inforMED
InjuryPKC

DJO SURGICAL

Received Sep 17, 2024 · Event occurred Aug 22, 2024

Report 1644408-2024-01430 · MDR key 20242859

Device

Generic name

Altivate Anatomic Cs, Humeral Stem And Neck Kit, Size 2

Catalog number

520-08-021

Lot number

1924A1340

Product problems

  • Adverse Event Without Identified Device or Use Problem
  • Adverse Event Without Identified Device or Use Problem

Patient

63 YR · Male

  • Unspecified Infection
  • Unspecified Infection

Narrative

Additional Manufacturer Narrative

COMPLAINT HAS BEEN EVALUATED AND IS SIMILAR TO: 1644408-2024-00266; 520-08-021, S808 - INFECTION, S803 - DISLOCATION, REVISION SURGERY. IF ADDITIONAL INFORMATION REGARDING THE REPORTED EVENT IS SUBMITTED AT A FUTURE DATE, THIS INVESTIGATION WILL BE RE-EVALUATED.

Description of Event or Problem

REVISION SURGERY - DUE TO INFECTION.