FDA Adverse Event
Injury
Summary report: N
EASYTECH ANATOMIQUE
MDR report key: 21557847
·
Received March 10, 2025
Report
- Report Number
- 3009532798-2025-00014
- Event Type
- Injury
- Date Received
- March 10, 2025
- Date of Event
- February 12, 2025
- Report Date
- March 10, 2025
- Manufacturer
- FX SHOULDER SOLUTIONS
- Product Code
- HSD
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FR
- Reporter Occupation
- 003
Narratives
Additional Manufacturer Narrative · 0
THE EVENT TOOK PLACE OUTSIDE THE UNITED STATES (IN FRANCE) AND WAS ASSOCIATED WITH A PRODUCT THAT IS ALSO CLEARED FOR THE MARKET IN THE UNITED STATES.
Description of Event or Problem · 0
THE PATIENT WAS REVISED DUE TO A LOOSENING ON (B)(6) 2025. THE IMPLANTATION DATE WAS ON (B)(6) 2024. A CUP, A GLENOSPHERE, A METAGLENE, A POST EXTENSION, SCREWS AND A STEM WERE IMPLANTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2031966 | EASYTECH ANATOMIQUE | ANATOMIQUE SHOULDER PROSTHESIS | HSD | FX SHOULDER SOLUTIONS |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Hospitalization| R |