FDA Adverse Event Injury Summary report: N

TRULIANT TIB IMP CR INS STD SZ 2.5, 9 MM

MDR report key: 15569371 · Received October 10, 2022

Report

Report Number
1038671-2022-01271
Event Type
Injury
Date Received
October 10, 2022
Date of Event
December 8, 2020
Report Date
January 27, 2026
Manufacturer
EXACTECH, INC.
Product Code
JWH
UDI-DI
10885862306326
PMA / PMN Number
K152170
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NV, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

PENDING INVESTIGATION. CONCOMITANT MEDICAL PRODUCTS: 02-012-60-1440 - LOGIC STEM EXT 14MM X 40MM 6512163, 02-020-13-0235 - TRULIANT CR CEM FEM CR CEM LEFT SZ 3.5 6214474, 02-022-45-3535 - TRULIANT TIB FIT TRAY CEM SZ 3.5F / 3.5T 6449532, 200-02-38 - THREE PEG PATELLA 38MM 6529909, 204-70-00 - TIBIAL STEM EXT. SCREW 6605741, CONCOMITANT MEDICAL PRODUCTS: Z-0023-2022.

Additional Manufacturer Narrative · 0

BASED ON REVIEW OF ALL AVAILABLE INFORMATION, THERE IS NO EVIDENCE TO SUGGEST THAT THE REPORTED EVENT IS RELATED TO ANY DESIGN ISSUES. THE CAUSE OF THE SUBSEQUENT STIFFNESS, DECREASED RANGE OF MOTION AND PAIN CANNOT BE CONCLUSIVELY DETERMINED, HOWEVER, IT IS MOST LIKELY RELATED TO THE PATIENT¿S UNDERLYING CONDITION OF ARTHROFIBROSIS.

Description of Event or Problem · 0

AS REPORTED, THE PATIENT HAD AN INITIAL LEFT TKA ON (B)(6) 2020. THE PATIENT PRESENTED WITH LEFT KNEE STIFFNESS, DECREASED ROM, AND PAIN. ACTION TAKEN: MEDICATION. THIS EVENT REPORT WAS RECEIVED THROUGH CLINICAL DATA COLLECTION ACTIVITIES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2511930 TRULIANT TIB IMP CR INS STD SZ 2.5, 9 MM PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED JWH EXACTECH, INC. 02-022-47-2509 10885862306326

Patients

Seq Age Sex Outcome Treatment
1 60 YR Female Other SEE H10