FDA issues warning on Exactech shoulder system packaging

The FDA has issued a patient safety alert regarding Equinoxe Shoulder System joint replacement devices manufactured by Exactech between 2004 and August 2021 due to a defect with the packaging. 

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The defective bags used for packaging were missing an oxygen barrier layer that protects devices from oxidation, which can lead to faster device wear or failure and component cracking and fractures. 

The wear could lead people with the device to need additional surgery to replace the system, according to the Jan. 16 FDA alert. 

If a patient’s shoulder system is functioning well with no pain or symptoms, the FDA does not recommend taking action to remove a well-functioning device. 

The agency is warning surgeons not to implant devices packaged in defective bags and to monitor patients who were implanted with systems manufactured between 2004 and August 2021 for potential device wear, failure or bone loss.

To date, Exactech has declined to initiate a voluntary recall of the Equinoxe Shoulder System implants packaged in the defective bags, according to the FDA. 

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