inforMED
InjuryKWS

DJO SURGICAL

Received Jul 6, 2026 · Event occurred Jun 16, 2026

Report 1644408-2026-01299 · MDR key 25727418

Device

Generic name

Altivate Reverse Glenosphere 36mm/+4mm W/retaining Screw

Catalog number

508-36-107

Lot number

4478A1255

Product problems

  • Device Dislodged or Dislocated

Patient

61 YR · Male

  • Joint Dislocation

Narrative

Additional Manufacturer Narrative

COMPLAINT HAS BEEN EVALUATED AND IS SIMILAR TO REPORT NUMBER 1644408-2024-01551; 508-36-107, S803 - DISLOCATION, 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 DISLOCATION.