Model Number 1136-41-026 |
Device Problem
Adverse Event Without Identified Device or Use Problem (2993)
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Patient Problem
Muscular Rigidity (1968)
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Event Date 11/01/2021 |
Event Type
Injury
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Manufacturer Narrative
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(b)(4).If information is obtained that was not available for the initial medwatch, a follow-up medwatch will be filed as appropriate.
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Event Description
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Patient was revised due to stiff shoulder on the left side and was revised to a reverse tsa.Patient has a prior mdr on (b)(6) 2021.Patient has a history of left tsa with loose glenoid component, explanted and revised on (b)(6) 2021.Doi: (b)(6) 2021 dor: (b)(6) 2021 left shoulder.
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Manufacturer Narrative
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Product complaint # (b)(4).Investigation summary : no device associated with this report was received for examination.The information received will be retained for potential series investigations if triggered by trend analysis, post market surveillance, or other events within the quality system.Depuy considers the investigation closed.Should additional information be received, the information will be reviewed and the investigation will be re-opened as necessary.Device history lot : the product investigation found no evidence suspecting an error in the manufacturing or material that would be a contributing factor in the reported allegation(s).A manufacturing records evaluation (mre) was not performed.
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Event Description
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A.Lot number: global unite head 44x18 ecc (110044610/68660z).B.Was the event due to natural progression? c.Please confirm the quantity of depuy cmw 2 20g (3322020/9242374).Answer: lot information is not available.It is not known if its natural progression.It would have been depuy 2 & the lot # is not known.
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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.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 joint reconstruction, or its employees that the report constitutes an admission that the product, depuy synthes joint reconstruction, or its employees caused or contributed to the potential event described in this report.H10 additional narrative: added: b5 and d10.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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Search Alerts/Recalls
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