VANTAGE FIXED BEARING ANKLE COMPONENTS
Report
- Report Number
- 1038671-2026-00548
- Event Type
- Injury
- Date Received
- May 7, 2026
- Date of Event
- September 10, 2025
- Report Date
- May 7, 2026
- Manufacturer
- EXACTECH, INC.
- Product Code
- HSN
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FL, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
D10: 03-PML-20-0005 - PRIM+ TIB-L-20MM-SZ5: (B)(6), 350-01-04 - TALAR IMPLANT SZ 4 LT: (B)(6), 03-CMB-LC-0005 - P/P+ LOCKING CLIP - SZ5: (B)(6), 350-23-24 - VIT E LINER-L-SZ 4-8MM: (B)(6). 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.
AS REPORTED BY THE EXACTECH VANTAGE TOTAL ANKLE STUDY, APPROXIMATELY 1 MONTH AND 13 DAYS POST THE PATIENT'S POLYETHYLENE LINER SWAP REVISION SURGERY, THE PATIENT EXPERIENCED WOUND DEHISCENCE. ACTION TAKEN: MEDICATION. THE OUTCOME IS CONSIDERED TO BE CONTINUING.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 115558 | VANTAGE FIXED BEARING ANKLE COMPONENTS | PROSTHESIS, ANKLE, SEMI-CONSTRAINED, CEMENTED, METAL/POLYMER | HSN | EXACTECH, INC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 77 YR | Male | Hospitalization| R | SEE H11 |