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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: DePuy Orthopaedics Inc US GLOBAL UNITE; Extremity Instruments : Stem Trials

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DePuy Orthopaedics Inc US GLOBAL UNITE; Extremity Instruments : Stem Trials Back to Search Results
Catalog Number 210008100
Medical Device Problem Code Contamination /Decontamination Problem (2895)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 08/07/2026
Type of Reportable Event Malfunction
Event or Problem Description
Size 98 trial stem of consigned glenoid top tray of delta extend set was found to have bubbles in the 2 strips of plastic/painting around the top of the stem.It is believed to be a contamination concern.Product was removed off the tray and placed out of circulation.The event did not occur during a surgical procedure.Was there any reported patient or user harm? no.Was there a significant delay? no.
 
Additional Manufacturer Narrative
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.D4: udi: the manufacturing date is currently not available.Therefore, the full udi is currently not available.
 
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Brand Name
GLOBAL UNITE
Common Device Name
Extremity Instruments : Stem Trials
Manufacturer (Section D)
DePuy Orthopaedics Inc US
700 orthopaedic drive
warsaw IN 46581 -098
Manufacturer Contact
elba bello
700 orthopaedic dr.
warsaw, IN 46581
+1(908)386-3534
MDR Report Key50476033
Report Number1818910-2026-14683
Device Sequence Number16033242
Product Code HWT
UDI-Device Identifier10603295085256
UDI-Public(01)10603295085256(10)7775360
Combination Product (Y/N)N
Initial Reporter CountryAS
PMA/510(K) Number
Exempt
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Foreign,Health Professional,User Facility,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial
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 Number210008100
Device Lot Number7775360
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Initial Date Received by Manufacturer 08/06/2026
Initial Report FDA Received Date08/27/2026
Was Device Evaluated by Manufacturer? (Y/N) No
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 SexUnknown
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