FDA Adverse Event Injury Summary report: N

TRULIANT PS CEM FEM PS CEM LEFT SZ 4

MDR report key: 25174984 · Received May 14, 2026

Report

Report Number
1038671-2026-00609
Event Type
Injury
Date Received
May 14, 2026
Date of Event
April 28, 2026
Report Date
May 14, 2026
Manufacturer
EXACTECH, INC.
Product Code
JWH
UDI-DI
10885862314451
PMA / PMN Number
K170240
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
ME, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

D10: 02-012-41-4040 - LOGIC TIBIA TRAPTRAY CEM SZ 4F/4T: 5770964. 02-012-44-4013 - LOGIC TIBIA IMPLANT PSC INSERT, SZ 4, 13MM: 2484094. 02-020-11-0240 - TRULIANT PS CEM FEM PS CEM LEFT SZ 4: 5528906. THE DEVICE WILL NOT BE RETURNED FOR ANALYSIS; HOWEVER, AN INVESTIGATION OF THE REPORTED EVENT IS IN PROGRESS. ONCE THE INVESTIGATION IS COMPLETED, A SUPPLEMENTAL MEDWATCH 3500A WILL BE SUBMITTED.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT UNDERWENT AN INITIAL LEFT TOTAL KNEE ARTHROPLASTY. SUBSEQUENTLY, THE PATIENT EXPERIENCED OSTEOLYSIS, POLYETHYLENE LINER WEAR AND LOOSENING OF THE FEMORAL COMPONENT. AS A RESULT, THE PATIENT UNDERWENT A LEFT KNEE REVISION APPROXIMATELY 4 YEARS AND 8 MONTHS AFTER INITIAL IMPLANTATION. NO FURTHER PATIENT IMPACT REPORTED. NO FURTHER INFORMATION AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
66477 TRULIANT PS CEM FEM PS CEM LEFT SZ 4 PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, POLYMER/METAL JWH EXACTECH, INC. 10885862314451

Patients

Seq Age Sex Outcome Treatment
1