UNKNOWN SHOULDER HUMERAL CUP UNK SHOULDER HUMERAL CUP

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a foreign,literature report with the FDA on 2018-11-19 for UNKNOWN SHOULDER HUMERAL CUP UNK SHOULDER HUMERAL CUP manufactured by Depuy Orthopaedics Inc Us.

Event Text Entries

[127597127] (b)(4). If information is obtained that was not available for the initial medwatch, a follow-up medwatch will be filed as appropriate.
Patient Sequence No: 1, Text Type: N, H10


[127597128] Article received entitled influence of glenosphere size on the development of scapular notching: a prospective randomized study.
Patient Sequence No: 1, Text Type: D, B5


[129833627] (b)(4). Investigation summary: no device associated with this report was received for examination. Depuy synthes considers the investigation closed at this time. If information is obtained that was not available for the initial medwatch , a follow-up medwatch, will be filed as appropriate.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1818910-2018-75908
MDR Report Key8085367
Report SourceFOREIGN,LITERATURE
Date Received2018-11-19
Date of Report2018-11-01
Date of Event2018-01-01
Date Mfgr Received2018-12-06
Date Added to Maude2018-11-19
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMS. KARA DITTY-BOVARD
Manufacturer Street1210 WARD AVENUE
Manufacturer CityWEST CHESTER PA 19380XXXX
Manufacturer CountryUS
Manufacturer Postal19380XXXX
Manufacturer Phone6103142063
Manufacturer G1DEPUY ORTHOPAEDICS INC US
Manufacturer Street700 ORTHOPAEDIC DRIVE
Manufacturer CityWARSAW IN 465820988
Manufacturer CountryUS
Manufacturer Postal Code465820988
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameUNKNOWN SHOULDER HUMERAL CUP
Generic NameUNKNOWN SHOULDER HUMERAL CUP
Product CodeMJT
Date Received2018-11-19
Catalog NumberUNK SHOULDER HUMERAL CUP
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerDEPUY ORTHOPAEDICS INC US
Manufacturer Address700 ORTHOPAEDIC DRIVE WARSAW IN 465820988 US 465820988


Patients

Patient NumberTreatmentOutcomeDate
10 2018-11-19

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