MOTO PARTIAL KNEE SYSTEM
Report
- Report Number
- 3005180920-2026-00355
- Event Type
- Injury
- Date Received
- April 23, 2026
- Date of Event
- March 31, 2026
- Report Date
- April 23, 2026
- Manufacturer
- MEDACTA INTERNATIONAL SA
- Product Code
- HSX
- UDI-DI
- 07630345711694
- PMA / PMN Number
- K213071
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Occupation
- OTHER
Narratives
BATCH REVIEW PERFORMED ON (B)(6) 2026 MOTO PARTIAL KNEE 02.18.EIF4.08.RM MOTO MEDIAL E-CROSS TIBIAL INSERT S4 RM - H8 (K213071), LOT 2500621: (B)(4) ITEMS MANUFACTURED AND RELEASED ON 21-MAR-2025. EXPIRATION DATE: 09-03-2030. 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. ROOT CAUSE: 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.
AT ABOUT 6 MONTHS FROM THE PRIMARY, THE PATIENT CAME IN DUE TO SIGNS OF AN INFECTION AND THE PATHOGEN IS UNKNOWN. THE SURGEON PERFORMED A WASHOUT AND REVISED THE S4 - H8 MOTO INSERT TO A SAME SIZE INSERT. THE SURGERY WAS COMPLETED SUCCESSFULLY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1026715 | MOTO PARTIAL KNEE SYSTEM | MOTO MEDIAL E-CROSS TIBIAL INSERT S4 RM - H8 | HSX | MEDACTA INTERNATIONAL SA | 02.18.EIF4.08.RM | 2500621 | 07630345711694 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Female | Required Intervention |