FDA Adverse Event Injury Summary report: N

TRULIANT POR TIB TRAY SIZE 4.5F/3.5T

MDR report key: 15666313 · Received October 25, 2022

Report

Report Number
1038671-2022-01346
Event Type
Injury
Date Received
October 25, 2022
Date of Event
October 6, 2022
Report Date
February 26, 2026
Manufacturer
EXACTECH, INC.
Product Code
JWH
UDI-DI
10885862317216
PMA / PMN Number
K182346
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TN, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

CONCOMITANT PRODUCTS: TRULIANT PS POR FEM PS POR RIGHT SZ 4.5 (CAT# 02-020-12-0345 / SERIAL# (B)(4)); TRULIANT TIB IMP PS INSERT SZ 4.5 9MM (CAT# 02-022-35-4509 / SERIAL# (B)(4)); ADVANCED PATELLA 32MM 3 PEG IMPLANT (CAT# 200-07-32 / SERIAL# (B)(4)). ADDITIONAL INFORMATION, INCLUDING THE PRODUCT INVESTIGATION, WILL BE SUBMITTED WITHIN 30 DAYS OF RECEIPT.

Additional Manufacturer Narrative · 0

AFTER FURTHER REVIEW OF ADDITIONAL INFORMATION RECEIVED THE FOLLOWING SECTIONS G3, G6, H2, H3 AND H6 HAVE BEEN UPDATED ACCORDINGLY. (H3) THE REVISION REPORTED MAY HAVE BEEN THE RESULT OF AN INSUFFICIENT BOND BETWEEN THE IMPLANTS AND THE BONE, POOR BONE QUALITY, PATIENT-RELATED CONDITIONS, OR ANY COMBINATION OF THESE POSSIBILITIES, WHICH LED TO ASEPTIC (NON-INFECTED) LOOSENING AND PAIN. HOWEVER, THIS CANNOT BE CONFIRMED AS THE DEVICES WERE NOT AVAILABLE FOR EVALUATION AND PRE-REVISION RADIOGRAPHS WERE UNABLE TO BE OBTAINED. THE MOST PROBABLE ROOT CAUSE ASSOCIATED WITH THE REPORTED EVENT OF ¿LOOSENING¿ IS ASSOCIATED WITH WEAKENED INTEGRATION OF THE DEVICE AT THE BONE-IMPLANT INTERFACE DUE TO LOSS OF FIBROUS AND/OR BONY TISSUE AND LEADING TO COMPROMISED ANCHORAGE OF THE DEVICE.

Description of Event or Problem · 0

AS REPORTED, APPROXIMATELY 1.5 YEARS POST INITIAL TKA, THE 64 Y/O FEMALE PATIENT HAD PAIN STARTING A FEW WEEKS AFTER SURGERY. PATIENT IS DISSATISFIED WITH IMPLANT FUNCTION. TIBIA WAS LOOSE WITH ONLY FIBROUS INGROWTH. FEMUR ALSO HAD MINIMAL BONE INGROWTH. THERE WAS NO BREAKAGE OF THE DEVICE. THERE WAS NO SURGICAL DELAY/PROLONGATION. PATIENT WAS LAST KNOWN TO BE IN STABLE CONDITION FOLLOWING THE EVENT. SALES REP WAS UNABLE TO OBTAIN PHOTOS AND X-RAYS. THE DEVICES ARE NOT AVAILABLE FOR EVALUATION DUE TO RECALL HOSPITAL WILL NOT RELEASE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2894731 TRULIANT POR TIB TRAY SIZE 4.5F/3.5T PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED JWH EXACTECH, INC. TRULIANT POR TIB TRAY SIZE 4.5F/3.5T UNK 10885862317216

Patients

Seq Age Sex Outcome Treatment
1 64 YR Female Required Intervention