FDA Adverse Event
Injury
Summary report: N
UNK HUMERAL STEM
MDR report key: 24639878
·
Received March 19, 2026
Report
- Report Number
- 0001822565-2026-00852
- Event Type
- Injury
- Date Received
- March 19, 2026
- Date of Event
- February 25, 2026
- Report Date
- April 16, 2026
- Manufacturer
- ZIMMER BIOMET, INC.
- Product Code
- PHX
- PMA / PMN Number
- NI
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- LA, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
(B)(4) VAUCLIN, CAMERON ET AL (2025). CLINICAL OUTCOMES OF MODULAR SEGMENTAL MEGAPROSTHESIS FOR REVISION SHOULDER ARTHROPLASTY WITH SEVERE PROXIMAL HUMERUS BONE LOSS AT A MINIMUM TWO-YEAR FOLLOW-UP. JSES INTERNATIONAL, VOLUME 10, ISSUE 1, 101381 HTTPS://DOI.ORG/10.1016/J.JSEINT.2025.09.003. THE DEVICE WILL NOT BE RETURNED FOR ANALYSIS; HOWEVER, AN INVESTIGATION OF THE REPORTED EVENT IS IN PROGRESS. ONCE THE INVESTIGATION IS COMPLETED, A SUPPLEMENTAL MEDWATCH 3500A WILL BE SUBMITTED.
Description of Event or Problem · 0
IT WAS REPORTED IN A JOURNAL ARTICLE THAT A PATIENT UNDERWENT A SHOULDER REVISION PROCEDURE APPROXIMATELY 8 MONTHS POST IMPLANTATION DUE TO LOOSENING OF THE HUMERAL STEM. ATTEMPTS HAVE BEEN MADE AND NO ADDITIONAL INFORMATION IS AVAILABLE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 61681 | UNK HUMERAL STEM | PROSTHESIS, SHOULDER | PHX | ZIMMER BIOMET, INC. | NI | NI |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 83 YR | Unknown | Required Intervention| H |