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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER ORTHOPAEDIC MFG. LTD. PERSONA FEMUR CEMENTED CRUCIATE RETAINING; PROSTHESIS, KNEE

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ZIMMER ORTHOPAEDIC MFG. LTD. PERSONA FEMUR CEMENTED CRUCIATE RETAINING; PROSTHESIS, KNEE Back to Search Results
Catalog Number 42502006202
Medical Device Problem Code Adverse Event Without Identified Device or Use Problem (2993)
Health Effect - Clinical Codes Hypersensitivity/Allergic reaction (1907); Pain (1994); Loss of Range of Motion (2032); Swelling/ Edema (4577)
Date of Event 07/15/2025
Type of Reportable Event Serious Injury
Additional Manufacturer Narrative
(b)(4).D10: 42522100410 - articular surface medial congruent (mc) right 10 mm height use with tibia sizes c-d/cr femur sizes 6-7 - 65397043.42540000032 - all poly patella cemented 32 mm diameter - 65584857.Unknown - unknown cement - unknown.42532006402 - tibia cemented 5 degree stemmed right size c - 65342045.42557000114 - stem extension tapered cemented 14 mm diameter +30 mm length - 65455255.H6: suggested component code: mechanical (g04) - femur.Customer has indicated that the product will not be returned to zimmer biomet for investigation.Once the investigation has been completed, a follow-up mdr will be submitted.
 
Event or Problem Description
It was reported a patient had an initial right total knee arthroplasty.Subsequently, the patient developed pain, swelling, loss of flexion and mobility, and was found to have a nickel allergy.Approximately 2.5 years post-op, the patient was revised to nickel free implants.Attempts have been made and all available information has been provided.
 
Additional Manufacturer Narrative
This follow-up report is being submitted to relay additional information.The following sections were updated: b4; b5; d2; g1; g3; g6; h1; h2; h3; h6.The event is confirmed.No product was returned, or pictures provided; visual and dimensional evaluations could not be performed.The device history record was reviewed and no discrepancies relevant to the reported event were found.Medical records were provided and reviewed by a health care professional.Review of the available records identified the following: no evidence of infection, implants well aligned, patient had excellent rom and stability.Positive nickel allergy test report supplied.The ifu lists nickel as a material in the composition of the implant material and also states that nickel, is classified as a skin sensitizer 1: sensitization or allergic reaction to users and/or patients.The ifu states do no use in patients with suspected or confirmed metal sensitivity or allergy to the metals utilized in the manufacture of the subject device.The root cause can therefore be attributed to a failure to follow instructions.A summary of the investigation was sent to the complainant conveying proper surgical technique and use of the device.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.
 
Additional Manufacturer Narrative
This follow-up report is being submitted to relay additional information.The following sections were updated: b4; b5; d2; g1; g3; g6; h1; h2; h6.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 FEMUR CEMENTED CRUCIATE RETAINING
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
Manufacturer Contact
jennifer rapsavage
56 e. bell dr.
warsaw, IN 46582
5745260384
MDR Report Key23535244
Report Number3007963827-2025-00452
Device Sequence Number10167261
Product Code MBH
UDI-Device Identifier00889024229921
UDI-Public(01)00889024229921(17)320612(10)65384203
Combination Product (Y/N)N
Initial Reporter StateCA
Initial Reporter CountryUS
PMA/510(K) Number
K172524
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2022
Device Explanted Year2025
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Consumer,Health Professional,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial,Followup,Followup
Report Date (Section B) 04/07/2026
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 Lay User/Patient
Device Catalogue Number42502006202
Device Lot Number65384203
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 10/27/2025
Supplement Date Received by Manufacturer03/04/2026
04/07/2026
Initial Report FDA Received Date11/12/2025
Supplement Report FDA Received Date03/04/2026
04/08/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured06/21/2022
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.
Outcome Attributed to Adverse Event Hospitalization; Required Intervention;
Patient SexFemale
Patient Weight60 KG
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