InjuryKWS

DJO SURGICAL

Received Jun 25, 2026 · Event occurred Jun 8, 2026

Report 1644408-2026-01144 · MDR key 25628145

Device

Generic name

Altivate Reverse, Humeral Stem, Small Shell, Sz 8x108mm

Manufacturer

Encore Medical L.p.

Catalog number

533-08-108

Lot number

926W1262

Product problems

Fracture

Patient

75 YR · Female

Bone Fracture(s)

Narrative

Description of Event or Problem

REVISION SURGERY - DUE TO DISTAL HUMERAL FRACTURE.

Additional Manufacturer Narrative

THE AGENT REPORTED REVISION SURGERY DUE TO DISTAL HUMERAL FRACTURE. COMPLAINT HAS BEEN EVALUATED AND IS SIMILAR TO REPORT NUMBER 1644408-2019-00501; 530-12-108, S800 - REVISION SURGERY, REVISION SURGERY. IF ADDITIONAL INFORMATION REGARDING THE REPORTED EVENT IS SUBMITTED AT A FUTURE DATE, THIS INVESTIGATION WILL BE RE-EVALUATED.