3 3
Crack 3 3
Fitting Problem 2 2
Unintended Collision 2 2
Activation, Positioning or Separation Problem 2 2
Improper or Incorrect Procedure or Method 2 2
Device-Device Incompatibility 2 2
Off-Label Use 2 2
No Apparent Adverse Event 2 2
Material Twisted/Bent 2 2
Device Difficult to Setup or Prepare 2 2
Degraded 2 2
Material Integrity Problem 2 2
Manufacturing, Packaging or Shipping Problem 2 2
Migration or Expulsion of Device 1 1
Audible Prompt/Feedback Problem 1 1
Misassembled 1 1
Peeled/Delaminated 1 1

Patient Problems MDRs with this Patient Problem Events in those MDRs
Pain 510 513
Failure of Implant 489 491
Insufficient Information 428 429
Joint Dislocation 402 403
Unspecified Infection 242 242
Joint Laxity 197 198
Bone Fracture(s) 146 146
Loss of Range of Motion 134 136
Bacterial Infection 130 130
Metal Related Pathology 125 125
Muscle/Tendon Damage 117 119
No Clinical Signs, Symptoms or Conditions 114 114
Osteolysis 90 90
Implant Pain 71 71
Subluxation 48 48
Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available 44 44
Inadequate Osseointegration 34 34
Discomfort 31 31
Unspecified Tissue Injury 20 20
Limb Fracture 17 17
Erosion 15 15
Fall 15 15
Swelling/ Edema 12 12
Inflammation 11 11
Osteopenia/ Osteoporosis 11 11
Purulent Discharge 9 9
Foreign Body In Patient 9 9
Numbness 8 8
Muscle Weakness 7 7
Fluid Discharge 7 7
Post Operative Wound Infection 7 7
Nerve Damage 7 7
Unspecified Musculoskeletal problem 6 6
Adhesion(s) 6 6
Hematoma 6 6
Erythema 6 6
Wound Dehiscence 5 5
Necrosis 5 5
Arthritis 5 5
Scar Tissue 5 5
Ossification 5 5
Weight Changes 5 5
Abdominal Pain 5 5
Diarrhea 5 5
Solid Tumour 3 3
Granuloma 3 3
Heart Failure/Congestive Heart Failure 3 3
Immobility of the joint 2 2
Non-union Bone Fracture 2 2
Abscess 2 2

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