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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: EXACTECH, INC. EQUINOXE; PROSTHESIS, SHOULDER, HEMI-, HUMERAL, METALLIC UNCEMENTED

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EXACTECH, INC. EQUINOXE; PROSTHESIS, SHOULDER, HEMI-, HUMERAL, METALLIC UNCEMENTED Back to Search Results
Catalog Number 314-02-14
Medical Device Problem Code Naturally Worn (2988)
Health Effect - Clinical Code Unspecified Infection (1930)
Date of Event 03/10/2026
Type of Reportable Event Serious Injury
Additional Manufacturer Narrative
D10: 300-01-17 - equinoxe humeral stem primary press fit 17mm (b)(6); 300-10-15 - equinoxe replicator plate 1.5mm o/s (b)(6); 300-20-02 - equinox square torque define screw drive kit (b)(6); 310-01-50 - equinoxe, humeral head short, 50mm (beta) (b)(6); should additional relevant information be obtained, a follow-up mdr will be submitted accordingly.
 
Event or Problem Description
It was reported that a male patient, who had a left anatomic implant construct and presented to the surgeon¿s office with signs and symptoms of an infection.The patient was scheduled for an excision/ removal of the total shoulder arthroplasty and placement of an antibiotic spacer.The patient underwent the procedure and the implants were removed, and an antibiotic spacer was placed.There were no device breakages or surgical delays during the procedure.The patient was last known to be in stable condition following the event.X-ray imaging was provided.The explanted devices are not available for return as they were discarded by the hospital.Device images were provided.No further information.This is 1 of 2 reports for this event.
 
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Brand Name
EQUINOXE
Common Device Name
PROSTHESIS, SHOULDER, HEMI-, HUMERAL, METALLIC UNCEMENTED
Manufacturer (Section D)
EXACTECH, INC.
2320 nw 66 court
gainesville FL 32653
Manufacturer (Section G)
EXACTECH
2320 nw 66 ct
gainesville FL 32653
Manufacturer Contact
ashley harris
2320 nw 66 ct
gainesville, FL 32653
3523771140
MDR Report Key24811840
Report Number1038671-2026-00398
Device Sequence Number9601304
Product Code HSD
UDI-Device Identifier10885862084521
UDI-Public10885862084521
Combination Product (Y/N)N
Initial Reporter StateIN
Initial Reporter CountryUS
PMA/510(K) Number
K042021
Number of Events Summarized1
Summary Report (Y/N)N
Device Explanted Year2026
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Health Professional,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial
Report Date (Section B) 04/07/2026
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Operator of Device Health Professional
Device Expiration Date01/12/2014
Device Catalogue Number314-02-14
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 03/21/2026
Initial Report FDA Received Date04/07/2026
Was Device Evaluated by Manufacturer? (Y/N) Device Not Returned to Manufacturer
Date Device Manufactured01/14/2009
Is the Device Labeled for Single Use? (Y/N) Yes
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Initial
Patient Sequence Number1
Concomitant Medical Products
and Therapy/Usage Dates
SEE H11
Outcome Attributed to Adverse Event Hospitalization; Required Intervention;
Patient Age65 YR
Patient SexMale
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