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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: EXACTECH, INC. LOGIC FEMORAL PS CEM LEFT SZ 2; PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, POLYMER/METAL

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EXACTECH, INC. LOGIC FEMORAL PS CEM LEFT SZ 2; PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, POLYMER/METAL Back to Search Results
Catalog Number 02-010-01-0220
Medical Device Problem Codes Naturally Worn (2988); Loosening of Implant Not Related to Bone-Ingrowth (4002)
Health Effect - Clinical Codes Pain (1994); Synovitis (2094); Osteolysis (2377); Ambulation or Postural Difficulties (2544); Joint Laxity (4526)
Date of Event 03/27/2023
Type of Reportable Event Serious Injury
Additional Manufacturer Narrative
1038671-2023-02318.Concomitant devices: tibial tray trpzd logic (cat no.Unknown, sn (b)(6), 3 peg patella (cat no.Unknown, sn (b)(6), tibial insert (cat no.Unknown, sn (b)(6), optetrak logic spacer tib (cat no.Unknown, sn (b)(6), stryker simplex hv w/ gent bone cement x 2.
 
Event or Problem Description
As reported via legal documentation the patient had a left knee replacement on (b)(6) 2016.Approximately 6 years and 10 months after the initial procedure the patient had a left knee revision on (b)(6) 2023.The patient experienced pain, stiffness, discomfort, and weakness.There is no other patient demographic or medical history available.There is no information on the surgical procedure or patient outcome.There is no device return.There are no photos or other images of the device provided.No additional information is available.
 
Additional Manufacturer Narrative
1038671-2024-03518; 1038671-2023-02318 the revision reported was likely the result of prosthesis wear of the tibial insert and patella component, in addition to loosening of the femoral component and patella component, as stated in the revision operative notes.The aseptic (non-infected) loosening was likely due to an insufficient bond between the implants and the bones.However, the reported prosthesis wear and loosening could not be confirmed and potential contributions of user or patient-related considerations to the event could not be assessed as the devices were not available for evaluation and no images or radiographs were provided.
 
Additional Manufacturer Narrative
This follow-up report is being submitted to relay corrected information.If any further information is obtained that would change or alter any information provided, a supplemental report will be filed accordingly.
 
Event or Problem Description
It was reported via legal documentation that approximately 82 months after a left total knee replacement procedure, the patient underwent a revision procedure to address loosening, ambulation or postural difficulties, osteolysis, synovitis, joint laxity and pain.Initial surgery and revision surgery operative notes were provided.Patient left the operating room in stable condition.No further issues or complications were reported.No additional information is available.
 
Event or Problem Description
It was reported via legal documentation that approximately 82 months after a left total knee replacement procedure, the patient underwent a revision procedure to address prosthesis wear, loosening, ambulation or postural difficulties, osteolysis, synovitis, joint laxity and pain.Initial surgery and revision surgery operative notes were provided.Patient left the operating room in stable condition.Post operative diagnosis noted wear of the implant.No further issues or complications were reported.No additional information is available.
 
Additional Manufacturer Narrative
This follow-up report is being submitted to relay corrected information.If any further information is obtained that would change or alter any information provided, a supplemental report will be filed accordingly.
 
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Brand Name
LOGIC FEMORAL PS CEM LEFT SZ 2
Common Device Name
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 66 ct
gainesville FL 32653
Manufacturer Contact
geoff gannon
2320 nw 66 ct
gainesville, FL 32653
MDR Report Key20218026
Report Number1038671-2024-03517
Device Sequence Number7745765
Product Code JWH
UDI-Device Identifier10885862001122
UDI-Public10885862001122
Combination Product (Y/N)N
Initial Reporter StateNY
Initial Reporter CountryUS
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2016
Device Explanted Year2023
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Consumer,Health Professional,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial,Followup,Followup,Followup
Report Date (Section B) 03/12/2025
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
Operator of Device Health Professional
Device Expiration Date02/28/2021
Device Catalogue Number02-010-01-0220
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 09/12/2024
Supplement Date Received by Manufacturer09/12/2024
09/12/2024
09/12/2024
Initial Report FDA Received Date09/13/2024
Supplement Report FDA Received Date09/16/2024
03/12/2025
03/12/2025
Was Device Evaluated by Manufacturer? (Y/N) Device Not Returned to Manufacturer
Date Device Manufactured03/13/2016
Is the Device Labeled for Single Use? (Y/N) No
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Initial
Patient Sequence Number1
Concomitant Medical Products
and Therapy/Usage Dates
SEE H11.
Outcome Attributed to Adverse Event Required Intervention; Hospitalization;
Patient Age68 YR
Patient SexUnknown
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