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U.S. Department of Health and Human Services

TPLC - Total Product Life Cycle

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Device prosthesis, ankle, semi-constrained, cemented, metal/polymer
Product CodeHSN
Regulation Number 888.3110
Device Class 2


Premarket Reviews
ManufacturerDecision
EXACTECH INC.
  SUBSTANTIALLY EQUIVALENT 1
EXACTECH, INC.
  SUBSTANTIALLY EQUIVALENT 1
IN2BONES SAS
  SUBSTANTIALLY EQUIVALENT 4
INTEGRA LIFESCIENCES CORPORATION
  SUBSTANTIALLY EQUIVALENT 1
KINOS MEDICAL
  SUBSTANTIALLY EQUIVALENT 1
PARAGON 28, INC
  SUBSTANTIALLY EQUIVALENT 1
PARAGON 28, INC.
  SUBSTANTIALLY EQUIVALENT 5
RESTOR3D
  SUBSTANTIALLY EQUIVALENT 3
RESTOR3D, INC.
  SUBSTANTIALLY EQUIVALENT 1
VILEX, LLC
  SUBSTANTIALLY EQUIVALENT 2
WRIGHT MEDICAL TECHNOLOGY, INC (STRYKER)
  SUBSTANTIALLY EQUIVALENT 1
WRIGHT MEDICAL TECHNOLOGY, INC.
  SUBSTANTIALLY EQUIVALENT 3

MDR Year MDR Reports MDR Events
2020 281 281
2021 237 237
2022 453 453
2023 796 796
2024 1094 1094

Device Problems MDRs with this Device Problem Events in those MDRs
Adverse Event Without Identified Device or Use Problem 1416 1416
Osseointegration Problem 670 670
Insufficient Information 570 570
Migration 439 439
Loss of Osseointegration 94 94
Break 63 63
Fracture 56 56
Loosening of Implant Not Related to Bone-Ingrowth 55 55
Appropriate Term/Code Not Available 34 34
Naturally Worn 31 31
Malposition of Device 28 28
Device Dislodged or Dislocated 28 28
Inadequacy of Device Shape and/or Size 20 20
Use of Device Problem 20 20
Unintended Movement 16 16
Failure to Osseointegrate 15 15
Device Difficult to Setup or Prepare 13 13
Unstable 12 12
Detachment of Device or Device Component 12 12
Positioning Failure 11 11
Patient Device Interaction Problem 10 10
Patient-Device Incompatibility 9 9
Off-Label Use 8 8
Defective Device 8 8
Loss of or Failure to Bond 6 6
Mechanical Jam 6 6
Inaccurate Information 6 6
Component Missing 6 6
Improper or Incorrect Procedure or Method 5 5
Device Handling Problem 4 4
Material Deformation 4 4
Material Fragmentation 4 4
Positioning Problem 4 4
Material Discolored 3 3
Degraded 3 3
Device Damaged by Another Device 2 2
Shipping Damage or Problem 2 2
Material Separation 2 2
No Apparent Adverse Event 2 2
Nonstandard Device 2 2
Device Markings/Labelling Problem 2 2
Device-Device Incompatibility 2 2
Material Twisted/Bent 1 1
Failure to Align 1 1
Difficult to Insert 1 1
Difficult or Delayed Positioning 1 1
Misassembly by Users 1 1
Contamination /Decontamination Problem 1 1
Residue After Decontamination 1 1
Material Integrity Problem 1 1

Patient Problems MDRs with this Patient Problem Events in those MDRs
Insufficient Information 995 995
Inadequate Osseointegration 784 784
Implant Pain 486 486
Cyst(s) 454 454
Unspecified Infection 302 302
Failure of Implant 159 159
No Clinical Signs, Symptoms or Conditions 154 154
Pain 142 142
Swelling/ Edema 133 133
Loss of Range of Motion 110 110
Osteolysis 109 109
Bone Fracture(s) 99 99
Injury 87 87
Limb Fracture 78 78
Wound Dehiscence 64 64
Patient Problem/Medical Problem 57 57
Ambulation Difficulties 45 45
Post Operative Wound Infection 45 45
Impaired Healing 35 35
Ossification 32 32
Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available 30 30
Bacterial Infection 26 26
Discomfort 25 25
Deformity/ Disfigurement 24 24
Joint Laxity 23 23
Subluxation 22 22
Arthritis 22 22
Numbness 18 18
Fluid Discharge 17 17
Joint Dislocation 17 17
Inflammation 16 16
No Code Available 14 14
Nerve Damage 13 13
Erythema 12 12
Fall 12 12
Osteopenia/ Osteoporosis 11 11
Malunion of Bone 10 10
Unspecified Tissue Injury 8 8
Necrosis 8 8
Rheumatoid Arthritis 8 8
Purulent Discharge 7 7
No Information 7 7
Arthralgia 7 7
Foreign Body In Patient 6 6
Ankylosis 6 6
Damage to Ligament(s) 6 6
Foreign Body Reaction 5 5
Neuropathy 5 5
No Known Impact Or Consequence To Patient 4 4
Fibrosis 4 4

Recalls
Manufacturer Recall Class Date Posted
1 Exactech, Inc. II Jan-18-2024
2 Exactech, Inc. II Oct-04-2021
3 Exactech, Inc. II Aug-31-2020
4 Wright Medical Technology Inc II Dec-01-2021
5 Wright Medical Technology Inc II May-07-2020
6 Wright Medical Technology, Inc. II Apr-04-2024
7 Wright Medical Technology, Inc. II Jul-07-2023
8 Wright Medical Technology, Inc. II Oct-27-2022
9 Wright Medical Technology, Inc. II Jun-27-2022
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