FDA Adverse Event
Injury
Summary report: N
DEPUY INHANCE REVERSE SHOULDER SYSTEM
MDR report key: 22730878
·
Received August 6, 2025
Report
- Report Number
- MW5174144
- Event Type
- Injury
- Date Received
- August 6, 2025
- Date of Event
- July 29, 2025
- Report Date
- July 30, 2025
- Manufacturer
- DEPUY IRELAND UC
- Product Code
- PHX
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Location
- MO, US
- Reporter Occupation
- 003
- Health Professional
- N
Narratives
Description of Event or Problem · 0
INVESTIGATIONAL DEVICE, DEPUY INHANCE REVERSE STEMLESS SHOULDER IMPLANT, HAD TO BE REVISED DUE TO PERIPROSTHETIC FRACTURE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 505558 | DEPUY INHANCE REVERSE SHOULDER SYSTEM | SHOULDER PROSTHESIS, REVERSE CONFIGURATION | PHX | DEPUY IRELAND UC | 5200-00-036 | 652705 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Female | Hospitalization| R |