SIGMA 1024-53-407Recalls & reported problems
Depuy (Ireland) · SIGMA HIGH PERFORMANCE PARTIAL KNEE TIBIAL INSERT FIXED BEARING UNICONDYLAR SIZE 4 LM/RL 7mm XLK · Class 2 · Implant
All models of SIGMA (380)
Data updated Oct 18, 2026 from official FDA records · Editorial policy
- Adverse event reports
- 11
- Deaths reported
- 0
- Injuries reported
- 6
- Recalls naming it
- 0
Summary
The FDA's MAUDE database contains 11 adverse event reports that list this exact device (DI 10603295002581), received between May 31, 2018 and Aug 18, 2026 — classified as 6 injuries, 5 malfunctions.
The most frequently reported specific device problem is “Difficult to Insert” (4 reports).
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 18, 2026.
Reports received per month
Most reported problems
Device problems
- Adverse Event Without Identified Device or Use Problem4
- Difficult to Insert4
- Device-Device Incompatibility2
- Insufficient Device Problem Information2
Patient problems
- Not Applicable4
- Unspecified Infection4
- No Clinical Signs, Symptoms or Conditions3
- Pain2
- Adhesion(s)1
- Appropriate Clinical Signs, Symptoms and Conditions Term/Code Not Available1
- Cyst(s)1
Recent adverse event reports
The 11 most recent of 11 reports, in the reporter's own words as published by the FDA.
MalfunctionAug 18, 2026Difficult to Insert
The tibial insert poly did not click/fit in the tibia tray. The surgeon tried a few times to insert the poly, cleared the knee of possible cement and soft tissue but the poly would not sit in the tibia tray.3 different polys were opened and only the 3rd one fit in.Was there any reported patient or user harm? No.Was there a significant delay? No.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 50305027 ↗MalfunctionAug 18, 2026Difficult to Insert
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 50304795 ↗MalfunctionJan 8, 2024Difficult to Insert; Difficult to Insert
IT WAS REPORTED THAT THE INSERT WOULD NOT LOCK INTO PLACE.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 18464408 ↗InjuryDec 16, 2021Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
LEFT KNEE TKA EXPLANATION FOR INFECTION. CEMENT NOT FROM DEPUY. REVISION/REMOVAL OF HARDWARE COMPLETED.
Patient problems: Unspecified Infection
MAUDE report 13023422 ↗InjuryAug 18, 2021Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
THE PATIENT WAS REVISED TO ADDRESS KNEE PAIN. NO SURGICAL DELAY REPORTED. DOI: (B)(6) 2020; DOR: (B)(6) 2021; LEFT KNEE.
Patient problems: Pain
MAUDE report 12338645 ↗InjuryApr 6, 2021Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
THE PATIENT WAS REVISED TO ADDRESS PAIN AND LOOSENING OF AN UNKNOWN COMPONENT. UNKNOWN CEMENT WAS USED. ON (B)(6) 2019, THE PATIENT UNDERWENT A PRIMARY LEFT KNEE ARTHROPLASTY WITH IMPLANTATION OF DEPUY UNICONDYLAR SLED PROTHESIS TO TREAT OSTEOARTHRITIS. DEPUY CEMENT WAS UTILIZED DURING THE PROCEDURE. THE PATELLA WAS NOT RESURFACED. THERE WERE NO INDICATED INTRA-OPERATIVE COMPLICATIONS. ON (B)(6) 2020, THE PATIENT UNDERWENT A LEFT KNEE REVISION TO ADDRESS PAIN, ADHESION, CYSTS, CREPITUS, AND TIBIAL TRAY LOOSENING AT THE CEMENT TO IMPLANT INTERFACE. ALL COMPONENTS WERE REMOVED, AND THE PATELLA WAS RESURFACED. DEPUY PRODUCTS WERE IMPLANTED WITH DEPUY CEMENT. ON (B)(6) 2021, A LEFT KNEE X-RAY REVEALED OSTEOLYSIS BENEATH THE TIBIAL PLATEAU. ON (B)(6) 2021, A LEFT KNEE CT REVEALED POSSIBLE TIBIAL TRAY LOOSENING. ON (B)(6) 2021, THE PATIENT UNDERWENT A LEFT KNEE ASPIRATION TO RULE OUT INFECTION DUE TO INCREASING PAIN. THE PHYSICIAN ASPIRATED 15 ML OF BLOOD-TINGED CLEAR EFFUSION AND SENT FOR MICROBIOLOGY AND CELL COUNT. RESULTS OF ASPIRATION NOT GIVEN WITHIN THE AVAILABLE MEDICAL RECORDS. THE PHYSICIAN ALSO INDICATED A REQUEST FOR ALLERGY TESTING FOR THE BONE CEMENT. NO RESULTS AVAILABLE R
Patient problems: Adhesion(s); Appropriate Clinical Signs, Symptoms and Conditions Term/Code Not Available; Cyst(s); Pain
MAUDE report 11619149 ↗MalfunctionApr 17, 2019Difficult to Insert; Device-Device Incompatibility; Difficult to Insert; Device-Device Incompatibility
HP UNI FIXED BEARING INSERT DID NOT LOCK INTO THE TIBIAL TRAY ANTERIORLY. REPLACED THE FIRST INSERT WITH ANOTHER INSERT OF THE SAME SIZE. WAS SURGERY DELAYED DUE TO THE REPORTED EVENT? --> YES, IF YES, NUMBER OF MINUTES: --> 3-5 MINUTES, ACTION TAKEN WHEN EVENT OCCURRED? --> REPLACED FIRST INSERT WITH REPLACEMENT , WAS PROCEDURE SUCCESSFULLY COMPLETED? --> YES, WERE FRAGMENTS GENERATED? --> NO, PATIENT STATUS/ OUTCOME / CONSEQUENCES --> NO.
Patient problems: Not Applicable
MAUDE report 8523959 ↗InjuryJul 11, 2018Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
PATIENT WAS REVISED WITH UNKNOWN REASON. DOI: UNKNOWN, DOR: (B)(6) 2018, LEFT KNEE.
Patient problems: Unspecified Infection
MAUDE report 7679372 ↗InjuryJun 22, 2018Insufficient Device Problem Information; Insufficient Device Problem Information
REVISED FOR I&D, INFECTION, WASHOUT. PATIENT CONSEQUENCE? :NO. IS THE INFORMATION BEING SUBMITTED FOR THIS COMPLAINT ALL THE DETAILS THAT ARE KNOWN/AVAILABLE REGARDING THIS EVENT? : YES.
Patient problems: Not Applicable; Unspecified Infection
MAUDE report 7629228 ↗InjuryJun 15, 2018Insufficient Device Problem Information; Insufficient Device Problem Information
PATIENT WAS REVISED FOR INFECTION. REMOVED SZ4,7MM LM/RL UNI INSERT. WASHOUT KNEE AND IMPLANTED NEW UNI INSERT. SAME SIZE. PATIENT CONSEQUENCE? NO. IS THE INFORMATION BEING SUBMITTED FOR THIS COMPLAINT ALL THE DETAILS THAT ARE KNOWN/AVAILABLE REGARDING THIS EVENT? YES.
Patient problems: Not Applicable; Unspecified Infection
MAUDE report 7604994 ↗MalfunctionMay 31, 2018Device-Device Incompatibility; Device-Device Incompatibility
DER STATES THAT INSERT DID NOT SEEM TO ENGAGE PROPERLY. SECOND INSERT USED IN SAME MANNER SEATED PROPERLY. THREE MINUTES SURGICAL DELAY. DOI: (B)(6) 2018 LEFT KNEE.
Patient problems: Not Applicable
MAUDE report 7556586 ↗
Other PROSTHESIS, KNEE, FEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, METAL/POLYMER devices
- R3 71363077Smith & Nephew, Inc. · PROSTHESIS, KNEE, FEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, METAL/POLYMER461 reports
- NA 71364009Smith & Nephew, Inc. · PROSTHESIS, KNEE, FEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, METAL/POLYMER174 reports
- JOURNEY 74012416Smith & Nephew, Inc. · PROSTHESIS, KNEE, FEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, METAL/POLYMER163 reports
- JOURNEY 74012415Smith & Nephew, Inc. · PROSTHESIS, KNEE, FEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, METAL/POLYMER163 reports
- JOURNEY 74012414Smith & Nephew, Inc. · PROSTHESIS, KNEE, FEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, METAL/POLYMER129 reports
- GENESIS II 71440194Smith & Nephew, Inc. · PROSTHESIS, KNEE, FEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, METAL/POLYMER114 reports
- GENESIS II 71440842Smith & Nephew, Inc. · PROSTHESIS, KNEE, FEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, METAL/POLYMER113 reports
- JOURNEY 74018901Smith & Nephew, Inc. · PROSTHESIS, KNEE, FEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, METAL/POLYMER106 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 18, 2026. Data downloaded through openFDA, which notes it is not validated for clinical or regulatory use.
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