InjuryPKC

DJO SURGICAL

Received Apr 24, 2025 · Event occurred Apr 1, 2025

Report 1644408-2025-00488 · MDR key 21905973

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

1924A1355

Product problems

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

Patient

57 YR · Male

Implant Pain
Implant Pain

Narrative

Additional Manufacturer Narrative

COMPLAINT HAS BEEN EVALUATED AND IS SIMILAR TO REPORT NUMBER 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.

Description of Event or Problem

REVISION SURGERY - DUE TO PAIN.