FDA Adverse Event Injury Summary report: N

LOGIC

MDR report key: 16274399 · Received January 31, 2023

Report

Report Number
1038671-2023-00087
Event Type
Injury
Date Received
January 31, 2023
Date of Event
November 10, 2022
Report Date
May 7, 2026
Manufacturer
EXACTECH, INC.
Product Code
JWH
UDI-DI
10885862001825
PMA / PMN Number
K033883
Removal / Correction Number
Z-0021-2022
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

CONCOMITANTS: 4062128 02-010-01-0230 - LOGIC FEMORAL PS CEM LEFT SZ 3, 4069174 02-012-45-3030 - LGC TIBIAL FIT TRAY CEM SZ 3F / 3T, 3907010 200-02-29 - THREE PEG PATELLA 29MM, 2275472 02-012-35-3013 - LOGIC TIBIA PS MOD INSRT SZ 3 13MM. ADDITIONAL INFORMATION, INCLUDING THE PRODUCT INVESTIGATION, WILL BE SUBMITTED WITHIN 30 DAYS OF RECEIPT.

Additional Manufacturer Narrative · 0

H3: THE REVISION REPORTED WAS LIKELY THE RESULT OF AN INSUFFICIENT BOND BETWEEN THE FEMORAL COMPONENT AND THE BONE AND/OR PATIENT-RELATED CONDITIONS, WHICH LED TO ASEPTIC (NON-INFECTED) FEMORAL LOOSENING AND OSTEOLYSIS. HOWEVER, THIS CANNOT BE CONFIRMED AS THE DEVICES WERE NOT AVAILABLE FOR EVALUATION. ADDITIONALLY, PROSTHESIS WEAR CANNOT BE CONFIRMED AS THE RADIOGRAPHS DO NOT SHOW SIGNS OF WEAR AND AN IMAGE OF THE ARTICULATING SURFACE OF THE INSERT WAS NOT PROVIDED.

Description of Event or Problem · 0

IT WAS REPORTED VIA A POWER POINT PRESENTATION, THAT A MALE PATIENT, INITIAL LEFT KNEE IMPLANTED ON (B)(6) 2015, UNDERWENT A REVISION PROCEDURE, DATE UNKNOWN. THE PATIENT HAD DONE WELL, BUT DEVELOPED PAIN, SWELLING, AND ¿CRACKLING¿ IN BOTH KNEES IN 2021. IMPLANTS REVISED DUE TO THEIR SUBSEQUENT FAILURE. THE LEFT KNEE WAS REVISED TO A COMPETITOR¿S DEVICES. SUMMARY OF PRESENTATION OF 5 PATIENTS: THE VAST MAJORITY (>90%) OF PATIENTS ARE NOT EXPERIENCING SYMPTOMS. SYMPTOMS INCLUDE PAIN, SWELLING, INSTABILITY, ¿CRACKLING,¿ AND POSTERIOR KNEE / CALF MASS. SIGNS INCLUDE EFFUSION, TTP, STIFFNESS, INSTABILITY. RADIOGRAPHIC FEATURES RANGE FROM COMPLETELY NORMAL TO GROSS POLYETHYLENE THINNING, OSTEOLYSIS, IMPLANT LOOSENING, AND SOFT TISSUE MASS. SURGICAL FINDINGS INCLUDE COMPLETE LOOSENING OF POLYETHYLENE COMPONENT WITH PRISTINE CEMENT MANTLE, SYNOVITIS, OSTEOLYSIS, AND POLYETHYLENE PITTING / DELAMINATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
585013 LOGIC PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, JWH EXACTECH, INC. LOGIC TIBIA PS MOD INSRT SZ 3 13MM UNK 10885862001825

Patients

Seq Age Sex Outcome Treatment
1