| Catalog Number |
150401206 |
| Medical Device Problem Code |
Adverse Event Without Identified Device or Use Problem (2993)
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| Health Effect - Clinical Codes |
Cyst(s) (1800); Pain (1994); Insufficient Information (4580)
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| Date of Event |
01/01/2026
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Type of Reportable Event
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Serious Injury
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Additional Manufacturer Narrative
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Product complaint # (b)(4).This report is being submitted pursuant to the provisions of 21 cfr, part 803 (and/or part 4, as applicable).This report may be based on information which has not been investigated or verified prior to the required reporting date.This report does not reflect a conclusion by depuy synthes, or its employees that the report constitutes an admission that the product, depuy synthes, or its employees caused or contributed to the potential event described in this report.If information is obtained that was not available for the initial report, a follow-up report will be filed as appropriate.H11 additional manufacturer narrative: d4: udi: as the catalog/model number was not provided, the (01) gtin is not available.
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Event or Problem Description
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It was reported following a revision procedure.The event involved a surgeon revising a cementless femur after the patient developed a tibial cyst.The revision was performed in the context of multiple prior cementless tibial revisions and post-trauma tibial tray revisions within the past nine months.The patient required a corrective invasive procedure in which the device was replaced or revised.
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Additional Manufacturer Narrative
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Product complaint # (b)(4).This report is being submitted pursuant to the provisions of 21 cfr, part 803.This report may be based on information which has not been investigated or verified prior to the required reporting date.This report does not reflect a conclusion by depuy synthes joint reconstruction, or its employees that the report constitutes an admission that the product, depuy synthes joint reconstruction, or its employees caused or contributed to the potential event described in this report.H11 additional narrative: added: d10 (concomitant).If information is obtained that was not available for the initial report, a follow-up report will be filed as appropriate.
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Additional Manufacturer Narrative
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Product complaint # (b)(4).This report is being submitted pursuant to the provisions of 21 cfr, part 803.This report may be based on information which has not been investigated or verified prior to the required reporting date.This report does not reflect a conclusion by depuy synthes joint reconstruction, or its employees that the report constitutes an admission that the product, depuy synthes joint reconstruction, or its employees caused or contributed to the potential event described in this report.H11 additional narrative: corrected: h6 (health effect - clinical code).If information is obtained that was not available for the initial report, a follow-up report will be filed as appropriate.
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Additional Manufacturer Narrative
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Product complaint # (b)(4).Investigation summary: no device associated with this report was received for examination.The product investigation found no evidence suspecting an error in the manufacturing or material that would be a contributing factor in the reported allegation(s).A records evaluation (mre) was not perform.As part of our company quality system process, all devices are manufactured, inspected, and distributed to approved specifications.Additional complaint information monitoring for potential safety signals will be conducted through complaint trending as part of the post-market surveillance.If additional information is made available, the investigation will be updated as applicable.Device history lot: there is no evidence suspecting an error in the manufacturing or material that would be a contributing factor in the reported allegation(s).A manufacturing records evaluation (mre) was not performed.Added: a1, b5, d4 (catalog, expiration date, lot), d6a, d6b, g4 pma/ 510(k), h4, h5.Corrected: d1, d2a, d2b, d4 (primary udi).
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Event or Problem Description
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Additional information received: patient: (b)(6).Surgery date: (b)(6) 2024.Reason for revision: femoral component revision for femoral cyst.Ref: (b)(4).Lot: 4332569.Description: size 6 cementless right cr femur.Operative side: right.Explant date: (b)(6) 2025.
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Additional Manufacturer Narrative
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Product complaint # (b)(4).Investigation summary: no device associated with this report was received for examination.The product investigation found no evidence suspecting an error in the manufacturing or material that would be a contributing factor in the reported allegation(s).A records evaluation (mre) was not perform.As part of our company quality system process, all devices are manufactured, inspected, and distributed to approved specifications.Additional complaint information monitoring for potential safety signals will be conducted through complaint trending as part of the post-market surveillance.If additional information is made available, the investigation will be updated as applicable.Device history lot: there is no evidence suspecting an error in the manufacturing or material that would be a contributing factor in the reported allegation(s).A manufacturing records evaluation (mre) was not performed.Added: b5, h6 (clinical code).
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Event or Problem Description
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Additional information received: a.One lady was pretty big person - solid, she was doing okay and had a fall and kept complaining of knee pain for a long time, 15-19 month showed too much activity on bone scan, she was subsequently revised."just a bit of additional bone scan activity that persisted.B.Electrician went back to work early - after 3m or less the were back to work it¿s a physical job in the country".Got the biomechanics reports - fibrosis ingrowth.C.Another retired carpenter - did well for 3 months, jumped into a pool and bottomed out.At the time he almost vomited with pain.Had ongoing discomfort and was revised.D.Another guy who had loosening on femur, retired tough guy, total knee, went on do a 1000km walk 2-3 months post surgery.Suffered aseptic loosening of femur.E.Another lady late 60s, she kept complaining of pain, wondered if she got osteoporosis.Bone scan results showed aseptic loosening of baseplate.Not active lifestyle.These were the related pc's.(b)(4).
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Search Alerts/Recalls
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