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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER BIOMET, INC. PERSONA REV 6MM OFF STEM 16X135; PROSTHESIS, KNEE

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ZIMMER BIOMET, INC. PERSONA REV 6MM OFF STEM 16X135; PROSTHESIS, KNEE Back to Search Results
Catalog Number 42560613516
Medical Device Problem Code Device Damaged Prior to Receipt by User (1570)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 10/08/2025
Type of Reportable Event Malfunction
Event or Problem Description
It was reported the implant poked through/compromised the sterile packaging.Found prior to start of procedure.No patient involvement.
 
Additional Manufacturer Narrative
(b)(4).The product has been received by zimmerbiomet.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: b1; b5; d1; d2a; d2b; e1; g1; g3; h1; h3; h6.Complaint can be confirmed through the returned product analysis.Visual examination of the returned product identified the device had poked through the sterile packaging.Sterility has been compromised.The device history record was reviewed and no discrepancies relevant to the reported event were found.Root cause has been identified as transit damage.If any further information is found which would change or alter any conclusions or information, a supplemental report 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 REV 6MM OFF STEM 16X135
Common Device Name
PROSTHESIS, KNEE
Manufacturer (Section D)
ZIMMER BIOMET, INC.
1800 w. center st.
warsaw IN 46580
Manufacturer (Section G)
ZIMMER BIOMET, INC.
1800 w. center st.
warsaw IN 46580
Manufacturer Contact
jennifer rapsavage
56 e. bell dr.
warsaw, IN 46582
5745260384
MDR Report Key23427572
Report Number0001822565-2025-03914
Device Sequence Number9854308
Product Code JWH
UDI-Device Identifier00887868250309
UDI-Public(01)00887868250309(17)300531(10)64761167
Combination Product (Y/N)N
Initial Reporter StateTX
Initial Reporter CountryUS
PMA/510(K) Number
K191625
Number of Events Summarized1
Summary Report (Y/N)N
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) 11/13/2025
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Operator of Device Health Professional
Device Catalogue Number42560613516
Device Lot Number64761167
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer10/21/2025
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 10/08/2025
Supplement Date Received by Manufacturer11/04/2025
Initial Report FDA Received Date10/30/2025
Supplement Report FDA Received Date11/13/2025
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured05/19/2020
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
Patient SexUnknown
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