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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER BIOMET, INC. PERSONA FEMORAL DISTAL AUGMENT CEMENTED SIZE 11; PROSTHESIS, KNEE

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ZIMMER BIOMET, INC. PERSONA FEMORAL DISTAL AUGMENT CEMENTED SIZE 11; PROSTHESIS, KNEE Back to Search Results
Catalog Number 42556607005
Medical Device Problem Code Malposition of Device (2616)
Health Effect - Clinical Codes Pain (1994); Numbness (2415); Ambulation or Postural Difficulties (2544); Swelling/ Edema (4577); Crepitus (4893)
Type of Reportable Event Serious Injury
Event or Problem Description
It was reported that the patient underwent a right knee surgery.Subsequently, the patient has reported experiencing pain, crepitus, numbness, swelling, and ambulation difficulties in the post-op period and alleges malalignment of components.They take prescribed medication daily but otherwise no known treatment or additional intervention has occurred to this point.Attempts have been made and all available information has been provided.
 
Additional Manufacturer Narrative
(b)(4).D10: 42504607002 - femur cemented standard right size 11 - 67134322.42560007514 - stem extension tapered cemented 14 mm diameter +75 mm length - 67076582.42542007902 - tibia fixed cemented right size g stem extension use required - 66774948.42560007514 - stem extension tapered cemented 14 mm diameter +75 mm length - 67053363.42545000510 - tibial central cone size x-small - 65915015.42555807205 - tibial augment cemented half block right lateral size gh 5 mm thickness - 64882739.42555807405 - tibial augment cemented half block right medial size gh 5 mm thickness - 64853497.42522601010 - articular surface fixed bearing constrained posterior stabilized (cps) right 10 mm height use with tibia sizes g-h / ps femur sizes 10-12 - 66153674.42540000035 - all poly patella cemented 35 mm diameter - 66939408.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.
 
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; h4; h6; h10.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.Review of complaint history found no additional related issues for this item and the reported part and lot combination.X-rays were provided and were reviewed by a healthcare professional.Review of the records states that there is mild malalignment approximately 3 degrees varus positioning and 0 degrees posterior slope with mild overhang posterolateral.There was radiolucency seen along femoral and tibial components.A definitive root cause cannot be determined.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 FEMORAL DISTAL AUGMENT CEMENTED SIZE 11
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 Key23567831
Report Number0001822565-2025-04135
Device Sequence Number9859901
Product Code JWH
UDI-Device Identifier00889024556751
UDI-Public(01)00889024556751(17)321008(10)65597130
Combination Product (Y/N)N
Initial Reporter StateAL
Initial Reporter CountryUS
PMA/510(K) Number
K191625
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2025
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Consumer,Health Professional,Distributor
Initial Reporter Occupation Physician
Type of Report Initial,Followup
Report Date (Section B) 04/09/2026
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? Yes
Operator of Device Lay User/Patient
Device Catalogue Number42556607005
Device Lot Number65597130
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 11/04/2025
Supplement Date Received by Manufacturer04/09/2026
Initial Report FDA Received Date11/17/2025
Supplement Report FDA Received Date04/09/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured10/11/2022
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 SexMale
Patient Weight84 KG
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