InjuryPKC

DJO SURGICAL

Received Oct 17, 2024 · Event occurred Sep 19, 2024

Report 1644408-2024-01596 · MDR key 20477876

Device

Generic name

Altivate Anatomic Cs, Humeral Stem And Neck Kit, Size 3

Manufacturer

Encore Medical L.p.

Catalog number

520-08-024

Lot number

1925A1142

Product problems

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

Patient

69 YR · Male

Implant Pain
Implant Pain

Narrative

Description of Event or Problem

REVISION SURGERY - DUE TO PAIN IN SHOULDER.

Additional Manufacturer Narrative

COMPLAINT HAS BEEN EVALUATED AND IS SIMILAR TO:1644408-2022-01661; 520-08-021, S807 - PAIN, REVISION SURGERY IF ADDITIONAL INFORMATION REGARDING THE REPORTED EVENT IS SUBMITTED AT A FUTURE DATE, THIS INVESTIGATION WILL BE RE-EVALUATED.