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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER, INC. PERSONA PEGGED POROUS TIBIAL COMPONENT

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ZIMMER, INC. PERSONA PEGGED POROUS TIBIAL COMPONENT Back to Search Results
Catalog Number 42530006401
Device Problems Failure To Adhere Or Bond (1031); Migration or Expulsion of Device (1395)
Patient Problems Cyst(s) (1800); No Information (3190)
Event Date 09/02/2014
Event Type  Injury  
Event Description
It was reported that the patient was revised due to loosening.
 
Manufacturer Narrative
This report will be amended when our investigation is complete.
 
Manufacturer Narrative
This report will be amended when our investigation is complete.
 
Manufacturer Narrative
Evaluation summary: review of the returned radiographs does not indicate root cause.Radiolucency is noted distal to the lateral peg of the tibial component.The quality of the returned radiographs is poor.Review of the primary operative notes does not indicate root cause.Excellent range of motion and stability were noted during the trial reduction and with the final implants.Revision operative notes indicate the tibial component was found to be grossly loose.Cystic defects were noted underneath the tibial component.A field action was conducted on february 19, 2015 in which zimmer voluntarily removed the persona trabecular metal tibial implant from the field due to a higher than expected complaint rate for radiolucent lines and loosening.This field action has been reported to the fda under 1822565-02-10-2015-002-r.The device in question was implanted prior to this field action.
 
Manufacturer Narrative
This follow-up report is being submitted to relay additional information.Medical product: persona femoral posterior stabilized, catalog#: 42500006001, lot#: 62435218.Persona female screw, catalog#: 42509902525, lot#: 62348084.Persona female screw, catalog#: 42509902548, lot#: 62417037.Persona articular surface, catalog#: 42512400510, lot#: 62377566.Reported event was confirmed by review of revision operative notes and x-rays.Investigation results concluded that the reported event was due to a design issue that allows the potential for the persona tm tibia implant to sit proud on the resected tibial surface and the persona tm tibia has less initial stability than predicate devices.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.
 
Event Description
It is reported that the patient's left knee was revised due to loosening of the tibial component.Revision op notes mention cystic defects under the revised baseplate.Patient was revised to a zimmer cck knee.
 
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Brand Name
PERSONA PEGGED POROUS TIBIAL COMPONENT
Manufacturer (Section D)
ZIMMER, INC.
p.o. box 708
warsaw IN 46581 0708
Manufacturer (Section G)
ZIMMER BIOMET, INC.
56 e. bell drive
warsaw IN 46582
Manufacturer Contact
christina arnt
56 e. bell dr.
warsaw, IN 46582
5745273773
MDR Report Key4417942
MDR Text Key5371062
Report Number1822565-2015-00007
Device Sequence Number1
Product Code OIY
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
PK121771
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Health Professional,Distributor,distributor,health prof
Reporter Occupation Other
Remedial Action Notification
Type of Report Initial,Followup,Followup,Followup
Report Date 03/23/2018
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Expiration Date10/31/2023
Device Catalogue Number42530006401
Device Lot Number62471385
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Initial Date Manufacturer Received 12/09/2014
Initial Date FDA Received01/07/2015
Supplement Dates Manufacturer Received01/08/2015
03/22/2018
03/22/2018
Supplement Dates FDA Received02/04/2015
03/31/2015
03/23/2018
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured10/01/2013
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Removal/Correction Number1822565-02-10-2015-002R
Patient Sequence Number1
Patient Outcome(s) Other; Required Intervention;
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