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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: EXACTECH, INC. TRULIANT TIB IMP PSC INSERT SZ 4, 9MM; PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, POLYMER/METAL

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EXACTECH, INC. TRULIANT TIB IMP PSC INSERT SZ 4, 9MM; PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, POLYMER/METAL Back to Search Results
Catalog Number 02-022-44-4009
Device Problem Adverse Event Without Identified Device or Use Problem (2993)
Patient Problem Bacterial Infection (1735)
Event Date 12/21/2018
Event Type  Injury  
Manufacturer Narrative
(h3) pending evaluation (d10) concomitant device(s): 02-010-06-0340 - logic cc femoral size 4, right 02-012-45-4040 - lgc tibial fit tray cem sz 4f / 4t 200-07-35 - advanced patella 35mm 3 peg implant.
 
Event Description
As reported by the exactech truliant knee clinical study, the 62 year old male patient had an initial right tka on 13-nov-2018 and presented with infection, 0 year(s) and 1 month(s) post initial procedure on (b)(6) 2018.12-11-2018 mild swelling, moderate pain; (b)(6) 2019: moderate swelling, arthrocentesis revealed +staphylococcus panel.Revision schedule (b)(6) 2019.Referred to id.Iv abx therapy x 6 weeks.Revision scheduled (b)(6) 2019.The case report form indicates that this event is unlikely related to the device and definitely related to the procedure.The report also indicates that the action taken was revision on (b)(6) 2019.The outcome is reported as resolved on (b)(6) 2019.No device return anticipated due to being a clinical trial study.
 
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Brand Name
TRULIANT TIB IMP PSC INSERT SZ 4, 9MM
Type of Device
PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, POLYMER/METAL
Manufacturer (Section D)
EXACTECH, INC.
2320 nw 66 court
gainesville FL 32653
Manufacturer (Section G)
EXACTECH
2320 nw 66th ct.
gainesville FL 32653
Manufacturer Contact
miguel sosa
2320 nw 66th ct.
gainesville, FL 32653
3523771140
MDR Report Key18725508
MDR Text Key335718075
Report Number1038671-2024-00249
Device Sequence Number1
Product Code JWH
Combination Product (y/n)N
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Study,Health Professional
Reporter Occupation Physician
Type of Report Initial
Report Date 02/16/2024
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Health Professional
Device Catalogue Number02-022-44-4009
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received 01/19/2024
Initial Date FDA Received02/16/2024
Was Device Evaluated by Manufacturer? No
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
Treatment
SEE H10.
Patient Age62 YR
Patient SexMale
Patient Weight96 KG
Patient RaceWhite
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