ClearanceBrief
Recall Z-0131-2016 ยท PHX Shoulder Prosthesis, Reverse Configuration

Encore Medical, Lp

AltiVate Humeral Socket Shell Trial, Part Number 804-06-052 The glenoid baseplate is intended for cementless application with addition of screws for fixation. The humeral stem is intended for cemented or cementless use. This device may also be indicated in the salvage of previously failed surgical attempts. Shoulder reconstructive surgery should be reserved for patients who have failed non-operat

DateOct 16, 2015 (initiated Sep 15, 2015)
StatusTerminated
ReasonDifficulty assembling the shell trial to the broach and the retaining ring disassembled from the screw.
Root causeDevice Design
ActionThe firm, DJO Global, sent an "URGENT FIELD SAFETY NOTICE" letter dated 9/16/15 to affected consignees/customers. The letter described the product, problem, and actions to be taken. The consignees/customers were instructed quarantine the device, pass the notice on to all who need to be aware within your organization, contact customer service to place a replacement order and receive an RMA number; and to complete a response form and return the recalled device for a replacement. If you have any questions, please call (512) 834-6302 or by email at desiree.hubby@djoglobal.com.
Quantity20 units
DistributionUS Distribution to states of: PA, FL, ID, and CA.
FDA recordOpen on fda.gov

510(k) clearances named in this recall

K141990ENCORE HUMERAL SHOULDER STEM
Encore Medical L.P., Nov 7, 2014