The Recall Desk
HighFDA (Devices)·Z-2396-2021·Announced 2021-09-08

Surgical alignment software error recalled in patient-specific orthopedic instruments

DePuy Orthopaedics recalls TruMatch surgical instruments due to a software error in the scanning alignment tool that may cause incorrect limb positioning during surgery.

What this means for you

Real risk of harm even if no illness or injury has been reported yet. Stop using the product and follow the agency's guidance.

Our severity reasoning: This is an FDA Class II recall involving a software error in surgical instrumentation that could cause limb malalignment. Although no injuries have been reported and the hazard is theoretical, the potential for surgical misalignment in orthopedic procedures warrants a High severity rating.

Plain-English summary

DePuy Orthopaedics, Inc. is recalling TruMatch CT PIN GUIDE FEM R patient-specific surgical instruments (Part Number 420581) used during orthopedic joint replacement procedures. The devices are intended to assist in positioning joint replacement components and marking bone for cutting. The recall involves 2 cases distributed to U.S. states including California, Colorado, Florida, Illinois, Indiana, Michigan, Minnesota, New York, Texas, and Washington, as well as Poland and the United Kingdom.

A coding error in the Fast3D Segmentation software used during the scanning process prevents proper alignment of the three images required for hip, knee, and ankle scanning. This misalignment can result in inaccurate anatomic landmark locations, potentially causing incorrect limb positioning during surgery and bone preparation.

Affected orthopedic centers and surgical facilities should discontinue use of the recalled instruments and contact DePuy Orthopaedics for replacement guidance. No injuries or illnesses have been reported in connection with this issue to date. However, the potential for surgical misalignment in orthopedic procedures poses a risk to patient outcomes.

The recalled product

Product
TRUMATCH CT PIN GUIDE FEM R- TruMatch Patient Specific Instruments are intended to be used as patient-specific surgical instrumentation to assist in the positioning of a joint replacement component intra-operatively and in guiding the marking of bone before cutting Part Number:
Manufacturer
DePuy Orthopaedics, Inc.
Hazard
  • software-error
  • surgical-misalignment
  • limb-alignment-risk

Is your product affected?

Check your packaging against the codes below. If any of them match, the product is part of this recall.

Lot numbers (2)

  • Lot numbers: 28206
  • 27983 GTIN: 10603295430773

Distribution

Distributed in 10 states:

  • CA
  • CO
  • FL
  • IL
  • IN
  • MI
  • MN
  • NY
  • TX
  • WA