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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: TORNIER S.A.S. UNKNOWN AEQUALIS ASCEND FLEX GLENOID SPHERE; PROSTHESIS SHOULDER JOINT METAL/POLYMER

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TORNIER S.A.S. UNKNOWN AEQUALIS ASCEND FLEX GLENOID SPHERE; PROSTHESIS SHOULDER JOINT METAL/POLYMER Back to Search Results
Catalog Number UNK_WTM
Device Problems Unstable (1667); Device Dislodged or Dislocated (2923); Osseointegration Problem (3003)
Patient Problems Seroma (2069); Inadequate Osseointegration (2646); Fluid Discharge (2686); Joint Laxity (4526); Implant Pain (4561)
Event Date 03/22/2022
Event Type  Injury  
Manufacturer Narrative
This complaint has been generated based on findings discovered during post market surveillance literature review.The alleged pain and fluid could not be confirmed, since the device was not returned for evaluation and no other additional information was received from the author.More detailed information about the patient medical history, the event circumstances, radiographs and the involved device(s) must be available in order to determine the root cause.If any additional information becomes available, the investigation will be reopened and re-evaluated accordingly.
 
Event Description
The manufacturer became aware of a pmcf final study report that was conducted northshore university healthsystem, us.The title of this report is ¿a retrospective data collection of the treatment of shoulder joint replacement with the aequalis ascend flex shoulder system¿, which is associated with the stryker ¿aequalis ascend flex shoulder ¿system.This report includes analysis of the clinical data that was collected on 179 patients, the cases in this study range from 2013-2020.During the review of the literature, it was not possible to establish a specific device detail, patient information, and at this time no additional device information is available.It was reported that one patient experienced increased pain and fluid, and a loose glenoid component was found seven months after surgery, which required removal.The report states: ¿seventy-nine-year-old developed increased pain and fluid following a standard total shoulder with the ascend flex for osteoarthritis.Seven months after the index surgery, the glenoid component was found to be loose and removed arthroscopically¿.
 
Manufacturer Narrative
Correction: h6 device code h1: this is not a summary report.The number of events summarized field is blank as this mdr submission pertains to one patient.
 
Event Description
The manufacturer became aware of a pmcf final study report that was conducted northshore university healthsystem, us.The title of this report is ¿a retrospective data collection of the treatment of shoulder joint replacement with the aequalis ascend flex shoulder system¿, which is associated with the stryker ¿aequalis ascend flex shoulder ¿system.This report includes analysis of the clinical data that was collected on 179 patients, the cases in this study range from 2013-2020.During the review of the literature, it was not possible to establish a specific device detail, patient information, and at this time no additional device information is available.It was reported that one patient experienced increased pain and fluid, and a loose glenoid component was found seven months after surgery, which required removal.The report states: ¿seventy-nine-year-old developed increased pain and fluid following a standard total shoulder with the ascend flex for osteoarthritis.Seven months after the index surgery, the glenoid component was found to be loose and removed arthroscopically¿.
 
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Brand Name
UNKNOWN AEQUALIS ASCEND FLEX GLENOID SPHERE
Type of Device
PROSTHESIS SHOULDER JOINT METAL/POLYMER
Manufacturer (Section D)
TORNIER S.A.S.
161 rue lavoisier
montbonnot saint-martin 38330
FR  38330
Manufacturer (Section G)
TORNIER S.A.S.
161 rue lavoisier
montbonnot saint-martin 38330
FR   38330
Manufacturer Contact
anna jusinski
325 corporate drive
mahwah, NJ 07430
2018315000
MDR Report Key14150722
MDR Text Key289682917
Report Number3000931034-2022-00191
Device Sequence Number1
Product Code KWS
Combination Product (y/n)N
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)Y
Report Source Manufacturer
Source Type Literature
Reporter Occupation Physician
Type of Report Initial,Followup
Report Date 03/28/2024
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received04/19/2022
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Lay User/Patient
Device Catalogue NumberUNK_WTM
Device Lot NumberUNKNOWN
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Date Manufacturer Received03/28/2024
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
Patient Outcome(s) Required Intervention;
Patient Age79 YR
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