MAUDE MDR 8367654

MDR report key
8367654
Report number
1644408-2019-00132
Event key
0
Event type
3
Date of event
2019-01-29
Date received
2019-02-25
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
3
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
TEFFANY HUTTO
Address
9800 METRIC BLVD AUSTIN TX 78758 US
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1TURON SHOULDERTURON PEGGED GLENOID, SZ 50MM, EPLUSENCORE MEDICAL L.P.PAO521-01-250521-01-250801N1013R N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-02-255201. R

Event Narratives#

N

Patient 1

THE REASON FOR THIS REVISION SURGERY WAS DUE TO LOOSENING OF GLENOID. THE PREVIOUS SURGERY AND THE REVISION DETAILED IN THIS INVESTIGATION OCCURRED OVER 3 YEARS AND 6 MONTHS APART. THERE IS NO INFORMATION IN THIS COMPLAINT ABOUT ANY PATIENT INJURIES, ACTIVITIES, OR ACCIDENTS THAT MAY HAVE CONTRIBUTED TO THE NEED FOR THIS REVISION SURGERY. THERE ARE NO REPORTED PRE-EXISTING PATIENT HEALTH CONDITIONS. THE HEALTHCARE PROFESSIONAL INDICATED THERE WAS NO DELAY IN SURGERY AND ANOTHER SUITABLE DEVICE WAS AVAILABLE FOR USE. THE REVISION SURGERY WAS COMPLETED AS INTENDED. THE DEVICE WAS DISPOSED OF AT THE HOSPITAL AND NOT MADE AVAILABLE TO DJO SURGICAL FOR EXAMINATION. A REVIEW OF THE IMPLANT DEVICE HISTORY RECORDS (DHR) SHOWS THAT THE REPORTED COMPONENT USED IN THE PREVIOUS SURGERY MET DESIGN AND MANUFACTURING REQUIREMENTS. THERE WERE NO NON-CONFORMING MATERIAL REPORTS (NCMRS) ASSOCIATED WITH THE PRODUCT THAT MAY HAVE CONTRIBUTED TO THE EVENT. THE DEVICE WAS WITHIN ITS EXPIRATION DATE AT THE TIME OF USE DURING THE PREVIOUS SURGERY. CUSTOMER COMPLAINT HISTORY OF THE REPORTED DEVICE SHOWED NO PRESENT TRENDS OR ON-GOING ISSUES THAT ARE IN NEED OF REVIEW. THE ROOT CAUSE OF THIS COMPLAINT WAS A REVISION SURGERY DUE TO LOOSENING OF GLENOID. THERE WERE NO FINDINGS DURING THIS INVESTIGATION THAT INDICATE THAT THE REPORTED DEVICE WAS THE SOURCE OR HAD A DIRECT CONNECTION WITH THE PATIENT'S LOOSENING. THERE ARE MANY FACTORS THAT MAY CONTRIBUTE TO THE EVENT THAT ARE OUTSIDE THE CONTROL OF DJO SURGICAL SUCH AS: LOOSE JOINTS FROM INADEQUATE SOFT TISSUE SUPPORT, DEGENERATIVE BONE, PATIENT BONE DETERIORATION, EXCESSIVE RANGE OF MOTION, PATIENT ACTIVITIES OR TRAUMA. INVENTORY CONTAINMENT IS NOT REQUIRED AS THERE ARE NO INDICATIONS OF A PRODUCT OR PROCESS ISSUE AFFECTING IMPLANT SAFETY OR EFFECTIVENESS.

D

Patient 1

REVISION SURGERY - DUE TO LOOSE GLENOID COMPONENT AND COMPROMISED ROTATOR CUFF. THIS GAVE REASON FOR TOTAL SHOULD ARTHROPLASTY (TSA) TO BE CONVERTED TO A REVERSE TOTAL SHOULDER ARTHROPLASTY (TSA).