FDA Adverse Event Injury Summary report: N

MOTO PARTIAL KNEE SYSTEM - MEDIAL

MDR report key: 25039925 · Received April 30, 2026

Report

Report Number
3005180920-2026-00369
Event Type
Injury
Date Received
April 30, 2026
Date of Event
April 6, 2026
Report Date
April 30, 2026
Manufacturer
MEDACTA INTERNATIONAL SA
Product Code
HSX
UDI-DI
07630030895609
PMA / PMN Number
K162084
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

BATCH REVIEWS PERFORMED ON 29 APRIL 2026: MOTO PARTIAL KNEE 02.18.004RM MOTO MEDIAL FEMORAL COMPONENT S4 RM (K162084) LOT 2417069: (B)(4) ITEMS MANUFACTURED AND RELEASED ON 04-OCT-2024. EXPIRATION DATE: 2029-SEP-19. NO ANOMALIES FOUND RELATED TO THE PROBLEM. TO DATE, (B)(4) ITEMS OF THE SAME LOT HAVE BEEN SOLD WITH NO SIMILAR REPORTED EVENTS DURING THE PERIOD OF REVIEW. 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-SEP-2024. EXPIRATION DATE: 2029-MAY-21. NO ANOMALIES FOUND RELATED TO THE PROBLEM. TO DATE, (B)(4) ITEMS OF THE SAME LOT HAVE BEEN SOLD WITH NO SIMILAR REPORTED EVENTS DURING THE PERIOD OF REVIEW. MOTO PARTIAL KNEE 02.18.TF5.RM MOTO MEDIAL TIBIAL TRAY S5 RM (K162084) LOT 2415666: (B)(4) ITEMS MANUFACTURED AND RELEASED ON 02-SEP-2024. EXPIRATION DATE: 2029-JUL-28. NO ANOMALIES FOUND RELATED TO THE PROBLEM. TO DATE, (B)(4) ITEMS OF THE SAME LOT HAVE BEEN SOLD WITH NO SIMILAR REPORTED EVENTS 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.

Description of Event or Problem · 0

THE PATIENT HAD SIGNS OF KNEE INFECTION AND THE PATHOGEN IS UNKNOWN. AT ABOUT 9 MONTHS POST PRIMARY THE SURGEON REMOVED ALL MOTO IMPLANTS (FEMORAL COMPONENT, INSERT, AND TIBIAL TRAY) AND PLACED ANTIBIOTIC SPACERS UNTIL PERMANENT HARDWARE IS IMPLANTED IN A FUTURE SURGERY. THE SURGERY WAS COMPLETED SUCCESSFULLY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
622106 MOTO PARTIAL KNEE SYSTEM - MEDIAL MOTO MEDIAL FEMORAL COMPONENT S4 RM HSX MEDACTA INTERNATIONAL SA 02.18.004RM 2417069 07630030895609

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Required Intervention