Catalog Number 620120121 |
Device Problems
Break (1069); Device-Device Incompatibility (2919)
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Patient Problem
Insufficient Information (4580)
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Event Date 04/16/2024 |
Event Type
malfunction
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Event Description
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It was reported that after respecting the humeral head and implanting the trial stem the surgeon sized the head resection, snapped the adapter at c and turned clockwise to h offset.When went to place from trialing it came loose.When brought to back table it was noticed small teeth like pieces inside of head were snapped off.The process was done again with one size up humeral head, the same thing happened.He then moved onto preparing the glenoid and once prepared he decide on a reverse.He had no issues with baseplate or trial glenosphere.He aligned the lines on the +0 shell trial and the 40+0r poly and an audible snap was heard.He then placed that construct on the stem and the poly would not stay snapped in place and dissociated once through trialing through rom thus creating a minor delay in surgical procedure.Doctor was satisfied with overall range of motion and x-rays of overall procedure.
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Manufacturer Narrative
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Product complaint # (b)(4).This report is being submitted pursuant to the provisions of 21 cfr, part 803 (and/or part 4, as applicable).This report may be based on information which has not been investigated or verified prior to the required reporting date.This report does not reflect a conclusion by depuy synthes, or its employees that the report constitutes an admission that the product, depuy synthes, or its employees caused or contributed to the potential event described in this report.If information is obtained that was not available for the initial report, a follow-up report will be filed as appropriate.
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Manufacturer Narrative
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Product complaint # (b)(4).Investigation summary : an analysis of the product could not be performed since a physical sample was not received for evaluation.An evaluation of the manufacturing record could not be performed as the required product identification number was not provided to complete the evaluation.As part of our company quality system process, all devices are manufactured, inspected, and distributed to approved specifications.Additional complaint information monitoring for potential safety signals will be conducted through complaint trending as part of the post-market surveillance.However, if the product or product id numbers are received at a later date, the investigation will be updated as applicable.
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Search Alerts/Recalls
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