FDA Adverse Event Injury Summary report: N

LOGIC KNEE SYSTEM

MDR report key: 16312824 · Received February 7, 2023

Report

Report Number
1038671-2023-00115
Event Type
Injury
Date Received
February 7, 2023
Date of Event
January 20, 2023
Report Date
November 13, 2025
Manufacturer
EXACTECH, INC.
Product Code
JWH
UDI-DI
10885862039620
PMA / PMN Number
K932690
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AS
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

PENDING INVESTIGATION. CONCOMITANT MEDICAL DEVICES: (B)(4) 02-010-04-0250 - LOGIC CR FEMORAL POR, LEFT, SZ 5. (B)(4) 02-012-45-5050 - LGC TIBIAL FIT TRAY CEM SZ 5F / 5T. (B)(4) 02-012-51-5009 - LOGIC TIB INSERT IMPL CRC, SZ 5, 9MM. RECALL #Z-0021-2022.

Additional Manufacturer Narrative · 0

H3: 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 DISLOCATION WITH LIKELY PATELLA TENDON RUPTURE AND SUBSEQUENT REVISION CANNOT BE CONCLUSIVELY DETERMINED; HOWEVER, IT IS MOST LIKELY RELATED TO PATIENT CONDITIONS. THERE IS NO OTHER PATIENT MEDICAL HISTORY AVAILABLE. THESE DEVICES ARE USED FOR TREATMENT NOT DIAGNOSIS.

Description of Event or Problem · 0

AS REPORTED, THIS 74 YEAR OLD MALE PATIENT HAD AN INITIAL LEFT TKA ON (B)(6) 2021. THE PATIENT WAS REVISED ON (B)(6) 2023 DUE TO PATELLA DISLOCATION. THERE WAS NO REPORTED BREAKAGE OF A DEVICE OR SURGICAL DELAY/PROLONGATION. THE PATIENT WAS LAST KNOWN TO BE IN STABLE CONDITION FOLLOWING THE EVENT. NO OTHER PATIENT INFORMATION/MEDICAL HISTORY REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
927546 LOGIC KNEE SYSTEM PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED JWH EXACTECH, INC. 200-02-41 10885862039620

Patients

Seq Age Sex Outcome Treatment
1 74 YR Male Required Intervention| H SEE H10