FDA Adverse Event Injury Summary report: N

TRULIANT TIBIAL INSERT

MDR report key: 19570905 · Received June 19, 2024

Report

Report Number
1038671-2024-02020
Event Type
Injury
Date Received
June 19, 2024
Date of Event
October 12, 2021
Report Date
October 3, 2024
Manufacturer
EXACTECH, INC.
Product Code
JWH
UDI-DI
10885862304360
PMA / PMN Number
K152170
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

H11. PENDING INVESTIGATION. THERE IS NO OTHER INFORMATION PROVIDED.

Additional Manufacturer Narrative · 0

D10: (B)(6), 201-78-80 - 3" TROCAR, HEX 2PK; (B)(6), 02-020-11-0335 - TRULIANT PS CEM FEM PS CEM RIGHT SZ 3.5; (B)(6), 02-022-45-3525 - TRULIANT TIB FIT TRAY CEM SZ 3.5F / 2.5T; (B)(6), 200-07-29 - ADVANCED PATELLA 29M 3 PEG IMPLANT; (B)(6), 201-78-80 - 3" TROCAR, HEX 2PK; (B)(6), 201-78-15 - HOLDING PIN MINI SHARP POINT 4 PK; (B)(6), 201-78-80 - 3" TROCAR, HEX 2PK. MANUFACTURER NARRATIVE UPDATED: THE REASON FOR THE REPORTED EVENT CANNOT BE CONFIRMED FROM THE INFORMATION PROVIDED BUT MAY BE DUE TO PROSTHESIS WEAR AND/OR INCLUSION OF THE POLYETHYLENE IN THE PACKAGING RECALL. POTENTIAL CONTRIBUTIONS OF USER, OR PATIENT-RELATED CONSIDERATIONS TO THE EVENT COULD NOT BE ASSESSED AS THE DEVICES WERE NOT AVAILABLE FOR EVALUATION AND NO IMAGES, RADIOGRAPHS, OR RELEVANT CLINICAL INFORMATION WAS PROVIDED.

Description of Event or Problem · 0

IT WAS REPORTED VIA LEGAL DOCUMENTATION THAT THE PATIENT WAS IMPLANTED WITH A TRULIANT DEVICE ON THE RIGHT KNEE, WITH NO REVISION SURGERY REPORTED. IT IS STATED THE PATIENT HAS SUFFERED THE FOLLOWING INJURIES AND COMPLICATIONS: PAIN, STIFFNESS, DISCOMFORT, AND WEAKNESS WHICH IN TURN NEGATIVELY AFFECTED PLAINTIFF'S MOBILITY AND QUALITY OF LIFE. THERE WAS NO OTHER PATIENT/MEDICAL INFORMATION PROVIDED. NO X-RAYS OR IMAGES WERE PROVIDED. THERE IS NO OTHER INFORMATION AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
550316 TRULIANT TIBIAL INSERT PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, POLYMER/METAL JWH EXACTECH, INC. 10885862304360

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Required Intervention