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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: WRIGHT MEDICAL TECHNOLOGY INC FLAT CUT TALAR DOME SZ 3 INFINITY ADAPTIS; PROSTHESIS, ANKLE, SEMI-CONSTRAINED, CEMENTED, METAL/POLYMER

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WRIGHT MEDICAL TECHNOLOGY INC FLAT CUT TALAR DOME SZ 3 INFINITY ADAPTIS; PROSTHESIS, ANKLE, SEMI-CONSTRAINED, CEMENTED, METAL/POLYMER Back to Search Results
Catalog Number 33680033
Medical Device Problem Codes Device Dislodged or Dislocated (2923); Insufficient Device Problem Information (3190); Implant subsidence (4078)
Health Effect - Clinical Code Limb Fracture (4518)
Date of Event 11/21/2025
Type of Reportable Event Serious Injury
Event or Problem Description
The stryker prophecy team has received a ct scan for upcoming revision surgery due to talar component collapse and periprosthetic talar fracture.
 
Additional Manufacturer Narrative
Additional information has been requested and if received, will be provided in the supplemental report.
 
Additional Manufacturer Narrative
Correction: h6 (results code).The reported event could be confirmed, since the ct scan shows the described collapse of the talus with clear dislocation and subsidence of the component.There is also a fracture visible, which is adjacent to the talar component.The tibial component does not show signs of loosening or migration.The device inspection was not possible as the product was not returned for investigation.A review of the device history for the reported lot did not indicate any abnormalities.No corrective actions are required at this time.A review of the labeling did not indicate any abnormalities.No indications of material, manufacturing or design related problems were found during the investigation.Upon further investigation of the ct scans, healthcare professionals opined that- the ct scan shows the described collapse of the talus with clear dislocation and subsidence of the component.There is also a fracture visible, which is adjacent to the talar component.The tibial component does not show signs of loosening or migration.There is no underlying cause of the failure visible.However, failure of total ankle replacement tar over time is a known complication.In case of a planned revision procedure a medical opinion aiming to determine the root cause of the failure is part of the internal investigation process.Sufficient radiological and clinical information must be provided to enable a meaningful clinical assessment and to identify possible causes of failure.In cases where a ct scan is the only available clinical source, this assessment is limited.No conclusive statement can be provided, because key clinical information e.G., clinical status, exact symptoms, and range of motion of the patient, assessment of the treating physician is missing.The root causes of radiographic findings such as radiolucent areas and bone cysts are often complex and multifactorial and cannot be determined scientifically without this decisive evidence.Due to these limitations, we are unable in such cases to provide statements about the patient, the procedure and or the device in relation to cause of the failure.More detailed information about the complaint event as well as the affected device must be available to determine the root cause of the complaint event.If the device is returned or any further information is provided, the investigation report will be reassessed.
 
Event or Problem Description
The stryker prophecy team has received a ct scan for upcoming revision surgery due to talar component collapse and periprosthetic talar fracture.
 
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Brand Name
FLAT CUT TALAR DOME SZ 3 INFINITY ADAPTIS
Common Device Name
PROSTHESIS, ANKLE, SEMI-CONSTRAINED, CEMENTED, METAL/POLYMER
Manufacturer (Section D)
WRIGHT MEDICAL TECHNOLOGY INC
1023 cherry rd
memphis TN 38117
Manufacturer (Section G)
WRIGHT MEDICAL TECHNOLOGY, INC.
11576 memphis arlington rd
arlington TN 38002
Manufacturer Contact
dannielle stap
325 corporate drive
mahwah, NJ 07430
2018315000
MDR Report Key23781928
Report Number3010667733-2025-01498
Device Sequence Number10150273
Product Code HSN
UDI-Device Identifier00889797073073
UDI-Public(01)00889797073073(11)230111(17)310111(10)1744216
Combination Product (Y/N)N
Initial Reporter StatePA
Initial Reporter CountryUS
PMA/510(K) Number
K191393
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2023
Reporter Type Manufacturer
Report Source Health Professional
Initial Reporter Occupation Physician
Type of Report Initial,Followup
Report Date (Section B) 03/05/2026
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 Lay User/Patient
Device Catalogue Number33680033
Device Lot Number1744216
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Follow-Up
Initial Date Received by Manufacturer 11/21/2025
Supplement Date Received by Manufacturer02/06/2026
Initial Report FDA Received Date12/11/2025
Supplement Report FDA Received Date03/05/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured01/11/2023
Is the Device Labeled for Single Use? (Y/N) Yes
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Initial
Patient Sequence Number1
Outcome Attributed to Adverse Event Other;
Patient SexMale
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