P.F.C. SIGMA 1581-24-008Recalls & reported problems
Depuy (Ireland) · P.F.C. SIGMA TIBIAL INSERT FIXED BEARING STABILIZED 4 8mm GVF · Class 2 · Implant
All models of P.F.C. SIGMA (487)
Data updated Oct 18, 2026 from official FDA records · Editorial policy
- Adverse event reports
- 13
- Deaths reported
- 0
- Injuries reported
- 9
- Recalls naming it
- 0
Summary
The FDA's MAUDE database contains 13 adverse event reports that list this exact device (DI 10603295064404), received between Nov 9, 2018 and Jun 30, 2025 — classified as 9 injuries, 4 malfunctions.
The most frequently reported specific device problem is “Difficult to Insert” (3 reports).
51 other recalls cover devices cleared under the same FDA submission (K033272, K241000); 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 18, 2026.
Reports received per month
Most reported problems
Device problems
- Adverse Event Without Identified Device or Use Problem7
- Difficult to Insert3
- Appropriate Device Problem Term/Code Not Available2
- Device Contaminated During Manufacture or Shipping1
- Naturally Worn1
- Tear, Rip or Hole in Device Packaging1
Patient problems
- No Clinical Signs, Symptoms or Conditions3
- Unspecified Infection3
- Appropriate Clinical Signs, Symptoms and Conditions Term/Code Not Available2
- Insufficient Information2
- No Code Available2
- Pain2
- Joint Laxity1
- Muscular Rigidity1
Recent adverse event reports
The 13 most recent of 13 reports, in the reporter's own words as published by the FDA.
MalfunctionJun 30, 2025Difficult to Insert; Difficult to Insert
IT WAS REPORTED THAT POLY WOULD NOT SNAP INTO TRAY. SURGEON OPENED TWO SIZE 4-8 POLY AND TWO SIZE 4 TRAYS AND BOTH POLY WOULD NOT SNAP INTO TO THE TRAY THAT WAS IMPLANTED AND THE EXTRA TRAY. DOE: (B)(6), 2025 AFFECTED SIDE: LEFT KNEE.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 22360017 ↗MalfunctionJun 30, 2025Difficult to Insert; Difficult to Insert
IT WAS REPORTED THAT POLY WOULD NOT SNAP INTO TRAY. SURGEON OPENED TWO SIZE 4-8 POLY AND TWO SIZE 4 TRAYS AND BOTH POLY WOULD NOT SNAP INTO TO THE TRAY THAT WAS IMPLANTED AND THE EXTRA TRAY. DOE: (B)(6) 2025, AFFECTED SIDE: LEFT KNEE.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 22359387 ↗MalfunctionNov 29, 2023Tear, Rip or Hole in Device Packaging; Device Contaminated During Manufacture or Shipping; Tear, Rip or Hole in Device Packaging; Device Contaminated During Manufacture or Shipping
ADDITIONAL INFORMATION WAS RECEIVED AND STATES THAT THERE WAS A BREACH IN THE SEAL.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 18226685 ↗InjuryOct 26, 2023Naturally Worn; Naturally Worn
PATIENT WAS REVISED DUE TO POLY WEAR. DOI: (B)(6) 2004. DOR: (B)(6) 2023. AFFECTED SIDE: LEFT KNEE.
Patient problems: Insufficient Information
MAUDE report 18011133 ↗InjurySep 26, 2022Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
PATIENT WAS REVISED DUE TO INFECTION. A WASHOUT AND A SIGMA POLY SWAP WERE DONE. DOI: (B)(6) 2022; DOR: (B)(6) 2022; AFFECTED SIDE: LEFT KNEE.
Patient problems: Unspecified Infection
MAUDE report 15486043 ↗InjuryJul 21, 2021Adverse Event Without Identified Device or Use Problem; Appropriate Device Problem Term/Code Not Available; Adverse Event Without Identified Device or Use Problem; Appropriate Device Problem Term/Code Not Available
KNEE REVISION FOR TIBIAL AND FEMORAL LOOSENING, KNEE PAIN AND STIFFNESS OF THE KNEE. LOOSENING AT THE CEMENT/ BONE INTERFACE WITH CEMENT NOT FROM DEPUY. SURGICAL TIME WAS NOT EXTENDED. TKA IMPLANTED IN 2008.
Patient problems: Muscular Rigidity; Pain
MAUDE report 12203788 ↗InjuryJun 8, 2021Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
PATIENT WAS REVISED DUE TO INFECTION. NEW POLY IMPLANTED AND NO FURTHER INFORMATION IS AVAILABLE. DOI: UNKNOWN DOR: (B)(6) 2021 LEFT KNEE.
Patient problems: Appropriate Clinical Signs, Symptoms and Conditions Term/Code Not Available
MAUDE report 11959735 ↗InjuryApr 15, 2021Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
PATIENT WAS REVISED DUE TO KNEE WAS DIAGNOSED AS UNSTABLE. REMOVED ORIGINAL POLY (8MM) AND UP SIZED TO A 12.5 MM. DOI: UNKNOWN, DOR: (B)(6) 2021, LEFT KNEE.
Patient problems: Joint Laxity
MAUDE report 11675781 ↗InjuryDec 9, 2020Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
THE PATIENT WAS REVISED TO ADDRESS INFECTION. A POLY EXCHANGE WAS PERFORMED. NO OTHER INFORMATION WAS GIVEN AT THIS TIME. DOI: UNKNOWN, DOR: (B)(6) 2020, RIGHT KNEE.
Patient problems: Appropriate Clinical Signs, Symptoms and Conditions Term/Code Not Available
MAUDE report 10976295 ↗MalfunctionNov 23, 2020Difficult to Insert; Difficult to Insert
THE PRIMARY SURGERY WAS PERFORMED ON (B)(6) 2020 VIA TKA FOR THE PATIENT'S RIGHT KNEE JOINT. IT WAS REPORTED THAT DURING THE SURGERY, WHEN THE SURGEON IMPACTED THE TIBIAL INSERT, BUT THE TIBIAL INSERT DIDN'T FIT PROPERLY. THE SURGEON REMOVED THE TIBIAL INSERT ONCE WITH A EXTRACTOR, AND CHECKED, IMPACTED THE TIBIAL INSERT AGAIN. HOWEVER, THE TIBIAL INSERT WAS SEEMED BAD FIT. SO, THE SURGEON USED ONE SIZE LARGER TIBIAL INSET, IT FITTED CORRECTLY, THEN, THE SURGEON CLOSED INCISION. THE SURGERY WAS COMPLETED WITHIN 30 MINUTES DELAY. THE SURGEON COMMENTED THAT IT WAS UNKNOWN WHETHER PRODUCT DEFECT OR IMPACTING FAILURE. OTHER THAN THE SURGERY TIME'S A FEW MINUTES EXTENDED, THERE'S NO PARTICULAR HARM TO THE PATIENT. NO FURTHER INFORMATION IS AVAILABLE.
Patient problems: Insufficient Information
MAUDE report 10885261 ↗InjuryJan 13, 2020Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED THAT THE PATIENT HAD A PAINFUL LEFT KNEE. NO ADDITIONAL INFORMATION. DOI: (B)(6) 2008. DOR: (B)(6) 2019; LEFT KNEE.
Patient problems: No Code Available; Pain
MAUDE report 9580612 ↗InjuryDec 3, 2019Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
REASON FOR REVISION: INFECTION.
Patient problems: No Code Available; Unspecified Infection
MAUDE report 9401375 ↗InjuryNov 9, 2018Appropriate Device Problem Term/Code Not Available; Appropriate Device Problem Term/Code Not Available
Recalls under the same FDA submission
These recalls involve devices cleared under K033272, K241000. One submission often covers many models, so check the product and lot details in each record.
- Z-0421-2014 · Nov 18, 2013 · TerminatedSIGMA LCS HIGH PERFORMANCE" MBT PUNCH NONCEMENTED Size 1-1.5 HP M.B.T. Keel Punch Knee Instrument is used to prepare the proximal tibial canal geometry to accept the final or defin
- Z-0414-2014 · Nov 18, 2013 · TerminatedSIGMA LCS HIGH PERFORMANCE" MBT KEEL PUNCH CEMENTED Size 4-7 HP M.B.T. Keel Punch Knee Instrument is used to prepare the proximal tibial canal geometry to accept the final or defin
- Z-0413-2014 · Nov 18, 2013 · TerminatedSIGMA LCS HIGH PERFORMANCE" MBT KEEL PUNCH CEMENTED Size 2-3 HP M.B.T. Keel Punch Knee Instrument is used to prepare the proximal tibial canal geometry to accept the final or def
- Z-0420-2014 · Nov 18, 2013 · TerminatedSIGMA LCS HIGH PERFORMANCE" MBT PUNCH CEMENTED Size 4-7 HP M.B.T. Keel Punch Knee Instrument is used to prepare the proximal tibial canal geometry to accept the final or definitive
- Z-0419-2014 · Nov 18, 2013 · TerminatedSIGMA LCS HIGH PERFORMANCE" MBT PUNCH CEMENTED Size 2-3 HP M.B.T. Keel Punch Knee Instrument is used to prepare the proximal tibial canal geometry to accept the final or definitive
- Z-0415-2014 · Nov 18, 2013 · TerminatedSIGMA LCS HIGH PERFORMANCE" MBT KEEL PUNCH NONCEMENTED Size 1-1.5 HP M.B.T. Keel Punch Knee Instrument is used to prepare the proximal tibial canal geometry to accept the final or
- Z-0418-2014 · Nov 18, 2013 · TerminatedSIGMA LCS HIGH PERFORMANCE" MBT PUNCH CEMENTED Size 1-1.5 HP M.B.T. Keel Punch Knee Instrument is used to prepare the proximal tibial canal geometry to accept the final or definiti
- Z-0416-2014 · Nov 18, 2013 · TerminatedSIGMA LCS HIGH PERFORMANCE" MBT KEEL PUNCH NONCEMENTED Size 2-3 HP M.B.T. Keel Punch Knee Instrument is used to prepare the proximal tibial canal geometry to accept the final or d
- Z-0417-2014 · Nov 18, 2013 · TerminatedSIGMA LCS HIGH PERFORMANCE" MBT KEEL PUNCH NONCEMENTED Size 4-7 HP M.B.T. Keel Punch Knee Instrument is used to prepare the proximal tibial canal geometry to accept the final or de
- Z-0412-2014 · Nov 18, 2013 · TerminatedSIGMA LCS HIGH PERFORMANCE" MBT KEEL PUNCH CEMENTED SIZE 1-1.5 HP M.B.T. Keel Punch Knee Instrument is used to prepare the proximal tibial canal geometry to accept the final or de
- Z-0422-2014 · Nov 18, 2013 · TerminatedSIGMA LCS HIGH PERFORMANCE" MBT PUNCH NONCEMENTED Size 2-3 HP M.B.T. Keel Punch Knee Instrument is used to prepare the proximal tibial canal geometry to accept the final or definit
- Z-0423-2014 · Nov 18, 2013 · TerminatedSIGMA LCS HIGH PERFORMANCE" MBT PUNCH NONCEMENTED Size 4-7 HP M.B.T. Keel Punch Knee Instrument is used to prepare the proximal tibial canal geometry to accept the final or definit
- Z-1187-05 · May 26, 2005 · TerminatedDepuy P.F.C. SIGMA stabilized insert; polyethylene tibial insert, Sz 4, 15 mm; Ref 1581-24-015.
- Z-1178-05 · May 26, 2005 · TerminatedDepuy P.F.C. SIGMA stabilized insert; polyethylene tibial insert, Sz 2.5, 10 mm; Ref 1581-22-010.
- Z-1157-05 · May 26, 2005 · TerminatedDepuy P.F.C. SIGMA curved insert; polyethylene tibial insert, Sz 2.5, 17.5 mm; Ref 1581-12-017.
…and 36 more.
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 18, 2026. Data downloaded through openFDA, which notes it is not validated for clinical or regulatory use.
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