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. |