TRULIANT PS CEM FEM PS CEM LEFT SZ 4
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
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.
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 |