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U.S. Department of Health and Human Services

TPLC - Total Product Life Cycle

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Device prosthesis, knee, patellofemorotibial, semi-constrained, metal/polymer, mobile bearing
Definition This type of device is designed to allow for motion between the plastic bearing and metal baseplate components of a knee prosthesis. It is intended to replace a knee joint in order to relieve pain and restore knee function, for indications such as osteoarthritis, inflammatory arthritis, traumatic arthritis, and revision of failed knee prostheses.
Product CodeNJL
Device Class 3

Premarket Approvals (PMA)
2019 2020 2021 2022 2023 2024
30 28 18 30 17 16

MDR Year MDR Reports MDR Events
2019 1968 1968
2020 1864 1864
2021 2644 2644
2022 2324 2324
2023 1593 1593
2024 841 841

Device Problems MDRs with this Device Problem Events in those MDRs
Adverse Event Without Identified Device or Use Problem 7604 7604
Loss of or Failure to Bond 2015 2015
Naturally Worn 476 476
Migration 327 327
Unintended Movement 216 216
Osseointegration Problem 159 159
Device Dislodged or Dislocated 148 148
Device Contaminated During Manufacture or Shipping 102 102
Fracture 98 98
Loosening of Implant Not Related to Bone-Ingrowth 78 78
Use of Device Problem 76 76
Difficult to Open or Remove Packaging Material 69 69
Loss of Osseointegration 62 62
Noise, Audible 57 57
Appropriate Term/Code Not Available 57 57
Off-Label Use 55 55
Malposition of Device 52 52
Break 42 42
Tear, Rip or Hole in Device Packaging 41 41
No Apparent Adverse Event 40 40
Difficult to Insert 39 39
Material Deformation 34 34
Device-Device Incompatibility 34 34
Material Twisted/Bent 28 28
Inadequacy of Device Shape and/or Size 25 25
Insufficient Information 22 22
Patient Device Interaction Problem 20 20
Patient-Device Incompatibility 18 18
Mechanical Jam 14 14
Loose or Intermittent Connection 13 13
Difficult to Advance 13 13
Device Damaged Prior to Use 12 12
Incorrect Measurement 12 12
Improper or Incorrect Procedure or Method 11 11
Physical Resistance/Sticking 11 11
Migration or Expulsion of Device 11 11
Unstable 10 10
Expiration Date Error 10 10
Contamination /Decontamination Problem 6 6
Inaccurate Information 6 6
Corroded 5 5
Packaging Problem 4 4
Product Quality Problem 4 4
Illegible Information 4 4
Missing Information 4 4
Defective Device 4 4
Difficult to Remove 3 3
Scratched Material 3 3
Incomplete or Missing Packaging 3 3
Fitting Problem 2 2

Patient Problems MDRs with this Patient Problem Events in those MDRs
Pain 4212 4212
No Code Available 3348 3348
Unspecified Infection 2278 2278
Joint Laxity 1716 1716
Insufficient Information 908 908
Adhesion(s) 786 786
Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available 704 704
Loss of Range of Motion 524 524
Swelling/ Edema 523 523
Muscular Rigidity 497 497
Fall 317 317
Edema 300 300
Synovitis 279 279
Discomfort 241 241
Osteolysis 234 234
Limited Mobility Of The Implanted Joint 219 219
No Clinical Signs, Symptoms or Conditions 217 217
Inadequate Osseointegration 211 211
Ambulation Difficulties 207 207
Unspecified Tissue Injury 187 187
Inflammation 166 166
No Consequences Or Impact To Patient 147 147
Bone Fracture(s) 144 144
Wound Dehiscence 130 130
Joint Dislocation 116 116
Injury 101 101
Hypersensitivity/Allergic reaction 95 95
Unspecified Musculoskeletal problem 87 87
Foreign Body Reaction 82 82
Hemorrhage/Bleeding 82 82
Joint Disorder 75 75
Swelling 70 70
Thrombosis/Thrombus 59 59
Hematoma 55 55
Scar Tissue 53 53
Fatigue 52 52
Cyst(s) 51 51
Fluid Discharge 51 51
Joint Contracture 51 51
Fibrosis 49 49
Erythema 48 48
Pulmonary Embolism 45 45
Necrosis 45 45
Not Applicable 44 44
Muscle/Tendon Damage 42 42
Impaired Healing 38 38
Fever 33 33
Sepsis 33 33
Abscess 28 28
Tissue Damage 23 23

Recalls
Manufacturer Recall Class Date Posted
1 DePuy Orthopaedics, Inc. II Sep-01-2021
2 DePuy Orthopaedics, Inc. II Mar-29-2021
3 Zimmer Biomet, Inc. II Nov-07-2019
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