BEUDAMED
    FDA Adverse Event Injury Summary report: N

    UNK SHOULDER GLENOID GLOBAL APG+

    MDR report key: 12760198 · Received November 7, 2021

    Report

    Report Number
    1818910-2021-24502
    Event Type
    Injury
    Date Received
    November 7, 2021
    Date of Event
    October 21, 2021
    Report Date
    October 21, 2021
    Manufacturer
    DEPUY ORTHOPAEDICS INC US
    Product Code
    HSD
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NC, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL
    Health Professional
    Yes

    Narratives

    Additional Manufacturer Narrative · 0

    PRODUCT COMPLAINT # (B)(4). IF INFORMATION IS OBTAINED THAT WAS NOT AVAILABLE FOR THE INITIAL MEDWATCH, A FOLLOW-UP MEDWATCH WILL BE FILED AS APPROPRIATE.

    Description of Event or Problem · 0

    PATIENT WAS REVISED DUE TO INSTABILITY. CONVERTED FROM TOTAL TO REVERSE. NOTHING FURTHER TO REPORT. DOI: UNKNOWN. DOR: (B)(6) 2021. RIGHT SHOULDER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1655382 UNK SHOULDER GLENOID GLOBAL APG+ SHOULDER GLENOID HSD DEPUY ORTHOPAEDICS INC US

    Patients

    Seq Age Sex Outcome Treatment
    1 Unknown Required Intervention APG GLENOID| HUMERAL HEAD| SIZE 12 GLOBAL ANATOMIC PROX BODY