inforMED
InjuryPKC

STEMLESS S 32

Received Oct 15, 2025 · Event occurred Sep 23, 2025

Report 1818910-2025-17501 · MDR key 23284997

Device

Generic name

Shoulder Implant - Humeral Anchor

Catalog number

520000032

Lot number

177326

Product problems

  • Migration
  • Migration

Patient

75 YR · Female

  • Joint Laxity
  • Joint Laxity

Narrative

Additional Manufacturer Narrative

PRODUCT COMPLAINT # (B)(4). INVESTIGATION SUMMARY: NO DEVICE ASSOCIATED WITH THIS REPORT WAS RECEIVED FOR EXAMINATION. THE PRODUCT INVESTIGATION FOUND NO EVIDENCE SUSPECTING AN ERROR IN THE MANUFACTURING OR MATERIAL THAT WOULD BE A CONTRIBUTING FACTOR IN THE REPORTED ALLEGATION(S). A RECORDS EVALUATION (MRE) WAS NOT PERFORM. AS PART OF OUR COMPANY QUALITY SYSTEM PROCESS, ALL DEVICES ARE MANUFACTURED, INSPECTED, AND DISTRIBUTED TO APPROVED SPECIFICATIONS. ADDITIONAL COMPLAINT INFORMATION MONITORING FOR POTENTIAL SAFETY SIGNALS WILL BE CONDUCTED THROUGH COMPLAINT TRENDING AS PART OF THE POST-MARKET SURVEILLANCE. IF ADDITIONAL INFORMATION IS MADE AVAILABLE, THE INVESTIGATION WILL BE UPDATED AS APPLICABLE. DEVICE HISTORY LOT: THE PRODUCT INVESTIGATION FOUND NO EVIDENCE SUSPECTING AN ERROR IN THE MANUFACTURING OR MATERIAL THAT WOULD BE A CONTRIBUTING FACTOR IN THE REPORTED ALLEGATION(S). A MANUFACTURING RECORDS EVALUATION (MRE) WAS NOT PERFORMED. ADDED: D10 CONCOMITANT.

Description of Event or Problem

IT WAS REPORTED THAT THE PATIENT HAD INITIAL SURGERY DONE ON (B)(6) 2024. PATIENT WAS DEALING WITH INSTABILITY ISSUES WITH DISLOCATIONS. THE SURGEON FELT THE PATIENT'S HUMERAL COMPONENT WAS IN VARUS AND THAT COULD BE CONTRIBUTING TO INSTABILITY. THEY REMOVED THE HUMERAL COMPONENTS AND OPTED FOR A STANDARD-LENGTH STEM IN HOPES TO STRAIGHTEN OUT THE HUMERAL SIDE. THEY ALSO SWAPPED OUT THE OLD GLENOSPHERE FOR A NEW ONE. A TRIAL REDUCTION WAS PERFORMED WITH A +0 HUMERAL SHELL AND +4 RETENTIVE POLY. THE SURGEON FELT IT WAS MUCH MORE STABLE, SO THE REAL IMPLANTS WERE OPENED AND IMPLANTED. STABILITY WAS CONFIRMED AND THE CLOSING PROCESS BEGAN. NO DELAYS OR ADVERSE EVENTS TOOK PLACE. DOI: (B)(6) 2024, DOR: UNKNOWN, AFFECTED SIDE: RIGHT SHOULDER.

Additional Manufacturer Narrative

THIS REPORT IS BEING SUBMITTED PURSUANT TO THE PROVISIONS OF 21 CFR, PART 803 (AND/OR PART 4, AS APPLICABLE). THIS REPORT MAY BE BASED ON INFORMATION WHICH HAS NOT BEEN INVESTIGATED OR VERIFIED PRIOR TO THE REQUIRED REPORTING DATE. THIS REPORT DOES NOT REFLECT A CONCLUSION BY DEPUY SYNTHES, OR ITS EMPLOYEES THAT THE REPORT CONSTITUTES AN ADMISSION THAT THE PRODUCT, DEPUY SYNTHES, OR ITS EMPLOYEES CAUSED OR CONTRIBUTED TO THE POTENTIAL EVENT DESCRIBED IN THIS REPORT. IF INFORMATION IS OBTAINED THAT WAS NOT AVAILABLE FOR THE INITIAL REPORT, A FOLLOW-UP REPORT WILL BE FILED AS APPROPRIATE.