FDA Adverse Event Injury Summary report: N

TRULIANT TIB IMP CRC INSERT SZ 2.5,12MM

MDR report key: 18129122 · Received November 14, 2023

Report

Report Number
1038671-2023-02764
Event Type
Injury
Date Received
November 14, 2023
Date of Event
July 23, 2019
Report Date
October 24, 2024
Manufacturer
EXACTECH, INC.
Product Code
JWH
UDI-DI
10885862312563
PMA / PMN Number
K171045
Removal / Correction Number
Z-0023-2022
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

CONCOMITANTS: 02-020-13-0225 - TRULIANT CR CEM FEM CR CEM LEFT SZ 2.5 5792808. 02-022-45-2525 - TRULIANT TIB FIT TRAY CEM SZ 2.5F / 2.5T 5944875. 200-02-32 - THREE PEG PATELLA 32MM 6039292, PENDING INVESTIGATION.

Additional Manufacturer Narrative · 0

THE REASON FOR THE REPORTED EVENT CANNOT BE CONFIRMED FROM THE INFORMATION PROVIDED BUT MAY HAVE BEEN DUE TO PROSTHESIS WEAR. POTENTIAL CONTRIBUTIONS OF USER AND PATIENT-RELATED CONSIDERATIONS TO THE EVENT COULD NOT BE ASSESSED AS THE DEVICES WERE NOT AVAILABLE FOR EVALUATION AND IMAGES, RADIOGRAPHS, AND RELEVANT CLINICAL INFORMATION WERE NOT PROVIDED. ADDITIONALLY, THIS DEVICE WAS NOT PACKAGED IN A NON-CONFORMING VACUUM BAG.

Description of Event or Problem · 0

AS REPORTED VIA LEGAL DOCUMENTATION THE PATIENT HAD A LEFT KNEE REPLACEMENT ON (B)(6)2019. THIS DEVICE HAS NOT BEEN EXPLANTED. THERE IS NO OTHER PATIENT DEMOGRAPHIC OR MEDICAL HISTORY AVAILABLE. THERE IS NO DEVICE RETURN. THERE ARE NO PHOTOS OR OTHER IMAGES OF THE DEVICE PROVIDED. NO ADDITIONAL INFORMATION IS AVAILABLE. THE PATIENT HAS FILED A SHORT-FORM COMPLAINT IN A MULTIDISTRICT LITIGATION TITLED IN RE: EXACTECH POLYETHYLENE ORTHOPEDIC PRODUCTS LIABILITY LITIGATION, MDL NO. 3044 (NGG) (MMH), AND PENDING IN THE EASTERN DISTRICT OF NEW YORK. PER THE TRANSFER ORDER CREATING THIS MULTIDISTRICT LITIGATION, ¿PLAINTIFFS ALLEGE THAT THEIR KNEE OR HIP REPLACEMENT DEVICES FAILED PREMATURELY BECAUSE OF DEGRADATION OF THE DEVICE¿S POLYETHYLENE COMPONENT, WHICH RESULTED IN THE PREMATURE REMOVAL (OR PLANNED REMOVAL) OF THE PROSTHESIS AT ISSUE.¿ BECAUSE THE PATIENT HAS FILED A SUIT IN THIS MULTIDISTRICT LITIGATION, THE PATIENT APPEARS TO ALLEGE THAT THE PATIENT WAS INJURED AS A RESULT OF PREMATURE WEAR OF AN EXACTECH POLYETHYLENE DEVICE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1973884 TRULIANT TIB IMP CRC INSERT SZ 2.5,12MM PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, POLYMER/METAL JWH EXACTECH, INC. UNK 10885862312563

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Required Intervention