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DJO SURGICAL 530-16-108Recalls & reported problems

Encore Medical, L.P. · ALTIVATE REVERSE, HUMERAL STEM, STANDARD SHELL, SZ 16X108mm · Class 2 · Implant

Data updated Oct 18, 2026 from official FDA records · Editorial policy

Adverse event reports
4
Deaths reported
0
Injuries reported
4
Recalls naming it
0

Summary

The FDA's MAUDE database contains 4 adverse event reports that list this exact device (DI 00888912168519), received between Mar 3, 2020 and Nov 1, 2024 — classified as 4 injuries.

The most frequently reported specific device problem is “Device Dislodged or Dislocated” (1 report).

3 other recalls cover devices cleared under the same FDA submission (K141990); 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. What reports can and can't tell you · How this data works · Data updated Oct 18, 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: 0 reportsNov 2024: 1 reportsDec 2024: 0 reportsJan 2025: 0 reportsFeb 2025: 0 reportsMar 2025: 0 reportsApr 2025: 0 reportsMay 2025: 0 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 Problem2
  • Appropriate Device Problem Term/Code Not Available2
  • Device Dislodged or Dislocated1
  • Loose or Intermittent Connection1

Patient problems

  • Insufficient Information1
  • Joint Dislocation1
  • Joint Laxity1
  • No Code Available1
  • No Known Impact Or Consequence To Patient1

Recent adverse event reports

The 4 most recent of 4 reports, in the reporter's own words as published by the FDA.

  • InjuryNov 1, 2024Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem

    REVISION SURGERY - DUE TO DISLOCATION AND INSTABILITY.

    Patient problems: Joint Dislocation; Joint Laxity

    MAUDE report 20593675 ↗
  • InjuryJul 25, 2022Device Dislodged or Dislocated; Appropriate Device Problem Term/Code Not Available

    REVISION SURGERY - PATIENT DISLOCATED HIS REVERSE SHOULDER AND HAS BEEN CHRONICALLY UNSTABLE. SURGEON REMOVED THE STEM SPACER AND LINER AND DID NOT IMPLANT ANY NEW IMPLANTS.

    Patient problems: Insufficient Information

    MAUDE report 15099558 ↗
  • InjuryAug 5, 2020Loose or Intermittent Connection; Appropriate Device Problem Term/Code Not Available

    REVISION SURGERY - HUMERAL STEM CAME LOOSE.

    Patient problems: No Known Impact Or Consequence To Patient

    MAUDE report 10367498 ↗
  • InjuryMar 3, 2020Adverse Event Without Identified Device or Use Problem

    REVISION SURGERY - REVISED TO REVERSE SHOULDER.

    Patient problems: No Code Available

    MAUDE report 9779829 ↗

Recalls under the same FDA submission

These recalls involve devices cleared under K141990. One submission often covers many models, so check the product and lot details in each record.

  • Z-1241-2018 · Jan 30, 2018 · Terminated
    AltiVate Reverse INSTRUMENTATION, HUMERAL SOCKET SHELL TRIAL, STANDARD, REF 804-06-152, Qty: 01, Encore Medical, LP Orthopedic surgical instrument. Product Usage: The humeral soc
  • Z-0626-2016 · Dec 8, 2015 · Terminated
    AltiVate Reverse Humeral Broach, Size 10 Catalog number 804-06-040, Size 14 Catalog number 804-06-044, and Size 16 Catalog number 804-06-046. Orthopedic surgical instrument for us
  • Z-0131-2016 · Sep 15, 2015 · Terminated
    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

Other Prosthesis, Shoulder, Hemi-, Humeral, Metallic Uncemented devices

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Sources and updates

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