FDA Adverse Event Injury Summary report: N

EQUINOXE PRIMARY SHOULDER COMPONENTS

MDR report key: 24376814 · Received February 18, 2026

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

Additional Manufacturer Narrative · 0

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.

Description of Event or Problem · 0

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