VANTAGE FIXED BEARING ANKLE COMPONENTS
Report
- Report Number
- 1038671-2026-00549
- 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-PMR-15-0003 - PRIM+ TIB-R-15MM-SZ3: (B)(6), 350-24-23 - VIT E LINER-R-SZ 3-8MM: (B)(6), 350-02-03 - TALAR IMPLANT SZ 3 RT: (B)(6), 03-CMB-LC-0003 - P/P+ LOCKING CLIP - SZ3: (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 5 DAYS POST THE INITIAL RIGHT TOTAL ANKLE REPLACEMENT, THE PATIENT HAD A VERY STRONG PAIN BEHIND THEIR KNEE AND WAS INSTRUCTED TO COME IN FOR AN EVALUATION. AN ULTRASOUND VASCULAR EXAM FOUND A SUPERFICIAL THROMBOSIS OF A LONG SEGMENT (10CM) IN THE SMALL SAPHENOUS VEIN. THE PATIENT'S MEDICATION WAS SWITCHED AND THEY HAVE EXPERIENCED NO ISSUES SINCE. THE OUTCOME IS CONSIDERED TO BE RESOLVED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 112147 | VANTAGE FIXED BEARING ANKLE COMPONENTS | PROSTHESIS, ANKLE, SEMI-CONSTRAINED, CEMENTED, METAL/POLYMER | HSN | EXACTECH, INC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 56 YR | Female | Hospitalization| R | SEE H11 |