FDA Adverse Event Injury Summary report: N

TRULIANT TIB IMP CRC INSERT SZ 4, 9MM

MDR report key: 23720716 · Received December 4, 2025

Report

Report Number
1038671-2025-03484
Event Type
Injury
Date Received
December 4, 2025
Date of Event
November 11, 2025
Report Date
December 4, 2025
Manufacturer
EXACTECH, INC.
Product Code
JWH
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IN, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

D10: 02-020-13-0340 - TRULIANT CR CEM FEM CR CEM RIGHT SZ 4: (B)(6). 02-022-45-4030 - TRULIANT TIB FIT TRAY CEM SZ 4F / 3T: (B)(6). 200-07-35 - ADVANCED PATELLA 35MM 3 PEG IMPLANT: (B)(6). THE DEVICE WILL NOT BE RETURNED FOR ANALYSIS; HOWEVER, AN INVESTIGATION OF THE REPORTED EVENT IS IN PROGRESS. ONCE THE INVESTIGATION IS COMPLETED, A SUPPLEMENTAL MEDWATCH 3500A WILL BE SUBMITTED.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT UNDERWENT AN INITIAL TKA (TOTAL KNEE ARTHROPLASTY) ON THE RIGHT SIDE. SUBSEQUENTLY, THE PATIENT EXPERIENCED INSTABILITY AND PAIN. AS A RESULT, THE PATIENT UNDERWENT A REVISION WHERE THE SURGEON PERFORMED A POLY INSERT SWAP. PATIENT WAS LAST KNOWN TO BE IN STABLE CONDITION FOLLOWING THE EVENT. NO FURTHER INFORMATION AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2422836 TRULIANT TIB IMP CRC INSERT SZ 4, 9MM PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, POLYMER/METAL JWH EXACTECH, INC.

Patients

Seq Age Sex Outcome Treatment
1 77 YR Male Hospitalization SEE H11.