inforMED
InjuryKWS

25MM VERSA-DIAL TAPER ADAPTOR

Received Jul 1, 2026 · Event occurred Jun 4, 2026

Report 0001825034-2026-01950 · MDR key 25678327

Device

Generic name

Shoulder Prosthesis, Reverse Configuration

Catalog number

118000

Lot number

J8005184

Product problems

  • Detachment of Device or Device Component

Patient

NA · Male

  • Insufficient Information

Narrative

Description of Event or Problem

IT WAS REPORTED THE GLENOSPHERE DISASSOCIATED FROM THE BASEPLATE. THE PATIENT UNDERWENT A REVISION. ATTEMPTS HAVE BEEN MADE AND NO FURTHER INFORMATION HAS BEEN PROVIDED.

Additional Manufacturer Narrative

(B)(4). D10: ITEM#: 115310, COMP RVRS SHLDR GLNSP STD 36MM, LOT#: J1961608. ITEM#: UNKNOWN, UNKNOWN BASEPLATE, LOT#: UNKNOWN. ITEM#: 110031399, HMRL TRAY STD, STD, LOT#: 67478189. ITEM#: 110031418, CR PROLONG 36MM BRNG STD, LOT#: 67246432. PRODUCT HAS BEEN RECEIVED BY ZIMMER BIOMET AND THE INVESTIGATION IS IN PROCESS. ONCE THE INVESTIGATION HAS BEEN COMPLETED, A FOLLOW-UP MDR WILL BE SUBMITTED.