FDA Adverse Event Injury Summary report: N

OPTETRAK LOGIC KNEE COMPONENTS

MDR report key: 22311242 · Received June 23, 2025

Report

Report Number
1038671-2025-02347
Event Type
Injury
Date Received
June 23, 2025
Date of Event
April 29, 2025
Report Date
August 18, 2025
Manufacturer
EXACTECH, INC.
Product Code
JWH
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
AS
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. THE REASON FOR THE CLINICAL SYMPTOM OF PAIN REPORTED CANNOT BE CONCLUSIVELY DETERMINED AND THE EVENT CANNOT BE CONFIRMED BECAUSE THE DEVICES WERE NOT AVAILABLE FOR EVALUATION, AND RELEVANT PATIENT INFORMATION, IMAGES, OR RADIOGRAPHS WERE NOT PROVIDED. AN ADDITIONAL CONTRIBUTING FACTOR TO THE REVISION MAY HAVE BEEN INCLUSION OF THE POLYETHYLENE IN THE PACKAGING RECALL.

Additional Manufacturer Narrative · 0

D10: CONCOMITANTS: 08010018020 A10012 - GPS IMPLANT KIT V2, (B)(6), 203-96-42 - (11-3671) STRYKER SYS 6 90X13/21X1.19, (B)(6), 203-96-42 - (11-3671) STRYKER SYS 6 90X13/21X1.19, (B)(6), 02-010-04-0220 - LOGIC CR FEMORAL POR, LEFT, SZ 2, (B)(6), 02-012-51-2011 - LOGIC TIB INSERT IMPL CRC, SHOULD ADDITIONAL RELEVANT INFORMATION BE OBTAINED, A FOLLOW-UP MDR WILL BE SUBMITTED ACCORDINGLY.

Description of Event or Problem · 0

IT WAS REPORTED THAT A FEMALE PATIENT, WHO HAD A LEFT KNEE IMPLANTED, UNDERWENT A REVISION PROCEDURE. THE PATIENT PRESENTED TO THE SURGEON WITH COMPLAINTS OF KNEE PAIN. THE SURGEON REMOVED ALL COMPONENTS AND REPLACED THEM WITH A COMPETITOR¿S DEVICES. THERE WERE NO SURGICAL DELAYS OR DEVICE BREAKAGES DURING THE PROCEDURE. THE PATIENT WAS LAST KNOWN TO BE IN STABLE CONDITION FOLLOWING THE EVENT. NO X-RAYS WERE AVAILABLE. THE EXPLANTED DEVICES ARE NOT AVAILABLE FOR RETURN. THEY WERE DISPOSED OF BY THE HOSPITAL. DEVICE IMAGES WERE NOT AVAILABLE. NO FURTHER INFORMATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2063324 OPTETRAK LOGIC KNEE COMPONENTS PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, POLYMER/METAL JWH EXACTECH, INC.

Patients

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