FDA Adverse Event Injury Summary report: N

TRULIANT TIB FIT TRAY CEM SZ 3F / 3T

MDR report key: 14632598 · Received June 8, 2022

Report

Report Number
1038671-2022-00653
Event Type
Injury
Date Received
June 8, 2022
Date of Event
January 23, 2020
Report Date
December 1, 2022
Manufacturer
EXACTECH, INC.
Product Code
JWH
UDI-DI
10885862305824
PMA / PMN Number
K152170
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

CONCOMITANTS MEDICAL PRODUCT: FEMORAL COMPONENT (CAT# 02-020-13-3011), TIBIAL INSERT (CAT# 02-022-47-3030), THREE PEG PATELLA 32MM (CAT# 200-02-32), OPTETRAK (4) HOLDING PINS (CAT# 201-78-15). ADDITIONAL INFORMATION, INCLUDING THE PRODUCT INVESTIGATION, WILL BE SUBMITTED WITHIN 30 DAYS OF RECEIPT

Additional Manufacturer Narrative · 0

H3: AS REPORTED BY THE EXACTECH KNEE REPLACEMENT STUDY, APPROXIMATELY THREE MONTHS POST INITIAL RIGHT TKA, THE 53 Y/O FEMALE OBESE PATIENT COMPLAINS THAT BECAUSE OF POST -OP INFECTIONS AND LOSS OF RANGE OF MOTION. ¿PATIENT DOCUMENTS THAT SHE IS MORE CRIPPLED THAN BEFORE SURGERY.¿ THE EVENT IS STILL ONGOING. PER CLINICAL STUDY CASE REPORT THIS EVENT IS POSSIBLY RELATED TO DEVICES AND TO PROCEDURE. BASED ON REVIEW OF ALL AVAILABLE INFORMATION, THERE IS NO EVIDENCE TO SUGGEST THAT THE REPORTED EVENT IS RELATED TO ANY DESIGN OR MANUFACTURING ISSUES. THE CAUSE OF INFECTION CANNOT BE CONCLUSIVELY DETERMINED; HOWEVER, IT IS MOST LIKELY RELATED TO THE PATIENT¿S UNDERLYING CONDITION. THESE DEVICES ARE USED FOR TREATMENT NOT DIAGNOSIS.

Description of Event or Problem · 0

AS REPORTED BY THE EXACTECH KNEE REPLACEMENT STUDY, APPROXIMATELY THREE MONTHS POST INITIAL TKA, THE (B)(6) FEMALE PATIENT COMPLAINS THAT BECAUSE OF POST -OP INFECTIONS AND LOSS OF RANGE OF MOTION. PATIENT DOCUMENTS THAT SHE IS MORE CRIPPLED THAN BEFORE SURGERY. THE EVEN IS STILL ONGOING. PER CLINICAL STUDY CASE REPORT THIS EVENT IS POSSIBLY RELATED TO DEVICES AND TO PROCEDURE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
13688 TRULIANT TIB FIT TRAY CEM SZ 3F / 3T PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED JWH EXACTECH, INC. TRULIANT TIB FIT TRAY CEM SZ 3F / 3T UNK 10885862305824

Patients

Seq Age Sex Outcome Treatment
1 53 YR Female Required Intervention