MAUDE Adverse Event Report: ZIMMER ORTHOPAEDIC MFG. LTD. PERSONA ARTICULAR SURFACE FIXED BEARING (CPS) LEFT 16MM; PROSTHESIS, KNEE

Model Number	N/A
Medical Device Problem Code	Adverse Event Without Identified Device or Use Problem (2993)
Health Effect - Clinical Codes	Fall (1848); Hematoma (1884); Pain (1994); Loss of Range of Motion (2032); Joint effusion (4849)
Date of Event	08/06/2024
Type of Reportable Event	Serious Injury
Additional Manufacturer Narrative
(b)(4).Customer has indicated that the product will not be returned to zimmer biomet for investigation, as the device remains implanted.The investigation is in process.Once the investigation has been completed, a follow-up mdr will be submitted.Additional associated products(reported): 42504605801, persona femur cemented standard left size 5, lot #: 64463002.42556605805, persona femoral distal augment cemented size 5, 5+ 5mm, lot #: 64434695.42556605810, persona femoral distal augment cemented size 5, 5+ 10mm, lot #: 64499740.42560007514, persona stem extension tapered cemented 14mm dia +75mm l, lot #: 64729089.42560007514, persona stem extension tapered cemented 14mm dia +75mm l, lot #: 64729089.42542007101, persona tibia fixed cemented left size e, lot #: 64334576.
Event or Problem Description
It was reported a patient was seen in the office about three years post implantation after subsequent falls and now experiencing pain and a significant effusion.The patient has a five degree extensor lag secondary to the pain and swelling and at the office appointment, an aspiration was performed.Limited bloody fluid was collected as it was thought to be coagulated.All radiographic imaging displays implants in good position without signs of gross failure or loosening and all implants remain in place.
Additional Manufacturer Narrative
This follow-up report is being submitted to relay additional information.The following sections were updated/corrected updated: b4, b5, d6, g3, g6, h1, h2, h6, h10, h11.Customer has indicated that the product will not be returned to zimmer biomet for investigation, as the device was discarded by the facility.The investigation is in process.Once the investigation has been completed, a follow-up mdr will be submitted.
Event or Problem Description
It was reported a patient was seen in the office about three years post implantation after subsequent falls and now experiencing pain and a significant effusion.The patient has a five degree extensor lag secondary to the pain and swelling and at the office appointment, an aspiration was performed.Limited bloody fluid was collected as it was thought to be coagulated.All radiographic imaging displayed implants in good position without signs of gross failure or loosening.Ten months after the last office visit, the patient was revised and a poly swap was performed.No additional information has been provided.
Event or Problem Description
Falls, pain, swelling, difficulty with adls, and ambulating cmg2019-13k persona revision.
Additional Manufacturer Narrative
This follow-up report is being submitted to relay additional information.The following sections were updated updated: b3, b4, b5, b7, d6b, g3, g6, h1, h2, h6, h11.The investigation is in process.Once the investigation has been completed, a follow-up mdr will be submitted.
Additional Manufacturer Narrative
This follow-up report is being submitted to relay additional information.The following sections were updated/corrected updated: b4, b5, g3, g6, h1, h2, h3, h6, h10, h11 no product was returned, or pictures provided; visual and dimensional evaluations could not be performed.Review of the device history records identified no deviations or anomalies during manufacturing related to the reported event.The reported products were reviewed for compatibility with no issues noted.Operative notes provided and reviewed state that the patient underwent an initial left total knee arthroplasty, followed by a revision three years, eith months later, due to pain and instability.Two years, eleven months post revision, the patient experienced pain, significant swelling (effusion), and a five-degree extensor lag after falls, which led to an aspiration that collected limited coagulated bloody fluid.Imaging showed no signs of implant failure or loosening.Ten months after the fall the patient had a revision involving a poly exchange from cps to cck.Subsequent visits indicated moderate pain and range of motion (rom) limitations.Three months after the latest revision, the patient reported severe pain and a large hematoma was identified, necessitating surgical removal one month post office visit.This procedure included a medial parapatellar arthrotomy, removal of the art surface and hematoma, and retention of stable femoral and tibial components, with the patella remaining intact.A 14mm poly was temporarily placed to facilitate visualization and access, not due to malfunction.The procedure concluded without complications, and cultures taken during surgery showed no signs of infection.At two week follow up, the patient displayed no signs of hematoma or infection and had an improved clinical status.Complaint is confirmed based on operative notes provided.A definitive root cause cannot be determined.No corrective actions, preventive actions, or field actions resulted after investigation of this event.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 or Problem Description
No further event information available at the time of this report.

• Brand Name: PERSONA ARTICULAR SURFACE FIXED BEARING (CPS) LEFT 16MM
• Common Device Name: PROSTHESIS, KNEE
• Manufacturer (Section D): ZIMMER ORTHOPAEDIC MFG. LTD.; building no 2 east park; shannon industrial estate; shannon, county clare ; EI
• Manufacturer (Section G): ZIMMER ORTHOPAEDIC MFG. LTD.; building no 2 east park; shannon industrial estate; shannon, county clare ; EI
• Manufacturer Contact: jennifer rapsavage ; 56 e. bell dr.; warsaw, IN 46582 ; 5745260384
• MDR Report Key: 19566927
• Report Number: 3007963827-2024-00225
• Device Sequence Number: 6112731
• Product Code: JWH
• UDI-Device Identifier: 00889024238039
• UDI-Public: (01)00889024238039(17)230531(10)64045986
• Combination Product (Y/N): N
• Initial Reporter State: AR
• Initial Reporter Country: US
• PMA/510(K) Number: K123459
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Device Implanted Year: 2020
• Device Explanted Year: 2024
• Serviced by Third Party (Y/N): Unknown
• Reporter Type: Manufacturer
• Report Source: Study,Health Professional,Company Representative
• Initial Reporter Occupation: Physician
• Type of Report: Initial,Followup,Followup,Followup
• Report Date (Section B): 11/22/2024

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?: No
• Operator of Device: Health Professional
• Device Expiration Date: 05/31/2023
• Device Model Number: N/A
• Device Catalogue Number: 42512600616
• Device Lot Number: 64045986
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: Yes
• Was the Report Sent to FDA?: No
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 05/24/2024
• Supplement Date Received by Manufacturer: 08/27/2024; 10/04/2024; 11/14/2024
• Initial Report FDA Received Date: 06/19/2024
• Supplement Report FDA Received Date: 09/20/2024; 10/29/2024; 11/22/2024
• Was Device Evaluated by Manufacturer? (Y/N): Yes
• Date Device Manufactured: 06/07/2018
• Is the Device Labeled for Single Use? (Y/N): Yes
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Usage of Device: Initial
• Patient Sequence Number: 1
• Concomitant Medical Products and Therapy/Usage Dates: SEE H11 NARRATIVE.
• Outcome Attributed to Adverse Event: Required Intervention
• Patient Sex: Female
• Patient Weight: 77 KG
• Patient Ethnicity: Non Hispanic
• Patient Race: White