FDA Adverse Event Injury Summary report: N

ECLIPSE TRUNION 47MM, SLOTTED, TPS CAP

MDR report key: 22162006 · Received June 6, 2025

Report

Report Number
1220246-2025-02418
Event Type
Injury
Date Received
June 6, 2025
Date of Event
April 15, 2025
Report Date
September 29, 2025
Manufacturer
ARTHREX, INC.
Product Code
QHQ
UDI-DI
00888867276161
PMA / PMN Number
K183194
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
501

Narratives

Additional Manufacturer Narrative · 0

INVESTIGATION IS IN PROCESS. A FOLLOW-UP REPORT WILL BE PROVIDED UPON AVAILABILITY OF ADDITIONAL INFORMATION.

Additional Manufacturer Narrative · 0

ADDITIONAL INFORMATION: G3, H3, H6 COMPLAINT ALLEGATION IS NOT CONFIRMED BY THE ATTACHED STUDY FINDINGS PRESENTED IN THE SHOULDER ARTHROPLASTY REGISTRY CONDUCTED BY THE REGENTS OF THE UNIVERSITY OF MICHIGAN REGARDING IMPLANT REMOVAL. BASED ON THE INFORMATION PROVIDED WHICH MAY INCLUDE THE DEVICE (IF AVAILABLE AND RETURNED), PICTURES, VIDEOS, EVENT DESCRIPTION, AND ANY ADDITIONAL INFORMATION FROM THE FIELD, ARTHREX WAS ABLE TO CONCLUDE A MOST LIKELY CAUSE. THE MOST LIKELY CAUSE FOR THE REPORTED FAILURE CAN BE ATTRIBUTED TO A PATIENT-SPECIFIC EVENT.

Description of Event or Problem · 0

ON 04/15/2025, A CLINDEX NOTIFICATION WAS RECEIVED VIA EMAIL INDICATING THAT A PATIENT LISTED IN THE SHOULDER ARTHROPLASTY REGISTRY EXPERIENCED A SUBSCAPULARIS FAILURE. AS A RESULT, THE PATIENT UNDERWENT A REVISION PROCEDURE, CONVERTING TO A DIFFERENT TYPE OF ARTHROPLASTY. THE INITIAL ECLIPSE PROCEDURE HAD BEEN PERFORMED ON (B)(6) 2024. THE EVENT WAS DETERMINED TO BE UNRELATED TO THE ORIGINAL SURGERY. ADDITIONAL INFORMATION RECEIVED ON 05/14/2025: DURING THE REVISION SURGERY ON (B)(6) 2025, AN AR-9347-18 ARTHREX ECLIPSE HUMERAL HEAD, AN AR-9301-03 ARTHREX ECLIPSE CAGE SCREW LARGE, AN AR-9301-47CPC ARTHREX ECLIPSE TRUNION, AND AN AR-9106-03 ARTHREX UNIVERS VAULTLOCK GLENOID WERE EXPLANTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
603459 ECLIPSE TRUNION 47MM, SLOTTED, TPS CAP TOT ANAT SHOULDR PROSTH, UNCEM QHQ ARTHREX, INC. ECLIPSE TRUNION 47MM, SLOTTED, TPS CAP 21.00834 00888867276161

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Other