FDA Adverse Event Injury Summary report: N

VANTAGE FIXED BEARING ANKLE COMPONENTS

MDR report key: 25111324 · Received May 7, 2026

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

Additional Manufacturer Narrative · 0

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.

Description of Event or Problem · 0

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