FDA Adverse Event Malfunction Summary report: N

KLASSIC BIPOLAR HEAD

MDR report key: 23149843 · Received September 25, 2025

Report

Report Number
3008544874-2025-00002
Event Type
Malfunction
Date Received
September 25, 2025
Report Date
September 23, 2025
Manufacturer
TOTAL JOINT ORTHOPEDICS, INC
Product Code
KWY
PMA / PMN Number
K143113
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
501

Narratives

Additional Manufacturer Narrative · 0

THIS REPORT AFFECTS THE KLASSIC BIPOLAR HEAD POUCHES THAT ARE USED FOR ALL SIZES OF BIPOLAR HEADS. TOTAL JOINT ORTHOPEDICS IS WORKING WITH BIOPRO TO RESOLVE THIS ISSUE BUT IN THE MEANTIME TOTAL JOINT ORTHOPEDICS HAS RECALLED ALL OF THE BIPOLAR HEADS THAT WERE BOXED AND LABELED WITH TOTAL JOINT ORTHOPEDICS AS THE MANUFACTURER. THE FOLLOWING IS A LIST OF ALL AFFECTED INVENTORY THAT IS BEING RECALLED BY TOTAL JOINT ORTHOPEDICS: PART NUMBERS: DESCRIPTION: GTIN: QTY: 3205.41.022, KLASSIC BIPOLAR HEAD, 41 MM OD, 22 MM HEAD (B)(4), 17. 3205.42.022, KLASSIC BIPOLAR HEAD, 42 MM OD, 22 MM HEAD (B)(4), 21. 3205.43.022, KLASSIC BIPOLAR HEAD, 43 MM OD, 22 MM HEAD (B)(6) 22. 3205.44.028, KLASSIC BIPOLAR HEAD, 44 MM OD, 28 MM HEAD (B)(4), 20. 3205.45.028, KLASSIC BIPOLAR HEAD, 45 MM OD, 28 MM HEAD (B)(4), 21. 3205.46.028, KLASSIC BIPOLAR HEAD, 46 MM OD, 28 MM HEAD (B)(4), 12. 3205.47.028, KLASSIC BIPOLAR HEAD, 47 MM OD, 28 MM HEAD (B)(4), 15. 3205.48.028, KLASSIC BIPOLAR HEAD, 48 MM OD, 28 MM HEAD (B)(4), 24. 3205.49.028, KLASSIC BIPOLAR HEAD, 49 MM OD, 28 MM HEAD (B)(4), 30. 3205.50.028, KLASSIC BIPOLAR HEAD, 50 MM OD, 28 MM HEAD (B)(4), 34. 3205.51.028, KLASSIC BIPOLAR HEAD, 51 MM OD, 28 MM HEAD (B)(4), 36. 3205.52.028, KLASSIC BIPOLAR HEAD, 52 MM OD, 28 MM HEAD (B)(4), 24. 3205.53.028, KLASSIC BIPOLAR HEAD, 53 MM OD, 28 MM HEAD (B)(4), 32. 3205.54.028, KLASSIC BIPOLAR HEAD, 54 MM OD, 28 MM HEAD (B)(4), 42. 3205.55.028, KLASSIC BIPOLAR HEAD, 55 MM OD, 28 MM HEAD (B)(4), 34. 3205.56.028, KLASSIC BIPOLAR HEAD, 56 MM OD, 28 MM HEAD (B)(4), 18. 3205.58.028, KLASSIC BIPOLAR HEAD, 58 MM OD, 28 MM HEAD (B)(4), 22. 3205.60.028, KLASSIC BIPOLAR HEAD, 60 MM OD, 28 MM HEAD (B)(4), 23. THESE PART WILL BE PLACED IN QUARANTINE UNTIL THE INVESTIGATION AND CORRECTIVE ACTION HAVE BEEN COMPLETED.

Description of Event or Problem · 0

THE KLASSIC BIPOLAR HEAD IS PACKAGED IN A DOUBLE-PEEL PACK CONFIGURATION, WITH A CLEAN OUTER POUCH AND A STERILE INNER POUCH, AND IS CONTAINED IN A SEALED CARDBOARD BOX. TJO WAS ALERTED BY OUR SUPPLIER/LICENSOR (BIOPRO) TO A POTENTIAL BREACH IN THE STERILE BARRIER SYSTEM TO EXIST DUE TO NON-VISUALLY DETECTIBLE PIN-HOLE DEFECTS IN THE DOUBLE TYVEK POUCH PACKAGING CONFIGURATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2861529 KLASSIC BIPOLAR HEAD BIPOLAR HEAD KWY TOTAL JOINT ORTHOPEDICS, INC

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Other