inforMED
InjuryPKC

PERFORM NUCLEUS FC SIZE 2 - ANATOMIC

Received Apr 8, 2026 · Event occurred Feb 19, 2026

Report 0001649390-2026-00331 · MDR key 24817179

Device

Generic name

Prosthesis, Total Anatomic Shoulder, Uncemented Metaphyseal Humeral System

Manufacturer

Tornier Inc

Catalog number

DWM002A

Product problems

  • Adverse Event Without Identified Device or Use Problem

Patient

68 YR · Female

  • Fall
  • Pain

Narrative

Additional Manufacturer Narrative

BASED ON THE AVAILABLE INFORMATION THE DEVICE WILL NOT BE RETURNED THEREFORE AN EVALUATION OF THE DEVICE CANNOT BE PERFORMED. A REVIEW OF THE DEVICE HISTORY IS NOT POSSIBLE BECAUSE THE LOT NUMBER WAS NOT COMMUNICATED. SHOULD ADDITIONAL INFORMATION BECOME AVAILABLE, IT WILL BE PROVIDED IN A SUPPLEMENTAL REPORT.

Description of Event or Problem

SUBJECT: (B)(6). PHS STUDY. (B)(6) 2026. TRAUMATIC FALL. PARTICIPANT SUSTAINED A FALL ON SHOULDER WHILE WALKING DOG. X-RAY AND MUSCULOSKELETAL ULTRASOUND FINDINGS DEMONSTRATE INTACT SOFT TISSUE AND NO RELATIVE CHANGES TO IMPLANT. THEY REPORT INCREASED PAIN SINCE FALL. (B)(6) 2026. PARTICIPANT WAS DRYING HAIR AND FELT "SNAP" IN SHOULDER WITH EXCRUCIATING PAIN. PHYSICAL EXAM NEGATIVE FOR SOFT TISSUE DAMAGE. WILL REPEAT MSK ULTRASOUND ON (B)(6) 2026 IF PAIN PERSISTS. UPDATE #2 ((B)(6) 2026) REPEAT MUSCULOSKELETAL ULTRASOUND NEGATIVE FOR SOFT TISSUE DAMAGE OR DEVICE ISSUES. AN UNRECOGNIZABLE MASS IS PRESENT BETWEEN LESSER AND GREATER TUBEROSITIES. UPDATE 3 ((B)(6) 2026): CT FINDINGS AND SURGERY. NOT RELATED TO DEVICE/POSSIBLY RELATED TO PROCEDURE.