FDA Adverse Event Injury Summary report: N

TRULIANT TIB IMP PS INSERT SZ 2 10MM

MDR report key: 18785128 · Received February 26, 2024

Report

Report Number
1038671-2024-00323
Event Type
Injury
Date Received
February 26, 2024
Date of Event
December 27, 2019
Report Date
February 13, 2026
Manufacturer
EXACTECH, INC.
Product Code
JWH
UDI-DI
10885862304070
PMA / PMN Number
UNK
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

(H3) PENDING EVALUATION (D10) CONCOMITANT DEVICE(S): 02-020-11-0320 - TRULIANT PS CEM FEM PS CEM RIGHT SZ 2: 5827776 02-022-45-2010 - TRULIANT TIB FIT TRAY CEM SZ 2F / 1T: 5749423 200-07-32 - ADVANCED PATELLA 32MM 3 PEG IMPLANT: 5881932.

Description of Event or Problem · 0

AS REPORTED BY THE EXACTECH TRULIANT KNEE CLINICAL STUDY, THE 55-YEAR-OLD MALE PATIENT HAD AN INITIAL RIGHT TKA ON (B)(6) 2019 AND PRESENTED WITH OTHER-MUA, 1 MONTH(S) AND 0 YEAR(S) POST-OPERATIVELY ON (B)(6) 2019. PATIENT WASN'T GETTING DESIRED ROM. PATIENT DID PHYSICAL THERAPY AND STILL ONLY HAD 0-77 ROM. ANKYLOSIS RIGHT KNEE, CLOSED MANIPULATION UNDER ANESTHESIA RIGHT KNEE. THE OUTCOME OF THIS EVENT IS CONSIDERED RESOLVED ON 27-DEC-2020, AND THE ACTION TAKEN WAS OTHER - MUA RIGHT KNEE. THE CASE REPORT FORM INDICATES THAT THIS EVENT IS DEFINITELY NOT RELATED TO THE DEVICE AND/OR TO THE PROCEDURE. THIS EVENT REPORT WAS RECEIVED THROUGH CLINICAL DATA COLLECTION ACTIVITIES AND NO DEVICE RETURN IS ANTICIPATED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
111837 TRULIANT TIB IMP PS INSERT SZ 2 10MM PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, POLYMER/METAL JWH EXACTECH, INC. 10885862304070

Patients

Seq Age Sex Outcome Treatment
1 55 YR Male SEE H10