| Brand Name | LOGIC TIB INSERT IMPL CRC, SZ 1.5, 9MM |
| 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 |
|
julia
goldberg
|
| 2320 nw 66 ct |
| gainesville, FL 32653
|
|
3523771140
|
|
| MDR Report Key | 25429266 |
| Report Number | 1038671-2026-00730 |
| Device Sequence Number | 10310030 |
| Product Code |
JWH
|
| UDI-Device Identifier | 10885862230249 |
| UDI-Public | 10885862230249 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | AS |
| PMA/510(K) Number | K123342 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Device Implanted Year | 2021 |
| Device Explanted Year | 2026 |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Health Professional,Company Representative |
| Initial Reporter Occupation |
Physician
|
| Type of Report
| Initial |
| Report Date (Section B) |
06/08/2026 |
| 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? |
Yes
|
| Operator of Device |
Health Professional
|
| Device Expiration Date | 05/01/2026 |
| Device Catalogue Number | 02-012-51-1509 |
| 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 | 05/19/2026 |
| Initial Report FDA Received Date | 06/08/2026 |
| Date Device Manufactured | 10/07/2021 |
| 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 Number | 1 |
Concomitant Medical Products and Therapy/Usage Dates | SEE H11. |
| Outcome Attributed to Adverse Event |
Hospitalization;
|
| Patient Sex | Male |
|
|