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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ARTHREX, INC. MODULAR POST, 30MM; SHOULDR PROSTH, REVERSE CONFIG

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ARTHREX, INC. MODULAR POST, 30MM; SHOULDR PROSTH, REVERSE CONFIG Back to Search Results
Model Number MODULAR POST, 30MM
Medical Device Problem Code Patient Device Interaction Problem (4001)
Health Effect - Clinical Code Unspecified Infection (1930)
Date of Event 03/27/2026
Type of Reportable Event Serious Injury
Event or Problem Description
It was reported that after an inverse shoulder prosthesis surgery on (b)(6) 2026 the patient has developed an infection.On (b)(6) 2026 all implants were removed and the affected areas were cleansed and treated.A new prosthesis will be implanted in 6-8 weeks.
 
Additional Manufacturer Narrative
Investigation is in process.A follow-up report will be provided upon availability of additional information.
 
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Brand Name
MODULAR POST, 30MM
Common Device Name
SHOULDR PROSTH, REVERSE CONFIG
Manufacturer (Section D)
ARTHREX, INC.
1370 creekside boulevard
naples FL 34108 1945
Manufacturer (Section G)
ARTHREX, INC.
1370 creekside boulevard
naples FL 34108 1945
Manufacturer Contact
jared engle
8009337001
MDR Report Key24895145
Report Number1220246-2026-02241
Device Sequence Number10489025
Product Code PHX
UDI-Device Identifier00888867341852
UDI-Public(01)00888867341852(11)240801(17)290731(10)1644912347
Combination Product (Y/N)N
Initial Reporter CountryAU
PMA/510(K) Number
K193372
Number of Events Summarized1
Summary Report (Y/N)N
Device Explanted Year2026
Reporter Type Manufacturer
Report Source Foreign,Company Representative
Initial Reporter Occupation Administrator/Supervisor
Type of Report Initial
Report Date (Section B) 04/16/2026
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? No
Operator of Device Health Professional
Device Model NumberMODULAR POST, 30MM
Device Catalogue NumberAR-9582-30
Device Lot Number1644912347
Was Device Available for Evaluation? No
Distributor Facility Aware Date03/27/2026
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 03/27/2026
Initial Report FDA Received Date04/16/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured08/01/2024
Is the Device Labeled for Single Use? (Y/N) Yes
Usage of Device Initial
Patient Sequence Number1
Outcome Attributed to Adverse Event Other;
Patient SexUnknown
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