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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, constrained, cemented, metal/polymer
Product CodeKRO
Regulation Number 888.3510
Device Class 2


Premarket Reviews
ManufacturerDecision
DEPUY (IRELAND)
  SUBSTANTIALLY EQUIVALENT 1
DEPUY IRELAND UC
  SUBSTANTIALLY EQUIVALENT 1
HOWMEDICA OSTEONICS CORP. DBA STRYKER ORTHOPAEDICS
  SUBSTANTIALLY EQUIVALENT 2
LINK BIO CORP.
  SUBSTANTIALLY EQUIVALENT 1
MEDACTA INTERNATIONAL SA
  SUBSTANTIALLY EQUIVALENT 1
MICROPORT ORTHOPEDICS INC.
  SUBSTANTIALLY EQUIVALENT 2
ONKOS SURGICAL
  SUBSTANTIALLY EQUIVALENT 1
STRYKER
  SUBSTANTIALLY EQUIVALENT 1
UNITED ORTHOPEDIC CORPORATION
  SUBSTANTIALLY EQUIVALENT 1
WALDEMAR LINK GMBH & CO. KG
  SUBSTANTIALLY EQUIVALENT 2
ZIMMER, INC.
  SUBSTANTIALLY EQUIVALENT 1

MDR Year MDR Reports MDR Events
2019 759 759
2020 749 749
2021 767 767
2022 893 893
2023 747 747
2024 598 598

Device Problems MDRs with this Device Problem Events in those MDRs
Adverse Event Without Identified Device or Use Problem 1837 1837
Insufficient Information 588 588
Fracture 465 465
Loss of Osseointegration 247 247
Loosening of Implant Not Related to Bone-Ingrowth 224 224
Device Dislodged or Dislocated 195 195
Detachment of Device or Device Component 180 180
Unstable 172 172
Naturally Worn 142 142
Appropriate Term/Code Not Available 133 133
Break 88 88
Patient Device Interaction Problem 78 78
Device Appears to Trigger Rejection 75 75
Loose or Intermittent Connection 57 57
Degraded 54 54
Failure to Advance 49 49
Mechanical Problem 46 46
Migration 42 42
Patient-Device Incompatibility 41 41
Unintended Movement 39 39
Osseointegration Problem 39 39
Compatibility Problem 26 26
Separation Failure 21 21
Malposition of Device 20 20
Inadequacy of Device Shape and/or Size 18 18
Use of Device Problem 17 17
Improper or Incorrect Procedure or Method 17 17
Material Erosion 16 16
Packaging Problem 16 16
Mechanical Jam 15 15
Delivered as Unsterile Product 15 15
Tear, Rip or Hole in Device Packaging 14 14
Noise, Audible 14 14
No Apparent Adverse Event 12 12
Component Missing 12 12
Material Fragmentation 12 12
Loss of or Failure to Bond 11 11
Corroded 11 11
Migration or Expulsion of Device 11 11
Shipping Damage or Problem 11 11
Material Deformation 11 11
Manufacturing, Packaging or Shipping Problem 10 10
Crack 10 10
Connection Problem 9 9
Material Integrity Problem 9 9
Activation Failure 9 9
Failure to Osseointegrate 8 8
Unsealed Device Packaging 8 8
Off-Label Use 7 7
Positioning Failure 7 7

Patient Problems MDRs with this Patient Problem Events in those MDRs
Unspecified Infection 1269 1269
Insufficient Information 717 717
Pain 511 511
Failure of Implant 480 480
Injury 360 360
Inadequate Osseointegration 223 223
No Clinical Signs, Symptoms or Conditions 203 203
Joint Laxity 187 187
No Code Available 174 174
Ambulation Difficulties 159 159
No Information 151 151
Joint Dislocation 147 147
Bone Fracture(s) 141 141
Fall 136 136
Cancer 118 118
Loss of Range of Motion 83 83
Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available 79 79
No Known Impact Or Consequence To Patient 66 67
Scar Tissue 58 58
Unequal Limb Length 54 54
Patient Problem/Medical Problem 48 48
Inflammation 42 42
Swelling 42 42
Metal Related Pathology 39 39
Swelling/ Edema 39 39
Implant Pain 36 36
Joint Disorder 30 30
Limited Mobility Of The Implanted Joint 26 26
Unspecified Tissue Injury 25 25
Hematoma 23 23
Death 23 23
Adhesion(s) 22 22
Fluid Discharge 20 20
Wound Dehiscence 19 19
Bacterial Infection 19 19
Post Operative Wound Infection 19 19
Reaction 18 18
Foreign Body Reaction 17 17
Hypersensitivity/Allergic reaction 16 16
Muscle/Tendon Damage 14 14
Synovitis 14 14
Muscular Rigidity 14 14
No Consequences Or Impact To Patient 14 14
Hyperextension 12 12
Osteolysis 12 12
Ulcer 10 10
Post Traumatic Wound Infection 10 10
Osteopenia/ Osteoporosis 10 10
Necrosis 10 10
Damage to Ligament(s) 9 9

Recalls
Manufacturer Recall Class Date Posted
1 DePuy Orthopaedics, Inc. II Mar-17-2023
2 Linkbio Corp. II May-04-2023
3 United Orthopedic Corporation II Feb-29-2024
4 Uoc Usa Inc II Oct-14-2021
5 Waldemar Link GmbH & Co. KG (Mfg Site) II Jun-30-2023
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