inforMED
InjuryHSD

VERSA-DIAL/COMP TI STD TAPER

Received May 18, 2026

Report 0001825034-2026-01337 · MDR key 25203777

Device

Generic name

Prosthesis, Shoulder

Catalog number

118001

Lot number

J7629976

Product problems

  • Adverse Event Without Identified Device or Use Problem

Patient

NA · Male

  • Pain
  • Loss of Range of Motion
  • Muscle/Tendon Damage
  • Aseptic loosening

Narrative

Additional Manufacturer Narrative

(B)(4). D10: ITEM#: 113057, VERSA-DIAL 50X27X50 HUM HEAD, LOT#: J7501632. ITEM#: 12-113558, COMPR 8MM HUM FRACT STEM PPS, LOT#: 66511856. G2: FOREIGN - EVENT OCCURRED IN MALAYSIA. THE DEVICE WILL NOT BE RETURNED FOR ANALYSIS; HOWEVER, AN INVESTIGATION OF THE REPORTED EVENT IS IN PROGRESS. ONCE THE INVESTIGATION IS COMPLETED, A SUPPLEMENTAL MEDWATCH 3500A WILL BE SUBMITTED.

Description of Event or Problem

IT WAS REPORTED THAT A PATIENT UNDERWENT A RIGHT SHOULDER HEMIARTHROPLASTY DUE TO HUMERAL NECK FRACTURE. THE PATIENT IS REQUESTING PRODUCT IDENTIFICATION TO SCHEDULE REVISION DUE TO PAIN AND LIMITED RANGE OF MOTION. PATIENT STATES ADDITIONAL RADIOLOGY REPORTS PROVIDE FINDINGS OF A COMPLETE TEAR OF THE TENDON AND SUSPICION OF LOOSENING. ATTEMPTS HAVE BEEN MADE AND NO FURTHER INFORMATION HAS BEEN PROVIDED.