InjuryHSD
DJO SURGICAL
Received Jun 5, 2026 · Event occurred May 18, 2026
Report 1644408-2026-01120 · MDR key 25417223
Device
Generic name
Altivate Reverse, Humeral Stem, Standard Shell, Sz 8x108mm
Manufacturer
Encore Medical LpModel number
530-08-108Lot number
406T1042
Product problems
- Adverse Event Without Identified Device or Use Problem
Patient
78 YR · Male
- Septic loosening
Narrative
Description of Event or Problem
EXPECTED PREVIOUS INFECTION. ASSOCIATED PAIN AND BONE LOSS, REMOVED EXISTING IMPLANTS AND RE-IMPLANTED TO FOR BETTER STABILITY AND REDUCTION OF PAIN.
Additional Manufacturer Narrative
COMPLAINT HAS BEEN EVALUATED AND IS SIMILAR TO REPORT NUMBER CC-00357236_1644408-2021-01550; 530-12-048, S807 - PAIN, S808 - INFECTION, REVISION SURGERY. IF ADDITIONAL INFORMATION REGARDING THE REPORTED EVENT IS SUBMITTED AT A FUTURE DATE, THIS INVESTIGATION WILL BE RE-EVALUATED.