FDA Adverse Event Injury Summary report: N

LOGIC KNEE COMPONENTS

MDR report key: 23715836 · Received December 4, 2025

Report

Report Number
1038671-2025-03481
Event Type
Injury
Date Received
December 4, 2025
Date of Event
August 13, 2025
Report Date
January 22, 2026
Manufacturer
EXACTECH, INC.
Product Code
JWH
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THIS FOLLOW-UP REPORT IS BEING SUBMITTED TO RELAY CORRECTED/ ADDITIONAL INFORMATION. THE FOLLOWING SECTIONS WERE CORRECTED/ADDED: H6 TYPE OF INVESTIGATION AND INVESTIGATION CONCLUSIONS. THE REASON FOR THE REPORTED REVISION CANNOT BE CONFIRMED FROM THE INFORMATION PROVIDED BUT MAY BE DUE TO INCLUSION OF THE POLYETHYLENE IN THE PACKAGING RECALL, WEAR, LOOSENING, INFECTION, FRACTURE, INSTABILITY, AND/OR PATIENT RELATED FACTORS. POTENTIAL CONTRIBUTIONS OF USER OR PATIENT-RELATED CONSIDERATIONS TO THE EVENT COULD NOT BE ASSESSED AS THE DEVICES WERE NOT AVAILABLE FOR EVALUATION AND RELEVANT CLINICAL INFORMATION, IMAGES, OR RADIOGRAPHS WERE NOT PROVIDED. SHOULD ADDITIONAL RELEVANT INFORMATION BE OBTAINED, A FOLLOW-UP MDR WILL BE SUBMITTED ACCORDINGLY.

Additional Manufacturer Narrative · 0

D10: 02-010-01-0220 - LOGIC FEMORAL PS CEM LEFT SZ 2: 5213192. 02-012-35-2009 - LOGIC TIBIA PS MOD INSRT SZ 2 9MM: 2771301. 02-012-45-2020 - LGC TIBIAL FIT TRAY CEM SZ 2F / 2T: 5218642. 1510-S - CEMEX SYSTEM FAST 70 GM: AB2596. 200-02-32 - THREE PEG PATELLA 32MM: 5100724. ASA0030 - STERILE DISPOSABLE CONTAINERS: AB1747. 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 THE PATIENT UNDERWENT AN INITIAL LEFT TOTAL KNEE ARTHROPLASTY. SUBSEQUENTLY, THE PATIENT EXPERIENCED AN UNKNOWN ISSUE. AS A RESULT, THE PATIENT UNDERWENT A LEFT KNEE REVISION APPROXIMATELY 7 YEARS AND 6 MONTHS AFTER INITIAL IMPLANTATION. NO FURTHER PATIENT IMPACT REPORTED. NO FURTHER INFORMATION AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
218068 LOGIC KNEE COMPONENTS PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, POLYMER/METAL JWH EXACTECH, INC.

Patients

Seq Age Sex Outcome Treatment
1 72 YR Female Required Intervention| H SEE H11.