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U.S. Department of Health and Human Services

TPLC - Total Product Life Cycle

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Device prosthesis, knee, femorotibial, non-constrained, cemented, metal/polymer
Regulation Description Knee joint femorotibial metal/polymer non-constrained cemented prosthesis.
Product CodeHSX
Regulation Number 888.3520
Device Class 2


Premarket Reviews
ManufacturerDecision
ARTHREX INC.
  SUBSTANTIALLY EQUIVALENT 1
BODYCAD LABORATORIES, INC.
  SUBSTANTIALLY EQUIVALENT 3
GLOBUS MEDICAL, INC
  SUBSTANTIALLY EQUIVALENT 1
HOWMEDICA OSTEONICS CORP AKA STRYKER ORTHOPAEDICS
  SUBSTANTIALLY EQUIVALENT 1
IMPLANTCAST GMBH
  SUBSTANTIALLY EQUIVALENT 1
KYOCERA MEDICAL TECHNOLOGIES INC.
  SUBSTANTIALLY EQUIVALENT 1
MAKO SURGICAL CORP.
  SUBSTANTIALLY EQUIVALENT 1
MATERIALISE NV
  SUBSTANTIALLY EQUIVALENT 1
MEDACTA INTERNATIONAL S.A.
  SUBSTANTIALLY EQUIVALENT 1
ORTHO DEVELOPMENT CORPORATION
  SUBSTANTIALLY EQUIVALENT 1
OVERTURE ORTHOPAEDICS
  SUBSTANTIALLY EQUIVALENT 1
OVERTURE RESURFACING INC.
  SUBSTANTIALLY EQUIVALENT 1
SIGNATURE ORTHOPAEDICS PTY LTD.
  SUBSTANTIALLY EQUIVALENT 1
SMITH & NEPHEW, INC.
  SUBSTANTIALLY EQUIVALENT 2
ZIMMER, INC.
  SUBSTANTIALLY EQUIVALENT 1

MDR Year MDR Reports MDR Events
2020 273 273
2021 240 240
2022 258 258
2023 231 231
2024 172 172
2025 36 36

Device Problems MDRs with this Device Problem Events in those MDRs
Adverse Event Without Identified Device or Use Problem 400 400
Fracture 184 184
Break 130 130
Loosening of Implant Not Related to Bone-Ingrowth 94 94
Appropriate Term/Code Not Available 66 66
Migration 31 31
Crack 26 26
Device Dislodged or Dislocated 25 25
Naturally Worn 22 22
Mechanical Jam 21 21
Flaked 19 19
Device Appears to Trigger Rejection 19 19
Unstable 18 18
Material Fragmentation 17 17
Connection Problem 16 16
Loss of Osseointegration 15 15
Malposition of Device 15 15
Difficult to Insert 14 14
Positioning Failure 14 14
Fitting Problem 12 12
Loss of or Failure to Bond 10 10
Loose or Intermittent Connection 10 10
Insufficient Information 10 10
Material Deformation 9 9
Failure to Osseointegrate 8 8
Noise, Audible 7 7
Corroded 7 7
Material Twisted/Bent 7 7
Defective Device 6 6
Material Protrusion/Extrusion 6 6
Device Damaged by Another Device 6 6
Separation Failure 5 5
Detachment of Device or Device Component 5 5
Patient Device Interaction Problem 5 5
Degraded 5 5
Material Erosion 4 4
Manufacturing, Packaging or Shipping Problem 4 4
Inadequacy of Device Shape and/or Size 4 4
Osseointegration Problem 3 3
Packaging Problem 3 3
Use of Device Problem 3 3
Peeled/Delaminated 3 3
Incomplete or Inadequate Connection 3 3
Migration or Expulsion of Device 3 3
Material Separation 2 2
Microbial Contamination of Device 2 2
Positioning Problem 2 2
No Apparent Adverse Event 2 2
Expiration Date Error 2 2
Unsealed Device Packaging 2 2

Patient Problems MDRs with this Patient Problem Events in those MDRs
No Clinical Signs, Symptoms or Conditions 309 309
Pain 281 281
Failure of Implant 119 119
Unspecified Infection 106 106
Insufficient Information 85 85
Bone Fracture(s) 68 68
No Known Impact Or Consequence To Patient 58 58
Inadequate Osseointegration 52 52
Joint Laxity 37 37
Swelling/ Edema 32 32
Joint Dislocation 28 28
Loss of Range of Motion 28 28
Foreign Body In Patient 24 24
No Information 24 24
Device Embedded In Tissue or Plaque 23 23
Implant Pain 21 21
Arthralgia 20 20
Swelling 19 19
Fall 18 18
No Patient Involvement 18 18
No Consequences Or Impact To Patient 16 16
Ambulation Difficulties 15 15
Injury 15 15
Osteolysis 14 14
Arthritis 13 13
Inflammation 12 12
Metal Related Pathology 11 11
Discomfort 10 10
Synovitis 9 9
Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available 9 9
Limited Mobility Of The Implanted Joint 9 9
No Code Available 9 9
Numbness 8 8
Osteopenia/ Osteoporosis 7 7
Damage to Ligament(s) 5 5
Reaction 5 5
Cyst(s) 4 4
Unspecified Tissue Injury 4 4
Joint Disorder 4 4
Deformity/ Disfigurement 3 3
Patient Problem/Medical Problem 3 3
Scar Tissue 3 3
Joint Swelling 3 3
Embolism/Embolus 3 3
Muscular Rigidity 2 2
Necrosis 2 2
Laceration(s) 2 2
Wound Dehiscence 2 2
Erosion 2 2
Hemorrhage/Bleeding 2 2

Recalls
Manufacturer Recall Class Date Posted
1 Encore Medical, LP II Nov-20-2020
2 Howmedica Osteonics Corp. II Apr-12-2023
3 Linkbio Corp. II May-04-2023
4 Smith & Nephew, Inc. II May-31-2023
5 Smith & Nephew, Inc. II Apr-14-2023
6 Smith & Nephew, Inc. II May-27-2020
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