inforMED
MalfunctionPHX

SHOULDER SYSTEM

Received Jul 8, 2026 · Event occurred Jun 12, 2026

Report 3005180920-2026-00665 · MDR key 25747741

Device

Generic name

Short Humeral Diaphysis - Cementless - 7

Model number

04.01.0180

Lot number

2532746

Product problems

  • No Apparent Adverse Event

Patient

68 YR · Female

  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

BATCH REVIEW PERFORMED ON 25 JUN 2026 LOT 2532746: (B)(4) MANUFACTURED AND RELEASED ON 18-FEB-2026. EXPIRATION DATE: 2031-FEB-04. NO ANOMALIES FOUND RELATED TO THE PROBLEM. TO DATE, (B)(4) OF THE SAME LOT HAVE BEEN SOLD WITH NO SIMILAR REPORTED EVENT DURING THE PERIOD OF REVIEW.

Description of Event or Problem

DURING IMPLANT ASSEMBLY REMOVAL, THE ASSEMBLED IMPLANTS (DIAPHYSIS, METAPHYSIS, DOUBLE ECCENTRIC, METAL HEAD) DETACHED FROM THE BACK TABLE AND FELL TO THE FLOOR. THE MID-STEM COMPONENT BECAME TRAPPED IN THE PLASTIC BASE. DIFFERENT IMPLANT SIZES WERE USED. THE PROCEDURE WAS COMPLETED SUCCESSFULLY. A DELAY OF 30 MINUTES OCCURRED TO RETRIEVE AND REPLACE THE REQUIRED DEVICES.