TRULIANT TIB IMP PSC INSERT SZ 2, 9MM
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
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.
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. |