FDA Adverse Event Injury Summary report: N

LOGIC KNEE

MDR report key: 20146992 · Received September 5, 2024

Report

Report Number
1038671-2024-03320
Event Type
Injury
Date Received
September 5, 2024
Date of Event
December 18, 2023
Report Date
November 6, 2024
Manufacturer
EXACTECH, INC.
Product Code
JWH
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AS
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

(H3) PENDING EVALUATION (D10) CONCOMITANT DEVICE(S): (B)(6) 200-02-35 - THREE PEG PATELLA 35MM. (B)(6) 02-010-04-0340 - LOGIC CR FEMORAL POR, RIGHT, SZ 4. (B)(6) 02-012-45-4030 - LGC TIBIAL FIT TRAY CEM SZ 4F / 3T.

Additional Manufacturer Narrative · 0

(H3) THE REVISION REPORTED IN CASE-(B)(4) MAY HAVE BEEN THE RESULT OF LOOSENING, PROSTHESIS WEAR, AND OSTEOLYSIS. THE ASEPTIC (NON-INFECTED) LOOSENING WAS LIKELY THE RESULT OF AN INSUFFICIENT BOND BETWEEN THE IMPLANTS AND THE BONE. BASED ON THE IMAGES PROVIDED, THERE DOES NOT APPEAR TO BE EXCESSIVE WEAR OF THE INSERT. HOWEVER, THIS CANNOT BE CONFIRMED BECAUSE THE DEVICES WERE NOT RETURNED FOR EVALUATION.

Description of Event or Problem · 0

IT WAS REPORTED THAT THIS 53 Y/O FEMALE PATIENTS RIGHT KNEE WAS REVISED 1.5 YEARS POST OP. THE PATIENT WAS REVISED DUE TO OSTEOLYSIS, LOOSENING AND POLY WEAR. PATIENT WAS LAST KNOWN TO BE IN STABLE CONDITION FOLLOWING THE EVENT. NO PRODUCT RETURN; DISPOSED AT HOSPITAL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1865112 LOGIC KNEE PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, POLYMER/METAL JWH EXACTECH, INC.

Patients

Seq Age Sex Outcome Treatment
1 NA Female Required Intervention