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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER ORTHOPAEDIC MFG. LTD. PERSONA POSTERIOR STABILIZED ARTICULAR SURFACE RIGHT 10MM; PROSTHESIS, KNEE

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ZIMMER ORTHOPAEDIC MFG. LTD. PERSONA POSTERIOR STABILIZED ARTICULAR SURFACE RIGHT 10MM; PROSTHESIS, KNEE Back to Search Results
Model Number N/A
Medical Device Problem Code Adverse Event Without Identified Device or Use Problem (2993)
Health Effect - Clinical Codes Unspecified Infection (1930); Pain (1994); Swelling/ Edema (4577)
Date of Event 12/06/2024
Type of Reportable Event Serious Injury
Event or Problem Description
It was reported that the patient underwent a right knee arthroplasty revision of the articular surface to address pain, swelling and suspected infection approximately three (3) weeks post-operatively.Attempts have been made, however, no additional information is available.
 
Additional Manufacturer Narrative
(b)(4).D10 - concomitant devices - persona stemmed tibial tray size g right catalog #: 42532007902 lot #: 66058869, persona cemented standard femoral component size 12 right catalog #: 42500607402 lot #: 66541742, persona all poly patella 35mm catalog #: 42540200035 lot #: 66757441, persona straight stem 13mm x +30mm catalog #: 42557000114 lot #: 66919852.The complainant has indicated that the product will not be returned to zimmer biomet for investigation as the hospital retained for cultures taken.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: b4, g3, g6, h2, h4, h6, h11.The reported event could not be confirmed as medical records were not provided.The device history records were not reviewed as the event was determined to be unrelated to the implanted device.Sterile certifications were reviewed and found to be conforming with no applicable deviations.The device was verified to have gone through acceptable sterilization processes following iso/aami/astm & eu published guidelines.There are multiple factors that may contribute to an infection that are outside the control of zimmer biomet, such as external factors that may include hospital/surgical environment, provider-related risk factors, and/or patient comorbidities/risk factors.As there are no indications of a product or process issue affecting implant safety or effectiveness, the implanted products are not identified as the source or contributing to the reported infection.The root cause was determined to be traced to non-device related factors.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.
 
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Brand Name
PERSONA POSTERIOR STABILIZED ARTICULAR SURFACE RIGHT 10MM
Common Device Name
PROSTHESIS, KNEE
Manufacturer (Section D)
ZIMMER ORTHOPAEDIC MFG. LTD.
building no 2 east park
shannon industrial estate
shannon, county clare
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 Key21034978
Report Number3007963827-2024-00540
Device Sequence Number9180617
Product Code MBH
UDI-Device Identifier00889024244788
UDI-Public(01)00889024244788(17)290822(10)66691649
Combination Product (Y/N)N
Initial Reporter StateNJ
Initial Reporter CountryUS
PMA/510(K) Number
K123459
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2024
Device Explanted Year2024
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Health Professional,Distributor
Initial Reporter Occupation Physician
Type of Report Initial,Followup
Report Date (Section B) 04/16/2025
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 Model NumberN/A
Device Catalogue Number42522601010
Device Lot Number66691649
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 12/06/2024
Supplement Date Received by Manufacturer04/14/2025
Initial Report FDA Received Date12/30/2024
Supplement Report FDA Received Date04/16/2025
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured08/22/2024
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 Number1
Outcome Attributed to Adverse Event Hospitalization; Required Intervention;
Patient SexMale
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