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DJO SURGICAL 520-10-000Recalls & reported problems

Encore Medical, L.P. · AltiVate Anatomic, Short Humeral Stem, 10mm · Class 2 · Implant

Adverse event reports
11
Deaths reported
0
Injuries reported
11
Recalls naming it
0

Summary

The FDA's MAUDE database contains 11 adverse event reports that list this exact device (DI 00190446176015), received between Aug 13, 2019 and May 24, 2025 — classified as 11 injuries.

The most frequently reported specific device problem is “Device Dislodged or Dislocated” (2 reports).

6 other recalls cover devices cleared under the same FDA submission (K162024); they may or may not involve this specific model.

Reports come from manufacturers, hospitals and patients and are not verified by the FDA. A report does not prove the device caused the event, and counts can't be used to compare devices or estimate failure rates. How this data works · Data updated Oct 13, 2026.

Reports received per month

Nov 2023: 0 reportsDec 2023: 0 reportsJan 2024: 0 reportsFeb 2024: 0 reportsMar 2024: 0 reportsApr 2024: 0 reportsMay 2024: 0 reportsJun 2024: 0 reportsJul 2024: 0 reportsAug 2024: 0 reportsSep 2024: 0 reportsOct 2024: 1 reportsNov 2024: 0 reportsDec 2024: 0 reportsJan 2025: 0 reportsFeb 2025: 0 reportsMar 2025: 0 reportsApr 2025: 0 reportsMay 2025: 1 reportsJun 2025: 0 reportsJul 2025: 0 reportsAug 2025: 0 reportsSep 2025: 0 reportsOct 2025: 0 reportsNov 2025: 0 reportsDec 2025: 0 reportsJan 2026: 0 reportsFeb 2026: 0 reportsMar 2026: 0 reportsApr 2026: 0 reportsMay 2026: 0 reportsJun 2026: 0 reportsJul 2026: 0 reportsAug 2026: 0 reportsSep 2026: 0 reportsOct 2026: 0 reports2024202520261
Last 36 months. The most recent month may be incomplete.

Most reported problems

Device problems

  • Adverse Event Without Identified Device or Use Problem4
  • Appropriate Device Problem Term/Code Not Available3
  • Device Dislodged or Dislocated2
  • Unstable2
  • Fracture1
  • Loosening of Implant Not Related to Bone-Ingrowth1
  • Therapeutic or Diagnostic Output Failure1

Patient problems

  • Pain3
  • Appropriate Clinical Signs, Symptoms and Conditions Term/Code Not Available2
  • Implant Pain2
  • Insufficient Information2
  • Failure of Implant1
  • Impaired Healing1
  • Joint Laxity1
  • Loss of Range of Motion1

Recent adverse event reports

The 11 most recent of 11 reports, in the reporter's own words as published by the FDA.

  • InjuryMay 24, 2025Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem

    REVISION SURGERY - DUE TO ANATOMIC EXPLANTED AND REVERSE IMPLANTED, REASON UNKNOWN.

    Patient problems: Insufficient Information

    MAUDE report 22082397 ↗
  • InjuryOct 4, 2024Unstable; Adverse Event Without Identified Device or Use Problem; Unstable; Adverse Event Without Identified Device or Use Problem

    REVISION SURGERY - DUE TO INSTABILITY AND PAIN.

    Patient problems: Implant Pain; Joint Laxity

    MAUDE report 20378169 ↗
  • InjuryMay 19, 2023Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem

    REVISION SURGERY - DUE TO PAIN.

    Patient problems: Implant Pain

    MAUDE report 16969436 ↗
  • InjuryJun 9, 2022Loosening of Implant Not Related to Bone-Ingrowth

    REVISION SURGERY - PATIENT PRESENTED WITH PAIN AND LACK OF MOTION IN THE RIGHT SHOULDER. A DIAGNOSTIC ARTHROSCOPY WAS PERFORMED DURING WHICH THE GLENOID COMPONENT WAS NOTED TO BE LOOSE. CULTURES WERE TAKEN AND GREW OUT P.ACNE AND THE FIRST STAGE REVISION TO REMOVE THE COMPONENTS .

    Patient problems: Loss of Range of Motion; Pain

    MAUDE report 14646030 ↗
  • InjuryFeb 17, 2022Appropriate Device Problem Term/Code Not Available

    REVISION SURGERY - SUBSCAP ON THE TOTAL SHOULDER ARTHROPLASTY FAILED AND NEEDED TO CONVERT TO A REVERSE SHOULDER.

    Patient problems: Failure of Implant

    MAUDE report 13548619 ↗
  • InjuryDec 20, 2021Device Dislodged or Dislocated

    REVISION SURGERY : DUE TO DISLOCATION OF SHOULDER CAUSING THE NEED FOR A FULL REVISION.

    Patient problems: Appropriate Clinical Signs, Symptoms and Conditions Term/Code Not Available

    MAUDE report 13046944 ↗
  • InjuryDec 14, 2021Fracture; Appropriate Device Problem Term/Code Not Available

    REVISION SURGERY - LACK OF MOTION DUE TO PREVIOUS FRACTURE CAUSING BONE SPURS.

    Patient problems: Insufficient Information

    MAUDE report 13002031 ↗
  • InjuryNov 13, 2020Therapeutic or Diagnostic Output Failure

    REVISION SURGERY - DUE TO PATIENT CONVERTED TO REVERSE DUE TO SUBSCAPULARIS FAILURE.

    Patient problems: Appropriate Clinical Signs, Symptoms and Conditions Term/Code Not Available

    MAUDE report 10838721 ↗
  • InjuryJun 3, 2020Unstable; Device Dislodged or Dislocated

    REVISION SURGERY - PATIENT WAS UNSTABLE AND DISLOCATED.

    Patient problems: No Code Available

    MAUDE report 10114742 ↗
  • InjuryJan 28, 2020Appropriate Device Problem Term/Code Not Available

    REVISION SURGERY - DUE TO PATIENT COMPLAINING OF PAIN.

    Patient problems: Pain

    MAUDE report 9638090 ↗
  • InjuryAug 13, 2019Adverse Event Without Identified Device or Use Problem

    REVISION SURGERY: DUE TO FAILURE OF SUBSCAPULARIS HEALING, CAUSING PAIN. ORIGINAL SURGERY WAS A HEMI-ARTHROPLASTY FOR AVASCULAR NECROSIS.

    Patient problems: Impaired Healing; Pain

    MAUDE report 8889379 ↗

Recalls under the same FDA submission

These recalls involve devices cleared under K162024. One submission often covers many models, so check the product and lot details in each record.

  • Z-2331-2021 · Jun 28, 2021 · Open, Classified
    AltiVate Anatomic Shoulder System for the following Part Numbers: 1. Part # 520-08-00, Rev. C., 2. Part # 520-10-000, 3. Part # 520-12-000, 4. Part # 520-14-000, 5. Part # 520-
  • Z-1259-2018 · Jan 29, 2018 · Completed
    Altivate Anatomic(TM) INSTRUMENTATION, PEGGED GLENOID TRIAL, SIZE 50mm, REF 804-07-500 Product Usage: The AltiVate Anatomic Shoulder System is a total shoulder system indicated as
  • Z-1256-2018 · Jan 29, 2018 · Completed
    Altivate Anatomic(TM) INSTRUMENTATION, PEGGED GLENOID TRIAL, SIZE 38mm, REF 804-07-380 Product Usage: The AltiVate Anatomic Shoulder System is a total shoulder system indicated as
  • Z-1260-2018 · Jan 29, 2018 · Completed
    Altivate Anatomic(TM) INSTRUMENTATION, PEGGED GLENOID TRIAL, SIZE 54mm, REF 804-07-540 Product Usage: The AltiVate Anatomic Shoulder System is a total shoulder system indicated
  • Z-1257-2018 · Jan 29, 2018 · Completed
    Altivate Anatomic(TM) INSTRUMENTATION, PEGGED GLENOID TRIAL, SIZE 42mm, REF 804-07-420 Product Usage: The AltiVate Anatomic Shoulder System is a total shoulder system indicated as
  • Z-1258-2018 · Jan 29, 2018 · Completed
    Altivate Anatomic(TM) INSTRUMENTATION, PEGGED GLENOID TRIAL, SIZE 46mm, REF 804-07-460 Product Usage: The AltiVate Anatomic Shoulder System is a total shoulder system indicated as

Other prosthesis, shoulder, semi-constrained, metal/polymer + additive, cemented devices

All prosthesis, shoulder, semi-constrained, metal/polymer + additive, cemented devices →

Sources: FDA GUDID, MAUDE and Medical Device Recalls via openFDA. openFDA data is not validated for clinical or regulatory use.