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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 101 101

Device Problems MDRs with this Device Problem Events in those MDRs
Adverse Event Without Identified Device or Use Problem 794 798
Device Dislodged or Dislocated 411 414
Detachment of Device or Device Component 381 382
Naturally Worn 255 256
Loosening of Implant Not Related to Bone-Ingrowth 232 236
Fracture 208 209
Unstable 150 150
Insufficient Information 115 115
Break 65 65
Migration 38 38
Patient Device Interaction Problem 36 36
Mechanical Problem 27 27
Lack of Effect 26 26
Loss of or Failure to Bond 24 24
Structural Problem 22 22
Appropriate Term/Code Not Available 13 14
Noise, Audible 11 11
Unintended Movement 11 11
Inadequacy of Device Shape and/or Size 9 9
Material Deformation 6 6
Material Erosion 5 5
Patient-Device Incompatibility 4 4
Misassembly by Users 3 3
Use of Device Problem 3 3
Difficult to Insert 3 3
Positioning Problem 3 3
Defective Device 3 3
Separation Failure 3 3
Crack 3 3
Malposition of Device 3 3
Separation Problem 3 3
Material Integrity Problem 2 2
Material Fragmentation 2 2
Manufacturing, Packaging or Shipping Problem 2 2
Material Twisted/Bent 2 2
Off-Label Use 2 2
Device-Device Incompatibility 2 2
Improper or Incorrect Procedure or Method 2 2
Osseointegration Problem 2 2
Activation, Positioning or Separation Problem 2 2
Unintended Collision 2 2
Fitting Problem 2 2
Unsealed Device Packaging 1 1
Measurement System Incompatibility 1 1
Contamination /Decontamination Problem 1 1
Degraded 1 1
Failure to Align 1 1
Difficult to Advance 1 1
Material Puncture/Hole 1 1
Audible Prompt/Feedback Problem 1 1

Patient Problems MDRs with this Patient Problem Events in those MDRs
Failure of Implant 489 491
Pain 467 470
Insufficient Information 391 392
Joint Dislocation 387 388
Unspecified Infection 216 216
Joint Laxity 182 183
Bone Fracture(s) 135 135
Bacterial Infection 131 131
Loss of Range of Motion 127 129
Metal Related Pathology 109 109
Muscle/Tendon Damage 106 108
No Clinical Signs, Symptoms or Conditions 105 105
Osteolysis 75 75
Implant Pain 69 69
Subluxation 47 47
Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available 44 44
Inadequate Osseointegration 32 32
Discomfort 29 29
Unspecified Tissue Injury 19 19
Limb Fracture 16 16
Erosion 14 14
Fall 14 14
Inflammation 11 11
Swelling/ Edema 11 11
Osteopenia/ Osteoporosis 10 10
Purulent Discharge 9 9
Foreign Body In Patient 8 8
Fluid Discharge 7 7
Numbness 7 7
Nerve Damage 7 7
Erythema 6 6
Adhesion(s) 6 6
Unspecified Musculoskeletal problem 6 6
Arthritis 5 5
Diarrhea 5 5
Wound Dehiscence 5 5
Ossification 5 5
Abdominal Pain 5 5
Muscle Weakness 5 5
Necrosis 5 5
Hematoma 5 5
Weight Changes 5 5
Scar Tissue 4 4
Granuloma 3 3
Heart Failure/Congestive Heart Failure 3 3
Solid Tumour 3 3
Easy Bruising 2 2
Ambulation Difficulties 2 2
Cognitive Changes 2 2
Post Operative Wound Infection 2 2

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