inforMED
InjuryPKC

DJO SURGICAL

Received Oct 8, 2025 · Event occurred Sep 11, 2025

Report 1644408-2025-01446 · MDR key 23251687

Device

Generic name

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

Catalog number

520-08-021

Lot number

1924A1438

Product problems

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

Patient

60 YR · Female

  • Pain
  • 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

IT WAS REPORTED THAT THE PATIENT REQUIRED REVISION SURGERY DUE TO SHOULDER PAIN.