MOTO PARTIAL KNEE SYSTEM
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
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.
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 |