LEGION 71424225Recalls & reported problems
Smith & Nephew, Inc. · LEGION OFFSET COUPLER 4MM · Class 2
All models of LEGION (446)
Data updated Oct 16, 2026 from official FDA records · Editorial policy
- Adverse event reports
- 11
- Deaths reported
- 0
- Injuries reported
- 10
- Recalls naming it
- 0
Summary
The FDA's MAUDE database contains 11 adverse event reports that list this exact device (DI 03596010547132), received between May 22, 2018 and Jun 10, 2021 — classified as 10 injuries, 1 malfunction.
The most frequently reported specific device problem is “Insufficient Device Problem Information” (4 reports).
8 other recalls cover devices cleared under the same FDA submission (K043440, K230653); they may or may not involve this specific model.
Reports come from manufacturers, hospitals and patients and are not verified by the FDA. A report does not prove the device caused the event, and counts can't be used to compare devices or estimate failure rates. What reports can and can't tell you · How this data works · Data updated Oct 16, 2026.
Most reported problems
Device problems
- Adverse Event Without Identified Device or Use Problem4
- Insufficient Device Problem Information4
- Delivered as Unsterile Product1
- Fracture1
- Unstable1
Patient problems
- Injury5
- Unspecified Infection5
- Limited Mobility Of The Implanted Joint1
- Loss of Range of Motion1
- No Clinical Signs, Symptoms or Conditions1
- Swelling1
Recent adverse event reports
The 11 most recent of 11 reports, in the reporter's own words as published by the FDA.
MalfunctionJun 10, 2021Delivered as Unsterile Product; Delivered as Unsterile Product
IT WAS REPORTED THAT, DURING SET UP FOR A TKA SURGERY, THE PACKAGE OF A LGN OFFSET COUPLER 4MM WAS NOTICED TO BE DAMAGED, COMPROMISING THE STERILITY OF THE DEVICE. NO SIGNIFICANT SURGICAL DELAY WAS REPORTED, AS A SMITH AND NEPHEW BACKUP DEVICE WAS AVAILABLE. NEITHER PATIENT INJURY NOR OTHER COMPLICATIONS WERE REPORTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 11977576 ↗InjuryJun 2, 2020Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED THAT AN ARTHROSCOPY WAS PERFORMED DUE TO POOR RANGE OF MOTION. SIGNIFICANT SOFT TISSUE WAS REMOVED. GOOD RANGE OF MOTION AT THE END OF THE SURGERY.
Patient problems: Limited Mobility Of The Implanted Joint; Loss of Range of Motion
MAUDE report 10110877 ↗InjuryOct 30, 2019Fracture; Fracture
IT WAS REPORTED THAT REVISION SURGERY WAS PERFORMED TO EXCHANGE A BROKEN OFFSET COUPLER.
Patient problems: Injury
MAUDE report 9255862 ↗InjurySep 16, 2019Unstable; Unstable
IT WAS REPORTED THAT A REVISION SURGERY WAS PERFORMED DUE TO KNEE INSTABILITY. DURING SURGERY IT WAS DISCOVERED THAT THE COUPLER AT THE FEMUR SIDE WAS BROKEN OFF.
Patient problems: Injury
MAUDE report 9070333 ↗InjuryFeb 20, 2019Insufficient Device Problem Information; Insufficient Device Problem Information
IT WAS REPORTED THAT THE PATIENT PRESENTED SWELLING AND REDNESS IN THE RIGHT KNEE. THE CAUSE OF THE SWELLING AND REDNESS IS UNKNOWN. THE PATIENT WAS PRESCRIBED TO TAKE REST AND MEDICATION THERAPY.
Patient problems: Swelling
MAUDE report 8352803 ↗InjuryNov 7, 2018Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED THAT A REVISION SURGERY WAS PERFORMED DUE TO INFECTION WHICH INCLUDES REMOVING ALL IMPLANTS AND INSERTING AN ANTIBIOTIC SPACER.
Patient problems: Unspecified Infection
MAUDE report 8046266 ↗InjuryNov 6, 2018Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED THAT A REVISION SURGERY WAS PERFORMED DUE TO INFECTION WHICH INCLUDES REMOVING ALL IMPLANTS AND INSERTING AN ANTIBIOTIC SPACER.
Patient problems: Unspecified Infection
MAUDE report 8044065 ↗InjuryOct 25, 2018Insufficient Device Problem Information; Insufficient Device Problem Information
IT WAS REPORTED THAT A REVISION WAS PERFORMED TO REMOVE THE IMPLANTS FROM THE PATIENT DUE TO INFECTION.
Patient problems: Injury; Unspecified Infection
MAUDE report 8005288 ↗InjurySep 24, 2018Insufficient Device Problem Information; Insufficient Device Problem Information
IT WAS REPORTED THAT A KNEE MANIPULATION UNDER ANESTHESIA WAS PERFORMED DUE TO STIFFNESS OF STUDY KNEE. NO SURGERY REQUIRED AND NO COMPLICATIONS.
Patient problems: Injury
MAUDE report 7902198 ↗InjuryJun 16, 2018Insufficient Device Problem Information; Insufficient Device Problem Information
IT WAS REPORTED THAT PATIENT HAD A REVISION SURGERY PERFORMED DUE TO AN INFECTION.
Patient problems: Injury; Unspecified Infection
MAUDE report 7608164 ↗InjuryMay 22, 2018Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED A REVISION SURGERY WAS PERFORMED DUE TO INFECTION. ELEVEN (11) DEVICES WERE REMOVED. PREVIOUS TO THIS REVISION SURGERY, A RIGHT KNEE WASHOUT AND A WOUND DEBARMENT WAS PERFORMED.
Patient problems: Unspecified Infection
MAUDE report 7534663 ↗
Recalls under the same FDA submission
These recalls involve devices cleared under K043440, K230653. One submission often covers many models, so check the product and lot details in each record.
- Z-0278-2025 · Oct 2, 2024 · Open, Classifiedsmith&nephew LEIGON OXINIUM CONSTRAINED NONPOROUS FEMORAL COMPONENT, SIZE 4 LEFT, REF 71421164; PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, POLYMER/METAL/POL
- Z-0277-2025 · Oct 2, 2024 · Open, Classifiedsmith&nephew LEIGON OXINIUM CONSTRAINED NONPOROUS FEMORAL COMPONENT, SIZE 3 LEFT, REF 71421163; PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, POLYMER/METAL/POL
- Z-2621-2023 · Aug 31, 2023 · Open, Classifiedsmith&nephew LEGION OXINUM POSTERIOR STABILIZED NONPOROUS FERMOAL COMPONENT, SIZE 5N, LEFT, NARROW, REF 71421265; knee joint
- Z-1951-2021 · May 19, 2021 · TerminatedLEGION Posterior Stabilized OXINIUM Femoral Component, REF 71421216, Size 6, Left, Nonporous Femoral Component, A/P 65.5 MM, M/L 73 MM, For Cemented Use Only, ZR-2.5NB,Sterile. Kn
- Z-2538-2019 · Jan 15, 2018 · CompletedLEGION(TM) HEMI STEP TIBIAL WEDGE RK/HK, 5 MM, SIZE 3-4 LT.MDL/RT-LAT, REF 71423432 Product Usage: The constrained knee systems are designed for use in patients in primary and r
- Z-0816-2016 · Jan 18, 2016 · TerminatedLEGION(TM) HEMI STEPPED, TIBIAL SCREW-ON WEDGE, REF 71421147, QTY 1, 5 MM, SIZE 5-6 LT-LAT / RT-MDL; Tibial knee prosthesis, augment.
- Z-1819-2009 · Jan 22, 2009 · TerminatedLEGION Pressfit Stem, Straight, 10 MM X 160 MM, REF 71424043, Sterile, Smith & Nephew, Memphis TX 38116. The device is used for Orthopedic Knee Implants.
- Z-1820-2009 · Jan 22, 2009 · TerminatedLEGION Pressfit Stem, Straight, 20 MM X 160 MM, REF 71424053, Sterile, Smith & Nephew, Memphis TX 38116. The device is used for Orthopedic Knee Implants.
Other PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, POLYMER/METAL/POLYMER devices
- ATTUNE 1506-00-005Depuy (Ireland) · PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, POLYMER/METAL/POLYMER589 reports
- ATTUNE 1506-00-004Depuy (Ireland) · PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, POLYMER/METAL/POLYMER580 reports
- JOURNEY 74012812Smith & Nephew, Inc. · PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, POLYMER/METAL/POLYMER502 reports
- JOURNEY 74011856Smith & Nephew, Inc. · PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, POLYMER/METAL/POLYMER438 reports
- PERSONA™ 42-5099-094-00Zimmer, Inc. · PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, POLYMER/METAL/POLYMER406 reports
- JOURNEY 74011857Smith & Nephew, Inc. · PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, POLYMER/METAL/POLYMER388 reports
- ATTUNE 1506-00-007Depuy (Ireland) · PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, POLYMER/METAL/POLYMER288 reports
- ATTUNE 1506-00-003Depuy (Ireland) · PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, POLYMER/METAL/POLYMER271 reports
Sources and updates
- Device record: FDA GUDID, file dated Oct 13, 2026 · View this device in AccessGUDID ↗
- Adverse event reports: FDA MAUDE, file dated Oct 14, 2026 · each report above links to its original FDA record
- Recalls: FDA Medical Device Recalls, file dated Oct 16, 2026
- Page last rebuilt: Oct 16, 2026. Data downloaded through openFDA, which notes it is not validated for clinical or regulatory use.
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