FDA Adverse Event Injury Summary report: N

LOGIC KNEE COMPONENTS

MDR report key: 23002639 · Received September 9, 2025

Report

Report Number
1038671-2025-02896
Event Type
Injury
Date Received
September 9, 2025
Date of Event
August 8, 2025
Report Date
December 10, 2025
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

THIS FOLLOW-UP REPORT IS BEING SUBMITTED TO RELAY ADDITIONAL AND CORRECTED INFORMATION. THE FOLLOWING SECTIONS WERE UPDATED: H6. THE FOLLOWING SECTIONS WERE CORRECTED: B5, H6.

Additional Manufacturer Narrative · 0

D10: 02-010-04-0340 - LOGIC CR FEMORAL POR, RIGHT, SZ 4: (B)(6). 02-012-45-4050 - LGC TIBIAL FIT TRAY CEM SZ 4F / 5T: (B)(6). 200-02-41 - THREE PEG PATELLA 41MM: (B)(6). 02-012-48-4009 - LOGIC CR TIB INSERT SLOPE+, SZ 4, 9MM: (B)(6). THE REPORTED EVENT WAS UNABLE TO BE CONFIRMED DUE TO LIMITED INFORMATION RECEIVED FROM THE CUSTOMER. NO DEVICE WAS RETURNED FOR EVALUATION; FURTHER, PHOTOGRAPHS AND/OR RADIOGRAPH IMAGES WERE NOT PROVIDED FOR REVIEW. OPERATIVE NOTES AND/OR MEDICAL RECORDS WERE NOT PROVIDED FOR REVIEW OF USAGE/TECHNIQUE. A DEFINITIVE ROOT CAUSE WAS UNABLE TO BE DETERMINED AS THE NECESSARY INFORMATION TO ADEQUATELY INVESTIGATE THE REPORTED EVENT WAS NOT PROVIDED. IF ANY FURTHER INFORMATION IS OBTAINED THAT WOULD CHANGE OR ALTER ANY INFORMATION PROVIDED, A SUPPLEMENTAL REPORT WILL BE FILED ACCORDINGLY.

Description of Event or Problem · 0

IT WAS REPORTED THAT THIS PATIENT'S RIGHT KNEE REPLACEMENT WAS REVISED DUE TO PAIN AND OSTEOLYSIS. THE SURGEON REPLACED THE CONSTRUCT AND REPLACED IT WITH A COMPETITOR'S DEVICE. PATIENT WAS LAST KNOWN TO BE IN STABLE CONDITION FOLLOWING THE EVENT. NO FURTHER INFORMATION AT THIS TIME.

Description of Event or Problem · 0

IT WAS REPORTED THAT THIS PATIENT'S RIGHT KNEE REPLACEMENT WAS REVISED DUE TO OSTEOLYSIS. THE SURGEON REPLACED THE CONSTRUCT AND REPLACED IT WITH A COMPETITOR'S DEVICE. PATIENT WAS LAST KNOWN TO BE IN STABLE CONDITION FOLLOWING THE EVENT. NO FURTHER INFORMATION AT THIS TIME.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2333159 LOGIC KNEE COMPONENTS PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, POLYMER/METAL JWH EXACTECH, INC.

Patients

Seq Age Sex Outcome Treatment
1 NA Female Hospitalization SEE H11.