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Humeris Shoulder 400-1101Recalls & reported problems

Fx Solutions · 3-4 PEGS GLENOID PE CEMENTED SIZE XS · Class 2 · Implant

Data updated Oct 13, 2026 from official FDA records · Editorial policy

Adverse event reports
2
Deaths reported
0
Injuries reported
2
Recalls naming it
0

Summary

The FDA's MAUDE database contains 2 adverse event reports that list this exact device (DI 03701037301692), received between Dec 28, 2021 and Mar 3, 2022 — classified as 2 injuries.

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.

Most reported problems

Device problems

  • Appropriate Device Problem Term/Code Not Available2

Patient problems

  • Insufficient Information2

Recent adverse event reports

The 2 most recent of 2 reports, in the reporter's own words as published by the FDA.

  • InjuryMar 3, 2022Appropriate Device Problem Term/Code Not Available

    THE PATIENT WAS REVISED ON (B)(6) 2021 DUE TO ROTATOR CUFF FAILURE. APPROXIMATELY 1 YEARS AFTER FIRST SURGERY. THE SURGEON EXPLANTED 1 PEGS GLENOID (XS), 1 OFFSET HEAD COCR (41/16), 1 DOUBLE TAPER (0) AND 1 HUMERIS STEM (08). THE SURGEON IMPLANTED 1 GLENOID BASEPLATE (24MM), 1 CENTERED GLENOSPHERE (36MM), 1 HUMERAL CUP (36/+3), 1 POST EXTENSION, 2 LOCKING SCREW AND 1 STANDARD SCREW.

    Patient problems: Insufficient Information

    MAUDE report 13657940 ↗
  • InjuryDec 28, 2021Appropriate Device Problem Term/Code Not Available

    A REVISION SURGERY WAS PERFORMED FOR A CONVERSION FROM ANATOMIC TO REVERSE CONFIGURATION DUE TO ROTATOR CUFF FAILURE. A SIZE 41 HEAD ALONG WITH THE DOUBLE CONE TAPER AND THE GLENOID POLY WERE EXPLANTED. A 24MM GLENOID BASEPLATE, 36 MM GLENOSPHERE, 135/145 HUMERAL CUP SIZE 36/+ 3, LOCKING SCREWS SIZE 20MM & 30 MM AND A STANDARD SCREW SIZE 30 MM WERE IMPLANTED.

    Patient problems: Insufficient Information

    MAUDE report 13095063 ↗

Other Prosthesis, Shoulder, Non-Constrained, Metal/Polymer Cemented devices

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Sources and updates

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