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U.S. Department of Health and Human Services

TPLC - Total Product Life Cycle

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Device prosthesis, knee, patello/femorotibial, semi-constrained, uncemented, porous, coated, polymer/metal/polymer
Regulation Description Knee joint patellofemorotibial metal/polymer porous-coated uncemented prosthesis.
Product CodeMBH
Regulation Number 888.3565
Device Class 2


Premarket Reviews
ManufacturerDecision
CONFORMIS, INC.
  SUBSTANTIALLY EQUIVALENT 2
DEPUY IRELAND UC
  SUBSTANTIALLY EQUIVALENT 5
ENCORE MEDICAL L.P.
  SUBSTANTIALLY EQUIVALENT 1
ENCORE MEDICAL, L.P. DBA DJO SURGICAL
  SUBSTANTIALLY EQUIVALENT 1
EXACTECH, INC.
  SUBSTANTIALLY EQUIVALENT 1
HOWMEDICA OSTEONICS CORP., DBA STRYKER ORTHOPAEDICS
  SUBSTANTIALLY EQUIVALENT 2
LIMA CORPORATE S.P.A.
  SUBSTANTIALLY EQUIVALENT 3
MAXX ORTHOPEDICS, INC.
  SUBSTANTIALLY EQUIVALENT 2
MEDACTA INTERNATIONAL S.A.
  SUBSTANTIALLY EQUIVALENT 3
MEDISURGE, LLC
  SUBSTANTIALLY EQUIVALENT 1
MICROPORT ORTHOPEDICS, INC.
  SUBSTANTIALLY EQUIVALENT 2
OPTIMOTION IMPLANTS, LLC
  SUBSTANTIALLY EQUIVALENT 2
ORTHO DEVELOPMENT CORP.
  SUBSTANTIALLY EQUIVALENT 1
RESTOR3D, INC.
  SUBSTANTIALLY EQUIVALENT 1
SIGNAL MEDICAL CORPORATION
  SUBSTANTIALLY EQUIVALENT 1
SIGNATURE ORTHOPAEDICS PTY, LTD.
  SUBSTANTIALLY EQUIVALENT 1
SMITH & NEPHEW, INC.
  SUBSTANTIALLY EQUIVALENT 3
UNITED ORTHOPEDIC CORPORATION
  SUBSTANTIALLY EQUIVALENT 2
ZIMMER BIOMET
  SUBSTANTIALLY EQUIVALENT 1
ZIMMER, INC.
  SUBSTANTIALLY EQUIVALENT 5

MDR Year MDR Reports MDR Events
2021 1539 1547
2022 1261 1281
2023 1263 1295
2024 1497 1513
2025 1572 1905
2026 349 349

Device Problems MDRs with this Device Problem Events in those MDRs
Adverse Event Without Identified Device or Use Problem 3212 3569
Fracture 1023 1283
Unstable 686 693
Loosening of Implant Not Related to Bone-Ingrowth 283 289
Insufficient Information 278 281
Loss of Osseointegration 261 261
Break 245 246
Detachment of Device or Device Component 225 229
Difficult to Insert 191 192
Osseointegration Problem 183 452
Migration 131 134
Naturally Worn 130 132
Degraded 116 116
Device Dislodged or Dislocated 114 116
Mechanical Problem 103 105
Malposition of Device 90 324
Positioning Failure 86 86
Noise, Audible 66 67
Loss of or Failure to Bond 65 68
Use of Device Problem 64 65
Patient Device Interaction Problem 54 57
Material Erosion 52 286
Material Deformation 50 50
Unintended Movement 46 46
Loose or Intermittent Connection 43 44
Connection Problem 40 40
Device Contaminated During Manufacture or Shipping 27 27
Crack 26 26
Inadequacy of Device Shape and/or Size 24 24
Appropriate Term/Code Not Available 24 26
Packaging Problem 23 23
Tear, Rip or Hole in Device Packaging 22 22
Failure to Osseointegrate 21 21
Component Missing 19 19
Mechanical Jam 18 18
Device Damaged Prior to Use 17 17
Incomplete or Inadequate Connection 16 16
Material Fragmentation 16 16
Corroded 15 15
Off-Label Use 15 16
Dull, Blunt 15 15
Improper or Incorrect Procedure or Method 12 12
Delivered as Unsterile Product 11 11
Contamination /Decontamination Problem 10 10
Shipping Damage or Problem 10 10
Material Twisted/Bent 10 10
Device Markings/Labelling Problem 9 9
Fitting Problem 9 9
Device Reprocessing Problem 8 8
Device-Device Incompatibility 8 8

Patient Problems MDRs with this Patient Problem Events in those MDRs
No Clinical Signs, Symptoms or Conditions 1827 1848
Pain 1811 2105
Joint Laxity 922 1190
Unspecified Infection 856 1127
Insufficient Information 755 1029
Loss of Range of Motion 689 794
Ambulation Difficulties 456 464
Inadequate Osseointegration 417 422
Swelling/ Edema 399 401
Failure of Implant 352 370
Scar Tissue 200 200
Bone Fracture(s) 175 177
Fall 169 172
Adhesion(s) 118 118
Joint Dislocation 82 317
Muscle/Tendon Damage 65 65
Discomfort 59 60
Thrombosis/Thrombus 59 59
Inflammation 58 59
Muscular Rigidity 54 55
Fibrosis 51 51
Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available 51 51
Hypersensitivity/Allergic reaction 51 53
Osteolysis 49 285
Unspecified Tissue Injury 45 46
Synovitis 43 279
Damage to Ligament(s) 43 44
Fluid Discharge 36 38
Metal Related Pathology 36 270
Numbness 34 34
Implant Pain 27 27
Hematoma 25 26
Bacterial Infection 24 24
Wound Dehiscence 22 23
Foreign Body Reaction 22 23
Pulmonary Embolism 22 22
Impaired Healing 21 21
Erythema 21 21
Hemorrhage/Bleeding 19 19
Cyst(s) 19 20
Subluxation 19 20
Necrosis 18 19
Nerve Damage 18 19
Rupture 17 17
Limb Fracture 17 17
Cellulitis 16 16
Osteopenia/ Osteoporosis 15 16
Muscle Weakness 14 14
Embolism/Embolus 14 14
Ossification 14 14

Recalls
Manufacturer Recall Class Date Posted
1 Biomet, Inc. II Apr-22-2024
2 DePuy Orthopaedics, Inc. II Mar-29-2024
3 Encore Medical, LP II Dec-07-2023
4 Encore Medical, LP II Nov-07-2023
5 Encore Medical, LP II Apr-12-2023
6 Howmedica Osteonics Corp. II Mar-06-2024
7 Howmedica Osteonics Corp. II May-30-2023
8 Howmedica Osteonics Corp. II Mar-08-2021
9 MicroPort Orthopedics Inc. II Dec-18-2024
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