inforMED
InjuryKWS

DJO SURGICAL

Received Jun 24, 2026 · Event occurred Jun 10, 2026

Report 1644408-2026-01241 · MDR key 25614454

Device

Generic name

Rsp Baseplate, 30mm, W/p2 Coating

Catalog number

508-32-204

Lot number

769P3530

Product problems

  • Loosening of Implant Not Related to Bone-Ingrowth

Patient

73 YR · Female

  • Joint Laxity

Narrative

Additional Manufacturer Narrative

THE AGENT REPORTED A REVISION SURGERY DUE TO BASEPLATE LOOSENED. BASEPLATE, SCREWS, GLENOSPHERE AND HUMERAL POLY WERE EXPLANTED. PATIENT WAS IMPLANTED WITH HEMI ADAPTER AND HUMERAL HEAD. 72 YRS/MALE. COMPLAINT HAS BEEN EVALUATED AND IS SIMILAR TO REPORT NUMBER 1644408-2019-00725; (B)(4), S810 - DEVICE LOOSENING, REVISION SURGERY. IF ADDITIONAL INFORMATION REGARDING THE REPORTED EVENT IS SUBMITTED AT A FUTURE DATE, THIS INVESTIGATION WILL BE RE-EVALUATED.

Description of Event or Problem

REVISION SURGERY - DUE TO PATIENT'S BASEPLATE WAS LOOSE.