EQUINOXE PRIMARY SHOULDER COMPONENTS
Report
- Report Number
- 1038671-2026-00168
- Event Type
- Injury
- Date Received
- February 18, 2026
- Date of Event
- January 28, 2026
- Report Date
- May 18, 2026
- Manufacturer
- EXACTECH, INC.
- Product Code
- KWT
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- AS
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
D10: 300-01-11 - EQ, HUMERAL STEM PRIMARY, PRESS FIT 11MM: 5143256. 300-10-15 - EQ REPLICATOR PLATE 1.5MM O/S: 5033535. 300-20-02 - EQ SQUARE TORQUE DEFINE SCREW DRIVE KIT: 5014765. 310-01-47 - EQ, HUMERAL HEAD SHORT, 47MM (BETA): 4808172. 314-02-13 - EQUINOXE GLENOID, PEGGED BETA, MEDIUM: 4903154. THE REPORTED EVENT WAS UNABLE TO BE CONFIRMED DUE TO LIMITED INFORMATION RECEIVED FROM THE CUSTOMER. NO DEVICE WAS RETURNED FOR EVALUATION; FURTHER, PHOTOGRAPHS AND/OR RADIOGRAPH IMAGES WERE NOT PROVIDED FOR REVIEW. OPERATIVE NOTES AND/OR MEDICAL RECORDS WERE NOT PROVIDED FOR REVIEW OF USAGE/TECHNIQUE. A DEFINITIVE ROOT CAUSE WAS UNABLE TO BE DETERMINED AS THE NECESSARY INFORMATION TO ADEQUATELY INVESTIGATE THE REPORTED EVENT WAS NOT PROVIDED. IF ANY FURTHER INFORMATION IS OBTAINED THAT WOULD CHANGE OR ALTER ANY INFORMATION PROVIDED, A SUPPLEMENTAL REPORT WILL BE FILED ACCORDINGLY.
IT WAS REPORTED THAT THE PATIENT UNDERWENT AN INITIAL TOTAL SHOULDER ARTHROPLASTY ON THE LEFT SIDE. SUBSEQUENTLY, THE PATIENT EXPERIENCED ROTATOR CUFF FAILURE. PATIENT WAS LAST KNOWN TO BE IN STABLE CONDITION FOLLOWING THE EVENT. NO FURTHER INFORMATION AVAILABLE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 14105 | EQUINOXE PRIMARY SHOULDER COMPONENTS | PROSTHESIS, SHOULDER, NON-CONSTRAINED, METAL/POLYMER CEMENTED | KWT | EXACTECH, INC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |