InjuryKWS

DJO SURGICAL

Received Jul 8, 2026 · Event occurred Jun 18, 2026

Report 1644408-2026-01306 · MDR key 25755514

Device

Generic name

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

Manufacturer

Encore Medical L.p.

Catalog number

533-08-108

Lot number

926W2517D

Product problems

Unstable
Device Dislodged or Dislocated

Patient

67 YR · Female

Joint Dislocation
Joint Laxity

Narrative

Description of Event or Problem

REVISION SURGERY - DUE TO THE PATIENT WAS UNSTABLE AND DISLOCATING.

Additional Manufacturer Narrative

THE AGENT REPORTED THE PATIENT WAS UNSTABLE AND DISLOCATING. COMPLAINT HAS BEEN EVALUATED AND IS SIMILAR TO REPORT NUMBER 1644408-2022-00729; 530-14-108, S814 - STABILITY, POOR JOIN, S803 - DISLOCATION, REVISION SURGERY. IF ADDITIONAL INFORMATION REGARDING THE REPORTED EVENT IS SUBMITTED AT A FUTURE DATE, THIS INVESTIGATION WILL BE RE-EVALUATED.