FDA Adverse Event Injury Summary report: N

AEQUALIS ASCEND FLEX SHOULDER PROSTHESIS

MDR report key: 7937917 · Received October 5, 2018

Report

Report Number
3000931034-2018-00148
Event Type
Injury
Date Received
October 5, 2018
Report Date
September 13, 2018
Manufacturer
TORNIER S.A.S.
Product Code
KWS
PMA / PMN Number
K122698
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THIS IS THE INITIAL REPORT SUBMITTED REGARDING THIS SURGICAL EVENT AND MEDICAL DEVICE. THE SOURCE OF THIS REPORT LITERATURE : "INCREASED SCAPULAR SPINE FRACTURES AFTER REVERSE SHOULDER ARTHROPLASTY WITH A HUMERAL ONLAY SHORT STEM: AN ANALYSIS OF 485 CONSECUTIVE CASES" FRANCESCO ASCIONE FET AL., J SHOULDER ELBOW SURG, 2018 (JSE.2018.06.007).

Description of Event or Problem · 1

"FROM LITERATURE : ""INCREASED SCAPULAR SPINE FRACTURES AFTER REVERSE SHOULDER ARTHROPLASTY WITH A HUMERAL ONLAY SHORT STEM: AN ANALYSIS OF 485 CONSECUTIVE CASES"" FRANCESCO ASCIONE FET AL., J SHOULDER ELBOW SURG, 2018 (JSE.2018.06.007). 21 PATIENTS HAD SCAPULAR SPINE FRACTURE: NONOPERATIVE TREATMENT WAS USED IN 19 PATIENTS; 2 PATIENTS UNDERWENT ORIF (1 FOLLOWING SPINE NONUNION AND PERSISTENT PAIN; 1 AFTER A FALL AND CONSEQUENT FAILURE OF THE PREVIOUS PLATE FIXATION)".

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
780391 AEQUALIS ASCEND FLEX SHOULDER PROSTHESIS SHOULDER JOINT METAL PROSTHESIS KWS TORNIER S.A.S.

Patients

Seq Age Sex Outcome Treatment
1 Other