FDA Adverse Event Injury Summary report: N

MOTO PARTIAL KNEE SYSTEM

MDR report key: 23462127 · Received November 4, 2025

Report

Report Number
3005180920-2025-01059
Event Type
Injury
Date Received
November 4, 2025
Date of Event
October 13, 2025
Report Date
November 4, 2025
Manufacturer
MEDACTA INTERNATIONAL SA
Product Code
HSX
UDI-DI
07630345711908
PMA / PMN Number
K213071
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MO, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

BATCH REVIEW PERFORMED ON 16 OCTOBER 2025: MOTO PARTIAL KNEE 02.18.EIF5.08.RM MOTO MEDIAL E-CROSS TIBIAL INSERT S5 RM - H8 (K213071) LOT 2408600: (B)(4) ITEMS MANUFACTURED AND RELEASED ON 05-JUN-2024. EXPIRATION DATE: 21-MAY-2029. NO ANOMALIES FOUND RELATED TO THE PROBLEM. TO DATE, (B)(4) ITEMS OF THE SAME LOT HAVE BEEN SOLD WITH NO SIMILAR REPORTED EVENT DURING THE PERIOD OF REVIEW. CONCLUSIONS: INFECTION IS A KNOWN POSSIBLE COMPLICATION OF ANY SURGERY. ALTHOUGH NO ROOT CAUSE CAN BE ESTABLISHED, THERE IS NO INDICATION THAT ANY ISSUE WITH THE DEVICE MAY HAVE CAUSED OR CONTRIBUTED TO THE EVENT, AND THE DOCUMENT REVIEW DOES NOT INDICATE ANY POTENTIAL MANUFACTURING RELATED CAUSE.

Description of Event or Problem · 0

AFTER 3 MONTHS AFTER THE PRIMARY THE PATIENT CAME IN DUE TO AN INFECTION AND THE PATHOGEN IS UNKNOWN. THE SURGEON PERFORMED A WASH OUT AND POLY SWAP. THE SURGERY WAS COMPLETED SUCCESSFULLY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2719613 MOTO PARTIAL KNEE SYSTEM E-CROSS TIBIAL INSERT FIX S5 RM - 8MM HSX MEDACTA INTERNATIONAL SA 02.18.EIF5.08.RM 2408600 07630345711908

Patients

Seq Age Sex Outcome Treatment
1 NA Male Required Intervention