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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: DEPUY IRELAND - 3015516266 INHANCE; SHOULDER INSTRUMENT - REAMER

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DEPUY IRELAND - 3015516266 INHANCE; SHOULDER INSTRUMENT - REAMER Back to Search Results
Catalog Number 620560060
Medical Device Problem Codes Break (1069); Failure to Cut (2587)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 05/14/2026
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
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.
 
Event or Problem Description
It was reported that patient underwent total shoulder replacement.The reamer was damaged on the metal anchor.The teeth were chipped and not cutting properly.
 
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Brand Name
INHANCE
Common Device Name
SHOULDER INSTRUMENT - REAMER
Manufacturer (Section D)
DEPUY IRELAND - 3015516266
loughbeg ringaskiddy co.
cork
EI 
Manufacturer Contact
elba bello
700 orthopaedic dr.
warsaw, IN 46581
9083863534
MDR Report Key25436666
Report Number1818910-2026-09847
Device Sequence Number10359057
Product Code HWR
UDI-Device Identifier10603295539513
UDI-Public(01)10603295539513(10)10027
Combination Product (Y/N)N
Initial Reporter StateNY
Initial Reporter CountryUS
PMA/510(K) Number
EXEMPT
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Health Professional,Company Representative,Distributor
Initial Reporter Occupation Physician
Type of Report Initial,Followup
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Operator of Device Health Professional
Device Catalogue Number620560060
Device Lot Number10027
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer06/03/2026
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Follow-Up
Initial Date Received by Manufacturer 05/14/2026
Supplement Date Received by Manufacturer07/10/2026
Initial Report FDA Received Date06/08/2026
Supplement Report FDA Received Date07/10/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Is the Device Labeled for Single Use? (Y/N) No
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Unknown
Patient Sequence Number1
Patient Age67 YR
Patient SexMale
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