inforMED
InjuryPHX

15 DEG AUGMENT BASEPLATE FULL WEDGE

Received Jun 17, 2026

Report 3002788818-2026-00082 · MDR key 25540837

Device

Generic name

Shoulder Prosthesis, Reverse Configuration

Catalog number

GBP-0990-502-15F

Lot number

700013268

Product problems

  • Adverse Event Without Identified Device or Use Problem

Patient

71 YR · Male

  • Pain
  • Peripheral Nervous Injury
  • Unspecified Nervous System Problem

Narrative

Description of Event or Problem

IT WAS REPORTED THAT, AFTER RIGHT RSA SURGERY HAD BEEN PERFORMED WITH THE AETOS SYSTEM ON (B)(6) 2024, THE CLINICAL SUBJECT EXPERIENCED AN ULNAR NERVE ISSUE. THIS ADVERSE EVENT WAS SOLVED BY A NERVE DECOMPRESSION SURGERY PERFORMED ON (B)(6) 2025. THE CURRENT OUTCOME OF THE SUBJECT IS NOT RECOVERED, PATIENT STILL COMPLAINTS OF ISSUES AT 1 YEAR FOLLOW UP.

Additional Manufacturer Narrative

INTERNAL COMPLAINT REFERENCE NUMBER: (B)(4). THIS COMPLAINT WAS OPENED BY SMITH+NEPHEW TO DOCUMENT A PATIENT COMPLICATION REPORTED THAT INCLUDES REFERENCE TO THE USE OF A SMITH+NEPHEW PRODUCT WITHOUT EVIDENCE ABOUT A SPECIFIC PRODUCT PROBLEM. THE REPORTED COMPLICATION RELATES TO KNOWN INHERENT PROCEDURAL RISKS THAT ARE APPROPRIATELY DOCUMENTED IN OUR RISK FILES. SMITH+NEPHEW WILL CONTINUE TO MONITOR TRENDS IN ACCORDANCE WITH OUR POST-MARKET SURVEILLANCE PROCESS AND TAKE NECESSARY ACTION AS REQUIRED IF ANTICIPATED SEVERITY AND/OR OCCURRENCE RATES ARE EXCEEDED. SMITH+NEPHEW HAS NO REASON TO SUSPECT THAT THE PRODUCT FAILED TO MEET ANY SPECIFICATIONS AT THE TIME OF MANUFACTURE. BASED ON OUR REVIEW OF ALL CURRENTLY AVAILABLE INFORMATION, WE ARE UNABLE TO CONFIRM A RELATIONSHIP BETWEEN THE REPORTED EVENT AND THE DEVICE OR IDENTIFY A DEFINITIVE ROOT CAUSE. HOWEVER, AS THE USE OF OUR PRODUCT CANNOT BE EXCLUDED AS A POTENTIAL CAUSE OR CONTRIBUTORY FACTOR TO THE REPORTED ISSUE, WE ARE SUBMITTING THIS REPORT IN ACCORDANCE WITH APPLICABLE REGULATIONS. IF ADDITIONAL INVESTIGATIVE FINDINGS OR INFORMATION BECOMES AVAILABLE THAT ALTERS THE CONCLUSIONS OF THIS REPORT, A FOLLOW-UP REPORT WILL BE SUBMITTED AS REQUIRED.