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Type of Product Medical Device
TGA Recall Reference RC-2014-RN-00004-1
Product Name/Description Journey BCS Knee Replacement System - Femoral Implant

ARTG Number: 114462
Recall Action Level Hospital
Recall Action Classification Class II
Recall Action Commencement Date 3/01/2014
Responsible Entity Smith & Nephew Surgical Pty Ltd
Reason/Issue The Femoral Implant/Tibial Baseplate combination of the JOURNEY BCS Knee System has been identified in the Australian Orthopaedic Association’s National Joint Replacement Registry (AOANJRR) as having a higher than expected revision rate when compared to all other primary total knee replacements.. The AOANJRR data indicates that Journey BCS has a higher incidence of revisions due to patellofemoral pain, unspecified pain and instability. The most recent JOURNEY BCS Knee System revision data published by the NJRR include:
- A revision rate of 1.59 (1.34, 1.88) revisions per 100 observed component years compared to 0.72 (0.70, 0.73) for other total knee replacements; and
- A yearly cumulative percent revision of 7.0% (5.8, 8.4) at 5 years compared to 3.8% (3.7, 3.8) for other total knee replacements.

Smith & Nephew is withdrawing the Femoral Implant component of the JOURNEY BCS Knee System from the market.
Recall Action Hazard Alert
Recall Action Instructions Smith and Nephew is recommending that surgeons contact their patients who have been implanted with the Femoral Implant component as part of a primary knee replacement surgery and inform them of the current alert. Surgeons are advised to maintain standard follow-up protocols and actions for the care of their patients. Smith and Nephew do not recommend pre-emptive removal. Revision should only be undertaken when there are symptoms related to implant failure. JOURNEY BCS will no longer be available as a primary knee replacement system. The UHMWPE inserts of the JOURNEY BCS Knee System continues to be available for revision use. For more information, please see http://www.tga.gov.au/safety/alerts-device-journey-bcs-knee-replacement-system-140106.htm .
Contact Information 02 9857 3999 - Smith & Nephew