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