LCS SIGMA 1294-31-130Recalls & reported problems
Depuy (Ireland) · LCS SIGMA TIBIAL TRAY ROTATING PLATFORM MBT CONE SIZE 3 CEMENTED · Class 3 · Implant
All models of LCS SIGMA (15)
Data updated Oct 18, 2026 from official FDA records · Editorial policy
Quick summary
This DePuy LCS Sigma knee implant is a cemented tibial tray used in knee replacement. The 25 reports mostly describe the tibial part coming loose from the cement or bone, often leading to pain, instability and revision surgery. The reports mention 25 injuries and no deaths. No recalls name this device.
AI-generated from the FDA records on this page and checked automatically against the numbers below. Read the details before relying on it.
- Adverse event reports
- 24
- Deaths reported
- 0
- Injuries reported
- 24
- Recalls naming it
- 0
Summary
The FDA's MAUDE database contains 24 adverse event reports that list this exact device (DI 10603295025603), received between Aug 11, 2017 and Dec 4, 2024 — classified as 24 injuries.
The most frequently reported specific device problem is “Loss of or Failure to Bond” (10 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
- Loss of or Failure to Bond10
- Adverse Event Without Identified Device or Use Problem8
- Migration5
- Loose or Intermittent Connection3
- Migration or Expulsion of Device1
Patient problems
- No Code Available9
- Pain6
- Insufficient Information4
- Injury2
- Joint Laxity2
- Not Applicable2
- Abscess1
- Adhesion(s)1
Recent adverse event reports
The 24 most recent of 24 reports, in the reporter's own words as published by the FDA.
InjuryDec 4, 2024Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED THAT THE PATIENT UNDERWENT REVISION OF SIGMA ROTATING PLATFORM CR KNEE FOR INSTABILITY. THE TIBIA WAS DETERMINED TO BE LOOSE INTRAOPERATIVELY. LOOSE COMPONENT WAS TIBIA, LOOSENING INTERFACE WAS BONE TO CEMENT, AND THE CEMENT MANUFACTURER WAS UNKNOWN. ALL COMPONENTS WERE REMOVED IN ORDER TO PERFORM A REVISION WITH A COMPETITOR SYSTEM. THERE WAS SIGNIFICANT POLY WEAR NOTED ON THE POSTERIOR MEDIAL LIP OF THE POLY. THERE WAS NO NOTED MALPOSITION OF ANY COMPONENTS THAT LED TO THE INSTABILITY. THERE WAS NO EXCESSIVE RESECTION OF THE TIBIA OR FEMUR DURING THE PRIMARY SURGERY THAT LED TO THE INSTABILITY. THERE WAS NO SURGICAL DELAY. DOI: UNKNOWN. DOR: (B)(6) 2024. AFFECTED SIDE: LEFT KNEE.
Patient problems: Joint Laxity
MAUDE report 20845506 ↗InjuryJun 24, 2024Loss of or Failure to Bond; Loss of or Failure to Bond
IT WAS REPORTED THAT THE PATIENT HAS A LOOSE RIGHT TOTAL LCS KNEE DONE BY SURGEON. THE FEMUR AND TIBIA ARE REVISED. THE PATELLA WAS WELL FIXED AND RETAINED. DOI: (B)(6) 2013. DOR: (B)(6) 2024. AFFECTED SIDE : RIGHT KNEE.
Patient problems: Insufficient Information
MAUDE report 19593113 ↗InjuryOct 16, 2023Loss of or Failure to Bond; Loss of or Failure to Bond
IT WAS REPORTED THAT THE TIBIA WAS LOOSENING, AFTER 15 YEARS. THERE WAS NO SURGICAL DELAY. RIGHT KNEE PFC SIGMA. ADDITIONAL EVENT INFORMATION PROVIDED BY SALES. REP STATES LOOSENING INTERFACE WAS LOCATED AT THE CEMENT IMPLANT.
Patient problems: Insufficient Information
MAUDE report 17940442 ↗InjuryDec 6, 2022Loss of or Failure to Bond; Loss of or Failure to Bond
REVISION OF LCS KNEE COMPONENTS FOR ASEPTIC LOOSENING. THREE COMPONENTS REMOVED. FEMUR, TIBIA AND INSERT.
Patient problems: Discomfort; Pain
MAUDE report 15923462 ↗InjuryMar 15, 2022Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
REVISION COMPLETED DUE TO PAIN AND STIFFNESS.
Patient problems: Muscular Rigidity; Pain
MAUDE report 13769651 ↗InjurySep 24, 2021Loss of or Failure to Bond; Loss of or Failure to Bond
PATIENT WAS REVISED DUE TO LOOSENING OF THE TIBIAL COMPONENT AT THE CEMENT TO IMPLANT INTERFACE. DOI: (B)(6) 2020 DOR: (B)(6) 2021 LEFT KNEE.
Patient problems: Insufficient Information
MAUDE report 12526503 ↗InjurySep 16, 2021Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
PATIENT PRIMARY LEFT IMPLANTS ON (B)(6) 2020. SHE HAD AN I&D AND REPLACEMENT OF POLY ON 11/11 AND (B)(6) 2020. (B)(4). THIS PATIENT IS VERY SICK WITH MULTIPLE COMORBIDITIES. SHE HAD AN ABSCESS ON THE LEFT KNEE SURGICAL SITE. THERE WAS NOTICEABLE ASEPTIC LOOSENING OF THE FEMORAL AND PATELLA COMPONENTS. ALL IMPLANTS WERE REMOVED WITH NO PLAN TO REIMPLANT. SURGEON PERFORMED AN END-STAGE ARTHRODESIS. HER RIGHT KNEE WAS PERFORMED YEARS AGO AND SEEMS TO BE UNAFFECTED. DOI: (B)(6) 2021. DOR: (B)(6) 2021. LEFT KNEE.
Patient problems: Abscess; Appropriate Clinical Signs, Symptoms and Conditions Term/Code Not Available
MAUDE report 12480941 ↗InjurySep 15, 2021Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
THE PATIENT WAS REVISED IN THE LEFT KNEE DUE TO ARTHROFIBROSIS. REMOVED FEMUR, INSERT AND TRAY. ORIGINAL DOS IS UNKNOWN. DOI: UNKNOWN, DOR: (B)(6) 2021, LEFT KNEE.
Patient problems: Adhesion(s)
MAUDE report 12473744 ↗InjuryJul 21, 2021Loss of or Failure to Bond; Migration; Loss of or Failure to Bond; Migration
THE PATIENT WAS REVISED TO ADDRESS A COLLAPSED TIBIAL COMPONENT AND LOOSENING OF THE TIBIAL AND FEMORAL COMPONENTS AT THE CEMENT TO IMPLANT INTERFACE. DEPUY CEMENT WAS USED. DOI: (B)(6) 2006, DOR: (B)(6) 2021, LEFT KNEE.
Patient problems: Insufficient Information
MAUDE report 12206615 ↗InjuryJul 15, 2021Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
THE PATIENT WAS REVISED TO ADDRESS INSTABILITY. ORIGINAL IMPLANT DATE IS UNKNOWN. NO DELAY IN SURGERY. DOI: UNKNOWN. DOR: (B)(6) 2021; LEFT KNEE.
Patient problems: Joint Laxity
MAUDE report 12173996 ↗InjurySep 8, 2020Loss of or Failure to Bond; Loss of or Failure to Bond
SUSPECTED ASEPTIC LOOSENING. SURGERY VERIFIED LOOSENING OF TIBIAL TRAY WITH DEBONDING BETWEEN METAL AND CEMENT. SOME ORSTEOLYSIS ON LATER FEMORAL CONDYLE, BUT FEMUR COMPONENT WAS NOT LOOSE. INFECTIONS TEST WHERE TAKEN AND SENT TO LAB TO VERIFY ANY INFECTION. PAT. WAS REVISED TO A ATTUNE FB REVISION KNEE. NO ADVERSE EVENTS DURING SURGERY. NO ADVERSE EVENTS DURING SURGERY.
Patient problems: No Code Available
MAUDE report 10502148 ↗InjuryMay 19, 2020Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
SOME OF THE PROBLEMS I'VE HAD PHYSICALLY SINCE THIS IMPLANT, AND SPECIFICALLY SINCE 2016 ARE: HEART FLUTTERING, HEARTBURN, KIDNEY/LIVER READING ELEVATED, SKIN RASHES AND ITCHING, HEADACHES, CONTINUAL COUGHING, NODUAL IN THROAT, AT TIMES, PAIN IN LEFT KNEE, STRUGGLE TO WALK, ACHY JOINTS, TINNITUS, VISION ISSUES. DOI: (B)(6) 2006. DOR: REVISION SCHEDULE (A FEW MONTHS LATER). RIGHT KNEE.
Patient problems: Headache; Heartburn/Indigestion; Itching Sensation; No Code Available; Pain; Rash; Tinnitus
MAUDE report 10072428 ↗InjuryMar 18, 2020Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
InjuryJun 12, 2019Loss of or Failure to Bond; Migration; Loss of or Failure to Bond; Migration
THERE WAS A LOOSE TIBIA WITH A LCS RPS PRIMARY KNEE. THE MEDIAL PROX. TIBIAL BONE GAVE WAY UNDER THE TRAY CAUSING IT TO COLLAPSE. THE FEMUR LOOKED FINE BUT WAS REMOVED DUE TO LIGAMENT INSTABILITY. THE POLY SHOWED SOME PITTING BUT IT HAD BEEN IN ABOUT 10 YEARS. THE FEMUR HAD SOME LYSIS BEHIND THE FEMUR.
Patient problems: Injury; No Code Available
MAUDE report 8692801 ↗InjuryMay 9, 2019Loss of or Failure to Bond; Migration; Loss of or Failure to Bond; Migration
THE PATIENT WAS REVISED TO ADDRESS LOOSENING OF THE TIBIAL COMPONENT AT THE CEMENT TO IMPLANT INTERFACE. CEMENT MANUFACTURER WAS UNKNOWN. IT WAS ALSO REPORTED THAT THE TIBIA COLLAPSED. DOI: 2011, DOR: (B)(6) 2019, LEFT KNEE.
Patient problems: No Code Available
MAUDE report 8594685 ↗InjuryApr 25, 2019Loss of or Failure to Bond; Loss of or Failure to Bond
PATIENT HAD TKA REVISION FOR LOOSE COMPONENTS. THERE WAS NO INFECTION PRESENT. LOOSENING HAPPENED AT CEMENT TO IMPLANT INTERFACE. DATE OF ORIGINAL SURGERY IS UNKNOWN. CEMENT USED IS UNKNOWN. COMPONENTS WERE REMOVED AND REVISION COMPONENTS WERE IMPLANTED. THERE WERE NO ADVERSE EVENTS OR ANYTHING OF CONSEQUENCE TO REPORT. THERE IS NO OTHER INFORMATION TO BE OBTAINED DUE TO PATIENT PRIVACY. NO OTHER INFO WILL BE GIVEN.
Patient problems: No Code Available
MAUDE report 8549939 ↗InjuryMar 26, 2019Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
PATIENT PRESENTED WITH SYMPTOMS CONSISTENT WITH INFECTION OF THE TOTAL KNEE. THE PATIENT HAD A FEVER AND THE OPERATIVE KNEE WAS RED AND SWOLLEN. SURGEON DREW LABS AND ASPIRATED THE KNEE. THE LABS WERE ELEVATED CONSISTENT WITH INFECTION, ALSO THE ASPIRATE GREW OUT BACTERIA. SURGEON THEN TOOK THE PATIENT TO SURGERY TO REMOVE THE IMPLANTS TO WASHOUT AND PLACE ANTIBIOTIC SPACER. IMPLANTS WERE ALL WELL FIXED. IMPLANTS WERE REMOVED WITH VERY LITTLE BONE LOSS. ANTIBIOTIC SPACERS WERE PLACED. DEPUY CEMENT WAS USED. UPDATE: DEPUY 2 CEMENT REF# (B)(4), LOT# 8770435 WAS USED DURING THE PRIMARY KNEE PROCEDURE ON (B)(6) 2019 TO CEMENT THE TIBIA AND PATELLA. THE IMPLANTS WERE FOUND TO BE WELL FIXED AT THE TIME OF THE EXPLANT PROCEDURE. DOI: (B)(6) 2019, DOR: (B)(6) 2019, LEFT KNEE.
Patient problems: Fever; Injury; No Code Available; Swelling; Unspecified Infection
MAUDE report 8451090 ↗InjurySep 20, 2018Migration; Migration
PATIENT WAS REVISED TO ADDRESS SUBSIDENCE AND LOOSENING OF THE TIBIAL COMPONENT AT THE BONE TO CEMENT INTERFACE. UNKNOWN CEMENT WAS USED. DOI: UNKNOWN. DOR: (B)(6) 2018. RIGHT KNEE.
Patient problems: Not Applicable
MAUDE report 7893048 ↗InjurySep 19, 2018Migration; Migration
PATIENT WAS REVISED TO ADDRESS TIBIAL SUBSIDENCE AND LOOSENING OF THE TIBIAL COMPONENT AT THE BONE TO CEMENT INTERFACE.
Patient problems: No Code Available
MAUDE report 7891319 ↗InjuryApr 27, 2018Loose or Intermittent Connection; Loose or Intermittent Connection
PATIENT HAD KNEE REVISION DUE TO LOOSENING OF THE PRIMARY TIBIAL COMPONENT 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
MAUDE report 7467855 ↗InjuryJan 26, 2018Loose or Intermittent Connection; Loose or Intermittent Connection
PATIENT FELL AND TIBIAL COMPONENT CAME LOOSE. HAD TO REVISE ORIGINAL SURGERY PERFORMED IN MAY. NO UNEXPECTED DELAYS IN SURGERY.
Patient problems: Fall
MAUDE report 7221094 ↗InjuryDec 22, 2017Loose or Intermittent Connection; Loose or Intermittent Connection
PATIENT RECEIVED KNEE-TEP RIGHT SIDE IN 2008. REVISION OF INLAY AND TIBIAL PLATEAU BECAUSE OF LOOSENING ON (B)(6) 2009. AS A SIDE EFFECT SOME WEAR WAS SEEN ON THE PE-INLAY. DOI: 2008; DOR: (B)(6) 2009; RIGHT KNEE.
Patient problems: No Consequences Or Impact To Patient
MAUDE report 7142077 ↗InjuryNov 13, 2017Loss of or Failure to Bond; Loss of or Failure to Bond
DER STATES THAT THE PATIENT HAD DEPUY LCS KNEE SYSTEM PRIOR. PATIENT WAS COMING CLOSE TO 20 YEARS OF IMPLANTATION. SURGEON DECIDED TO REMOVE THE IMPLANTS AND PUT IN NEW REVISION IMPLANTS. UPDATE OCT 26, 2017 : TIBIAL TRAY LOOSENING. LOOSENING OCCURRED FROM CEMENT TO IMPLANT INTERFACE. CEMENT MANUFACTURER WAS UNKNOWN. THIS COMPLAINT WAS UPDATED ON OCT 26, 2017.
Patient problems: Joint Disorder; No Code Available; Pain
MAUDE report 7025753 ↗InjuryAug 11, 2017Migration or Expulsion of Device; Migration or Expulsion of Device
THE PATIENT WAS REVISED TO ADDRESS PAIN, INSTABILITY AND TIBIAL SUBSIDENCE.
Patient problems: Pain
MAUDE report 6787458 ↗
Other Prosthesis, knee, patellofemorotibial, semi-constrained, metal/polymer, mobile bearing devices
- ATTUNE 1506-10-005Depuy (Ireland) · Prosthesis, knee, patellofemorotibial, semi-constrained, metal/polymer, mobile bearing442 reports
- ATTUNE 1506-10-004Depuy (Ireland) · Prosthesis, knee, patellofemorotibial, semi-constrained, metal/polymer, mobile bearing442 reports
- ATTUNE 1518-20-038Depuy (Ireland) · Prosthesis, knee, patellofemorotibial, semi-constrained, metal/polymer, mobile bearing3 deaths393 reports
- LCS SIGMA 1294-33-130Depuy (Ireland) · Prosthesis, knee, patellofemorotibial, semi-constrained, metal/polymer, mobile bearing1 recall310 reports
- ATTUNE 1518-20-035Depuy (Ireland) · Prosthesis, knee, patellofemorotibial, semi-constrained, metal/polymer, mobile bearing342 reports
- P.F.C. SIGMA 96-0102Depuy (Ireland) · Prosthesis, knee, patellofemorotibial, semi-constrained, metal/polymer, mobile bearing1 death319 reports
- ATTUNE 1518-20-041Depuy (Ireland) · Prosthesis, knee, patellofemorotibial, semi-constrained, metal/polymer, mobile bearing308 reports
- ATTUNE 1506-10-007Depuy (Ireland) · Prosthesis, knee, patellofemorotibial, semi-constrained, metal/polymer, mobile bearing284 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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