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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER BIOMET, INC. POROUS PATELLA 35MM X 10MM; PROSTHESIS, KNEE

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ZIMMER BIOMET, INC. POROUS PATELLA 35MM X 10MM; PROSTHESIS, KNEE Back to Search Results
Catalog Number 00587806535
Medical Device Problem Code Fracture (1260)
Health Effect - Clinical Code Insufficient Information (4580)
Date of Event 12/02/2025
Type of Reportable Event Serious Injury
Additional Manufacturer Narrative
(b)(4).H3, customer has indicated that the product will not be returned to zimmer biomet for investigation.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 a patient was revised due to the patella fracturing after the patient was weight bearing.There is no additional information available.
 
Additional Manufacturer Narrative
Upon receipt of additional information, it was determined that this item was reported under the wrong mfr.The report will be submitted under mfr 3005751028.
 
Event or Problem Description
Upon receipt of additional information, it was determined that this item was reported under the wrong mfr.The report will be submitted under mfr 3005751028.
 
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Brand Name
POROUS PATELLA 35MM X 10MM
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 Key23863436
Report Number0001822565-2025-04676
Device Sequence Number9295055
Product Code MBH
UDI-Device Identifier00889024309814
UDI-Public(01)00889024309814(17)290721(10)66611459
Combination Product (Y/N)N
Initial Reporter StateAR
Initial Reporter CountryUS
PMA/510(K) Number
K172524
Number of Events Summarized1
Summary Report (Y/N)N
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) 03/10/2026
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 Health Professional
Device Catalogue Number00587806535
Device Lot Number66611459
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 12/02/2025
Supplement Date Received by Manufacturer03/09/2026
Initial Report FDA Received Date12/22/2025
Supplement Report FDA Received Date03/10/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured07/22/2024
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 Required Intervention; Hospitalization;
Patient SexUnknown
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