| Brand Name | NEXGEN LPS-FLEX OPTION FEMORAL G-R |
| Common Device Name | Prosthesis, Knee, Patellofemorotibial, Semi-Constrained, Cemented, Polymer/Metal/Polymer |
| Manufacturer (Section D) |
| ZIMMER ORTHOPAEDIC MFG. LTD. |
| building no 2 east park |
| shannon industrial estate |
| shannon, county clare |
| EI |
|
| 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 Key | 24271831 |
| Report Number | 3007963827-2026-00043 |
| Device Sequence Number | 10021789 |
| Product Code |
JWH
|
| Combination Product (Y/N) | N |
| Initial Reporter Country | US |
| PMA/510(K) Number | K173057 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Device Implanted Year | 2016 |
| Device Explanted Year | 2025 |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Foreign,Consumer,Company Representative |
| Initial Reporter Occupation |
Non-Healthcare Professional
|
| Type of Report
| Initial,Followup |
| Report Date (Section B) |
09/10/2026 |
| 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? |
No
|
| Operator of Device |
Lay User/Patient
|
| Device Expiration Date | 06/30/2026 |
| Device Catalogue Number | 00596401752 |
| Device Lot Number | 63393300 |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
No
|
| Was the Report Sent to FDA? |
No
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 01/22/2026 |
| Supplement Date Received by Manufacturer | 08/17/2026
|
| Initial Report FDA Received Date | 02/05/2026 |
| Supplement Report FDA Received Date | 09/10/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Date Device Manufactured | 06/24/2016 |
| 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 Number | 1 |
Concomitant Medical Products and Therapy/Usage Dates | SEE H11 NARRATIVE. |
| Outcome Attributed to Adverse Event |
Required Intervention;
Hospitalization;
|
| Patient Sex | Male |
| Patient Weight | 222 LB |
| Patient Race | White |
|
|