DJO SURGICAL
Received Dec 10, 2024 · Event occurred Nov 14, 2024
Report 1644408-2024-01915 · MDR key 20898984
Device
Generic name
Altivate Anatomic Cs, Humeral Stem And Neck Kit, Size 2
Manufacturer
Encore Medical L.p.Catalog number
520-08-021
Lot number
1991A1165
Product problems
- Unstable
- Adverse Event Without Identified Device or Use Problem
- Unstable
- Adverse Event Without Identified Device or Use Problem
Patient
64 YR · Female
- Joint Dislocation
- Joint Dislocation
Narrative
Additional Manufacturer Narrative
SEE H6, H10, AND H11. COMPLAINT HAS BEEN EVALUATED AND IS SIMILAR TO REPORT NUMBER 1644408-2022-00807; 520-08-021, 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 PATIENT DISLOCATION.
Additional Manufacturer Narrative
ADDITIONAL REPORTING ON THIS EVENT WILL BE PROVIDED AS A SUPPLEMENTAL REPORT TO THIS DOCUMENT AS SOON AS IT BECOMES AVAILABLE.