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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 LEFT 12MM; PROSTHESIS, KNEE

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ZIMMER ORTHOPAEDIC MFG. LTD. PERSONA POSTERIOR STABILIZED ARTICULAR SURFACE LEFT 12MM; 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 Adhesion(s) (1695); Pain (1994); Loss of Range of Motion (2032); Osteolysis (2377); Ambulation or Postural Difficulties (2544); Fibrosis (3167); Muscle/Tendon Damage (4532)
Date of Event 02/03/2025
Type of Reportable Event Serious Injury
Additional Manufacturer Narrative
(b)(4) d10 - concomitant devices - persona posterior stabilized standard femoral component left size 9 catalog #: 42500606601 lot #: 64050573, persona cemented stemmed tibial component left size e catalog #: 42532007101 lot #: 64078325, persona cemented all poly patella 35mm catalog #: 42540000035 lot #: 64214480, persona cemented stem extension 14mm x 30mm catalog #: 42557000114 lot #: 64177926.The complainant has indicated that the product will not be returned to zimmer biomet for investigation, as the device was discarded.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 that the patient underwent a left knee synovectomy to address fibrosis approximately four (4) years following left knee arthroplasty.The patient further underwent a left knee arthroplasty revision of the articular surface to address arthrofibrosis accompanied by continued pain, instability and limited range of motion approximately six (6) years post-operatively.Initial operative notes noted no intraoperative complications.Revision operative notes noted significant scarring/arthrofibrosis within the joint.Femoral undermining was additionally noted medially and laterally, however, no femoral component loosening was found.The patient's quadriceps mechanism was noted to be scarred, contributing to the limited flexion.The surgeon decreased the articular surface size to increase flexion of the knee.No intraoperative complications were noted.
 
Additional Manufacturer Narrative
This follow-up report is being submitted to relay additional information.The following sections were updated: b4, g3, g6, h2, h3, h6, h11.Medical records provided confirmed the reported event.The device history records were reviewed and no discrepancies were identified.A definitive root cause could not be determined with the information 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.
 
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 LEFT 12MM
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 Key21457418
Report Number3007963827-2025-00071
Device Sequence Number7642172
Product Code MBH
UDI-Device Identifier00889024238077
UDI-Public(01)00889024238077(17)230731(10)64099967
Combination Product (Y/N)N
Initial Reporter StateNM
Initial Reporter CountryUS
PMA/510(K) Number
K123459
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2019
Device Explanted Year2025
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) 07/09/2025
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 Expiration Date07/31/2023
Device Model NumberN/A
Device Catalogue Number42512600712
Device Lot Number64099967
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 02/03/2025
Supplement Date Received by Manufacturer07/01/2025
Initial Report FDA Received Date02/25/2025
Supplement Report FDA Received Date07/09/2025
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured08/03/2018
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 Number1
Concomitant Medical Products
and Therapy/Usage Dates
SEE H11 NARRATIVE
Outcome Attributed to Adverse Event Required Intervention; Hospitalization;
Patient SexFemale
Patient Weight80 KG
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