FDA Adverse Event Injury Summary report: N

TRULIANT KNEE COMPONENTS

MDR report key: 20655154 · Received November 11, 2024

Report

Report Number
1038671-2024-04336
Event Type
Injury
Date Received
November 11, 2024
Date of Event
February 28, 2024
Report Date
January 31, 2025
Manufacturer
EXACTECH, INC.
Product Code
JWH
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
SP
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THIS FOLLOW-UP REPORT IS BEING SUBMITTED TO RELAY ADDITIONAL AND/OR CORRECTED INFORMATION. G4:510K UNKNOWN DUE TO SPECIFIC DEVICE NOT BEING REPORTED THE FOLLOWING SECTIONS WERE UPDATED: D8. THE FOLLOWING SECTIONS WERE CORRECTED: H6. THE CAUSE OF THE PATIENT¿S DEEP WOUND DEHISCENCE INCLUDING RUPTURE OF THE PATELLAR TENDON REPORTED APPEARS TO BE RELATED TO TRAUMA TO THE SURGICAL INCISION SITE. THE EVENT AS DESCRIBED APPEARS UNRELATED TO THE DESIGN, MANUFACTURING, OR REASONABLY FORESEEABLE MISUSE OF THE DEVICES. IF ANY FURTHER INFORMATION IS OBTAINED THAT WOULD CHANGE OR ALTER ANY INFORMATION PROVIDED, A SUPPLEMENTAL REPORT WILL BE FILED ACCORDINGLY.

Additional Manufacturer Narrative · 0

(D10) REPORTED CONCOMITANT DEVICE(S): 02-010-01-0320 - LOGIC FEMORAL PS CEM RIGHT SZ 2 (B)(6); 02-012-45-2020 - LGC TIBIAL FIT TRAY CEM SZ 2F / 2T (B)(6); 02-012-35-2009 - LOGIC TIBIA PS MOD INSRT SZ 2 9MM (B)(6); 200-02-26 - THREE PEG PATELLA 26MM (B)(6).

Description of Event or Problem · 0

APPROXIMATELY 8 DAY(S) POST-OPERATIVE OF A RIGHT TKA, IT WAS REPORTED VIA CLINICAL STUDY THAT THE PATIENT EXPERIENCED A FALL FROM HIS OWN HEIGHT, CAUSING THE WOUND TO BREAK DOWN. ON THE SAME DAY, IQX DEBRIDEMENT AND CLOSURE OF THE ARTHROTOMY + QUADRICIPITAL T WERE PERFORMED. NOTE: DEHISCENCE OF THE DISTAL WOUND AND RUPTURE OF THE QUADRICIPITAL TENDON WAS OBSERVED (PRACTICALLY IN ITS ENTIRE THICKNESS), DEBRIDEMENT, LAVAGE, ARTHROTOMY CLOSURE AND QUADRICIPITAL T TENORRHAPHY WERE PERFORMED. THE PATIENT WAS THEN DISCHARGED HOME. THE OUTCOME OF THIS EVENT IS NOW CONSIDERED RESOLVED AND THE CLINICAL REPORT INDICATES THAT THIS EVENT IS DEFINITELY NOT RELATED TO THE DEVICE(S) AND/OR TO THE PROCEDURE. THIS WAS REPORTED THROUGH CLINICAL TRIAL STUDY DATA COLLECTION ACTIVITIES AND NO OTHER INFORMATION IS AVAILABLE AT THIS TIME.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1630749 TRULIANT KNEE COMPONENTS PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, POLYMER/METAL JWH EXACTECH, INC.

Patients

Seq Age Sex Outcome Treatment
1 80 YR Female Required Intervention