FDA Adverse Event Injury Summary report: N

TRULIANT TIB IMP PSC INSERT SZ 2, 9MM

MDR report key: 20248058 · Received September 18, 2024

Report

Report Number
1038671-2024-03592
Event Type
Injury
Date Received
September 18, 2024
Date of Event
September 3, 2024
Report Date
August 13, 2025
Manufacturer
EXACTECH, INC.
Product Code
JWH
UDI-DI
10885862304896
PMA / PMN Number
K152170
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

PENDING INVESTIGATION. D10: 02-020-11-0220 - TRULIANT PS CEM FEM PS CEM LEFT SZ 2, 5542756. 02-022-45-2020 - TRULIANT TIB FIT TRAY CEM SZ 2F/2T, 6478723. 200-02-32 - THREE PEG PATELLA 32MM, 6502571. 201-78-15 - HOLDING PIN MINI SHARP POINT 4 PK, 6578989. 201-78-89 - 3" DRILL BIT, MOD. HEX 2 PACK, 6122242. 203-96-67 - FAN SAWBLADE EZ2213F.M63 90X22 1.27MM STRKR 5/6/7, 250522. 521-78-23 - THREADED PIN SIZE 2.3 COLLARED 2PK, S045200. 521-78-31 - THREADED PIN SIZE 2.6 COLLARLESS 2PK, S074582.

Description of Event or Problem · 0

AS REPORTED, APPROXIMATELY 3 YEARS AND 10 MONTHS POST THE INITIAL LEFT TKA, THE PATIENT WAS REVISED DUE TO INSTABILITY. THE POLY WAS SWAPPED OUT AND SEEMED NORMAL. 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.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1319766 TRULIANT TIB IMP PSC INSERT SZ 2, 9MM PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, POLYMER/METAL JWH EXACTECH, INC. 10885862304896

Patients

Seq Age Sex Outcome Treatment
1 NA Female Required Intervention SEE H11.