FDA Adverse Event Injury Summary report: N

PHYSICA TT

MDR report key: 25238766 · Received May 21, 2026

Report

Report Number
3008021110-2026-00227
Event Type
Injury
Date Received
May 21, 2026
Date of Event
December 4, 2025
Report Date
May 19, 2026
Manufacturer
LIMACORPORATE S.P.A.
Product Code
JWH
UDI-DI
08033390169912
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

THE CHECK OF DHRS OF THE INVOLVED LOT NUMBER 2211436 DID NOT HIGHLIGHT ANY PRE-EXISTING ANOMALIES ON THE ITEMS MANUFACTURED WITH THIS LOT NUMBER. THIS IS THE FIRST AND ONLY COMPLAINT RECEIVED ON THIS LOT NUMBER. A FINAL REPORT WILL BE SUBMITTED AFTER THE INVESTIGATION IS COMPLETED.

Description of Event or Problem · 0

ON (B)(6) 2025 REVISION OF KNEE PROTHESIS DUE TO SINTERING OF PHYSICA TT FIX. TIBIAL TRAY #5 (PRODUCT CODE: 6521.14.050, LOT: 2211436 - STER: (B)(4). DURING REVISION THE TOTAL PRIMARY KNEE HAS BEEN CHANGED TO A ROTATING HINGED KNEE. PREVIOUS SURGERY WAS PERFORMED ON (B)(6) 2023. DURING ONE YEAR-CONTROL ONLY MINOR RADIOLOGIC SIGNS OF SINTERING SHOWED UP. INCREASING SINTERING WITHIN THE SECOND YEAR OF POST-OP. PATIENT DID NOT REPORT ANY TRAUMA. PRODUCT CODES AND LOT NUMBERS OF THE OTHER DEVICES IMPLANTED ON THE FIRST SURGERY ON 2023: PHYSICA TT FIX. TIBIAL TRAY #5 (PRODUCT CODE: 6521.14.050, LOT: 2211436 - STER: (B)(4), PS FEMORAL COMPONENT #5 LEFT (PRODUCT CODE: 6515.10.550, LOT: 2222424 - STER: (B)(4), PHYSICA PS TIBIAL LINER #5 (PRODUCT CODE: 6535.50.511, LOT: 22BC069 - STER: (B)(4), PHYSICA PS - FEMORAL PEG (PRODUCT CODE: 6515.09.900, LOT: 2313310 - STER: (B)(4). PATIENT: FEMALE, 75 YEARS OLD, APPROXIMATE HEIGHT 1.65(M), APPROXIMATE WEIGHT 58 (KG), ACTIVE LEVEL, NO SMOKING. EVENT OCCURRED IN AUSTRIA.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
129115 PHYSICA TT PHYSICA TT - TI6AL4V EBM - FIXED TIBIAL PLATE #5 UNCEMENTED JWH LIMACORPORATE S.P.A. 6521.14.050 2211436 08033390169912

Patients

Seq Age Sex Outcome Treatment
1