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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER BIOMET, INC. PERSONA® PPS; PROSTHESIS, KNEE

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ZIMMER BIOMET, INC. PERSONA® PPS; PROSTHESIS, KNEE Back to Search Results
Catalog Number 42508006802
Medical Device Problem Code Adverse Event Without Identified Device or Use Problem (2993)
Health Effect - Clinical Code Discomfort (2330)
Date of Event 05/06/2025
Type of Reportable Event Serious Injury
Additional Manufacturer Narrative
(b)(4).D10: pn: 42535007502, ln: 65673718 persona® the personalized knee® osseoti.Pn: 42522100812, ln: 65764779 persona® vivacit-e.Suggested component code: mechanical (g04) ¿ femur.Customer has indicated that the product will not be returned as it is still implanted.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 patient was experiencing discomfort while bending the knee.The patient received an injection and was prescribed physical therapy and a dose of prescription medication.It was documented as resolved two months post physical therapy.Attempts to obtain additional information have been made; however, no more is available.
 
Event or Problem Description
No further information is 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; d4; g3; h2; h4; h6 no product was returned, or pictures provided; visual and dimensional evaluations could not be performed.Review of the device history records identified no related deviations or anomalies during manufacturing.This device is used for treatment.The reported products were reviewed for compatibility with no issues noted.Review of complaint history found no additional related issues for this item and the reported part and lot combination.Medical records were not provided.A definitive root cause cannot be determined.No corrective actions, preventive actions, or field actions resulted after investigation of this event.Complaint is not confirmed if any further information is found which would change or alter any conclusions or information, a supplemental will be filed accordingly.Zimmer biomet will continue to monitor for trends.
 
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Brand Name
PERSONA® PPS
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 Key24544243
Report Number0001822565-2026-00732
Device Sequence Number5597187
Product Code JWH
Combination Product (Y/N)N
Initial Reporter StateMS
Initial Reporter CountryUS
PMA/510(K) Number
K221479
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2023
Reporter Type Manufacturer
Report Source Study,Health Professional,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial,Followup
Report Date (Section B) 06/09/2026
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? No
Operator of Device Lay User/Patient
Device Catalogue Number42508006802
Device Lot Number65923875
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 02/14/2026
Supplement Date Received by Manufacturer06/02/2026
Initial Report FDA Received Date03/09/2026
Supplement Report FDA Received Date06/09/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured04/17/2023
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; SEE H11.
Outcome Attributed to Adverse Event Other;
Patient SexMale
Patient Weight180 LB
Patient RaceWhite
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