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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER BIOMET, INC. PERSONA PARTIAL FEMUR CEMENTED; PROSTHESIS, KNEE

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ZIMMER BIOMET, INC. PERSONA PARTIAL FEMUR CEMENTED; PROSTHESIS, KNEE Back to Search Results
Model Number N/A
Device Problem Insufficient Information (3190)
Patient Problems Pain (1994); Loss of Range of Motion (2032); Limited Mobility Of The Implanted Joint (2671)
Event Date 10/15/2018
Event Type  Injury  
Manufacturer Narrative
(b)(4).(b)(6).(b)(4).Concomitant medical product: persona partial tibial cemented, catalog # 42538000802, lot # 63458757; persona partial articular surface, catalog # 42528200809, lot # 63435549.Customer has indicated that the product will not be returned because it remains implanted.The investigation is in process.Once the investigation has been completed, a follow-up mdr will be submitted.Multiple mdr reports were filled for this event: 0001822565-2018-06684, 0001822565-2018-06685.Remains implanted.
 
Event Description
It was reported that the patient underwent a right knee arthroplasty.Subsequently, the patient is experiencing pain, difficulty in regular activities and symptoms that required medical intervention.No revision procedure has been reported to date.
 
Event Description
From additional information, it was reported that the patient is experiencing limp and difficulty walking for extended time.
 
Manufacturer Narrative
Report source: (b)(6).Reported event was unable to be confirmed due to limited information received from the customer.Device was not returned.Device history record (dhr) was reviewed and no discrepancies relevant to the reported event were found.Root cause was unable to be determined as the necessary information to adequately investigate the reported event was not provided.If any further information is found which would change or alter any conclusions or information, a supplemental will be filed accordingly.Zimmer biomet will continue to monitor for trends.
 
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Brand Name
PERSONA PARTIAL FEMUR CEMENTED
Type of Device
PROSTHESIS, KNEE
Manufacturer (Section D)
ZIMMER BIOMET, INC.
56 e. bell drive
warsaw IN 46582
MDR Report Key8125851
MDR Text Key129084918
Report Number0001822565-2018-06669
Device Sequence Number1
Product Code HSX
Combination Product (y/n)N
PMA/PMN Number
K161592
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative,foreig
Type of Report Initial,Followup
Report Date 08/27/2019
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received12/03/2018
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Model NumberN/A
Device Catalogue Number42558000502
Device Lot Number63485124
Was Device Available for Evaluation? No
Was the Report Sent to FDA? No
Date Manufacturer Received08/21/2019
Is This a Reprocessed and Reused Single-Use Device? No
Removal/Correction NumberN/A
Patient Sequence Number1
Patient Outcome(s) Required Intervention;
Patient Weight122
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