inforMED
InjuryION

NORCO SHOULDER PULLEY

Received Mar 23, 2012 · Event occurred May 30, 2011

Report 2939821-2011-00016 · MDR key 2504738

Device

Generic name

Shoulder Pulley

Model number

NC52069

Catalog number

NC52069

Lot number

NA

Product problems

  • Break

Patient

86 YR

  • Rupture
  • Injury

Narrative

Description of Event or Problem

ON (B)(6) 2011, CUSTOMER WAS REHABILITATING HIS LEFT SHOULDER, WHICH HAD RECENTLY UNDERGONE SURGERY, USING A NORCO SHOULDER PULLEY GIVEN TO HIM BY HIS TREATING PHYSICIAN. THE PULLEY'S WHEEL SNAPPED, CAUSING THE CUSTOMER TO SUSTAIN INJURY. ON (B)(6) 2011, THE CUSTOMER PRESENTED TO AN ORTHOPEDIC PRACTICE CENTER. PHYSICIAN'S ASSISTANT NOTED THAT THE CUSTOMER WAS WORKING OUT WITH HIS PULLEY TO MAINTAIN RANGE OF MOTION AFTER UNDERGOING A LEFT SHOULDER ARTHROPLASTY, WHEN THE PULLEY BROKE, CAUSING A FORCED EXTENSION INJURY TO THE RIGHT SHOULDER. X-RAYS OF THE RIGHT SHOULDER REVEALED A MASSIVE, UNREPAIRABLE ROTATOR CUFF TEAR AND SPONTANEOUS RUPTURE OF THE BICEPS TENDON. A GLENOHUMERAL JOINT INJECTION WAS ADMINISTERED FOR PAIN. ON (B)(6) 2011, THE CUSTOMER PRESENTED TO THE SAME ORTHOPEDIC PRACTICE CENTER. THE SAME PHYSICIAN'S ASSISTANT NOTED THAT THE CUSTOMER DECLINED SURGERY ON THE RIGHT SHOULDER, SO A GLENOHUMERAL JOINT INJECTION WAS ADMINISTERED. ON (B)(6) 2011, THE CUSTOMER PRESENTED TO THE SAME ORTHOPEDIC PRACTICE CENTER. PHYSICIAN'S ASSISTANT NOTED THAT THE CUSTOMER UNDERWENT A REPEAT INJECTION OF THE RIGHT SHOULDER, AND THAT HE WAS MARKEDLY DEBILITATED FROM HIS INJURY REGARDING THE PULLEY. THE CUSTOMER'S TREATING PHYSICIAN HAS PROVIDED A CAUSATION LETTER DOCUMENTING THAT HE HAS A PROBABLE CUFF TEAR WHICH PRESENTLY LEAVES HIS ARM FUNCTIONALLY WORTHLESS.