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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 19

MDR Year MDR Reports MDR Events
2019 1968 1968
2020 1864 1864
2021 2644 2644
2022 2324 2324
2023 1593 1593
2024 938 938

Device Problems MDRs with this Device Problem Events in those MDRs
Adverse Event Without Identified Device or Use Problem 7681 7681
Loss of or Failure to Bond 2020 2020
Naturally Worn 485 485
Migration 328 328
Unintended Movement 217 217
Osseointegration Problem 162 162
Device Dislodged or Dislocated 152 152
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
Appropriate Term/Code Not Available 57 57
Noise, Audible 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
Device-Device Incompatibility 34 34
Material Deformation 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
Difficult to Advance 13 13
Loose or Intermittent Connection 13 13
Incorrect Measurement 12 12
Improper or Incorrect Procedure or Method 12 12
Device Damaged Prior to Use 12 12
Migration or Expulsion of Device 11 11
Physical Resistance/Sticking 11 11
Unstable 10 10
Expiration Date Error 10 10
Contamination /Decontamination Problem 6 6
Inaccurate Information 6 6
Corroded 5 5
Product Quality Problem 4 4
Defective Device 4 4
Missing Information 4 4
Illegible Information 4 4
Packaging Problem 4 4
Scratched Material 3 3
Incomplete or Missing Packaging 3 3
Difficult to Remove 3 3
Crack 2 2

Patient Problems MDRs with this Patient Problem Events in those MDRs
Pain 4243 4243
No Code Available 3348 3348
Unspecified Infection 2316 2316
Joint Laxity 1726 1726
Insufficient Information 918 918
Adhesion(s) 790 790
Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available 704 704
Loss of Range of Motion 533 533
Swelling/ Edema 523 523
Muscular Rigidity 499 499
Fall 323 323
Edema 300 300
Synovitis 279 279
Discomfort 241 241
Osteolysis 235 235
Limited Mobility Of The Implanted Joint 219 219
No Clinical Signs, Symptoms or Conditions 217 217
Inadequate Osseointegration 214 214
Ambulation Difficulties 207 207
Unspecified Tissue Injury 192 192
Inflammation 166 166
No Consequences Or Impact To Patient 147 147
Bone Fracture(s) 144 144
Wound Dehiscence 130 130
Joint Dislocation 121 121
Injury 101 101
Hypersensitivity/Allergic reaction 95 95
Unspecified Musculoskeletal problem 87 87
Foreign Body Reaction 85 85
Hemorrhage/Bleeding 82 82
Joint Disorder 75 75
Swelling 70 70
Thrombosis/Thrombus 59 59
Hematoma 55 55
Cyst(s) 53 53
Scar Tissue 53 53
Fatigue 52 52
Joint Contracture 51 51
Erythema 51 51
Fluid Discharge 51 51
Fibrosis 51 51
Pulmonary Embolism 49 49
Necrosis 46 46
Not Applicable 44 44
Muscle/Tendon Damage 42 42
Impaired Healing 38 38
Sepsis 35 35
Fever 33 33
Abscess 28 28
Anemia 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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